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Assessing Entrustable Professional Activities (EPA) in Clerkship

Workplace Based Assessment in Clerkship

If you are a faculty member, resident, or fellow and teaching and/or evaluating medical clerks during their 3rd year rotations, part of your role will be to provide feedback and coaching to learners in the workplace (WBA). The Association of Faculties of Medicine of Canada (AFMC) has identified 12 clinical skills or tasks for proficiency by the time of graduation, called EPAs (entrustable professional activities). The MD program has developed a simple tool to document the feedback provided to students for EPAs that may be used across clerkship courses. The goal is to provide a developmental assessment of skills acquisition and to promote and support learning. EPAs in the MD program are not being used for progress decisions. This site provides resources to support you in this assessment role.

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Essentials of being an EPA Assessor

These essential resources introduce Faculty, Residents, and Fellows to being an EPA Assessor in the MD Clerkship Curriculum. The Primer takes you through a description of:

     (a) EPAs in the MD Program Context
     (b) Who can be an assessor
     (c) Method of assessment
     (d) EPA assessor’s role
     (e) How to access the EPA assessment form

The 12 min Video reviews key elements of EPA assessment along with a demonstration of how an EPA assessment and feedback session could be conducted. The Guide to Using Elentra provides a step-by-step approach to accessing and completing the EPA assessment forms.

EPA Resources for Course and Site Directors

These resources may be used in educating Faculty, Resident and Fellow teachers and administrative staff on EPA implementation and processes.

Please adapt and use this customizable EPA Implementation Slide Deck if it will be helpful in your local faculty development activities. It includes some background information on EPAs, rationale for their implementation as a workplace based assessment tool, an overview of the tool itself, a summary of each EPA with its corresponding key observable behaviours, and an introduction to the pilot phase of implementation. 

WBA Implementation Newsletter

In this section you can find WBA Implementation Newsletters developed by the MD Program.
The faculty development session, recording, and tutor manual were very helpful.  I felt well prepared going into it without prior experience, and I felt well supported at the session, with the just-in-time opportunity for coaching.
Sacha Agrawal, Assistant Professor, University of Toronto