The UTHealth Medical School is one of just 10 medical schools selected to participate in a new initiative by the Association for American Medical Colleges (AAMC), Reframing Readiness for Residency: A Pilot to Examine the Core Entrustable Professional Activities for Entering Residency (CEPAER).
During the five-year project, the UTHealth team, comprised of Drs. Margaret Uthman, Philip Orlander, Mark Hormann, and Allison Ownby, will work with the other schools to develop curriculum, assessment tools, and faculty development activities to implement the 13 entrustable professional activities (EPAs) expected of graduating medical students, as recently defined by the AAMC.
The 13 EPAs are:
- Gather a history and perform a physical examination
- Prioritize a differential diagnosis following a clinical encounter
- Recommend and interpret common diagnostic and screening tests
- Enter and discuss orders/prescriptions
- Document a clinical encounter in the patient record
- Provide an oral presentation of a clinical encounter
- Form Clinical Questions and retrieve evidence to advance patient care
- Give or receive a patient handover to transition care responsibility
- Collaborate as a member of an interprofessional team
- Recognize a patient requiring urgent or emergent care, and initiate evaluation and management
- Obtain informed consent for tests and/or procedures
- Perform general procedures of a physician
- Identify system failures and contribute to a culture of safety and improvement
Over half of the US LCME-accredited medical schools applied to join the pilot program.
“The enthusiastic response from more than 70 institutions demonstrates the significant energy and commitment within academic medicine toward closing the gap between expectations and performance for residents on day one,” said Dr. Darrell Kirch, AAMC president and CEO.
These EPAs represent a short list of integrated activities that might be expected of all MD graduates transitioning from medical school to residency. The goal is that within 10 years, medical school graduates entering residency will be entrusted by their medical school to perform the 13 core EPAs without direct supervision, and residency program directors will feel confident in entrusting new residents with these activities. Additional EPAs are being developed to assess physicians during residency training.
“The timing for this pilot is ideal, as we currently are proposing a new curriculum for the Medical School, which will be innovative and integrated,” said Uthman, associate dean for educational programs. “Our diverse student body and patient population will help us provide unique contributions to this project.”
The UTHealth team will travel to Washington, DC at the end of October to attend the first meeting.
The other institutions participating in this pilot are Columbia University College of Physicians and Surgeons; Florida International University Herbert Wertheim College of Medicine; Michigan State University College of Human Medicine; New York University School of Medicine; Oregon Health & Science University School of Medicine; University of Illinois College of Medicine; Vanderbilt University School of Medicine; Virginia Commonwealth University School of Medicine; and Yale School of Medicine.
-Darla Brown, Office of Communications, Medical School