An Entrustable Professional Activity (EPA)-Based Framework to Prepare Fourth-Year Medical Students for Internal Medicine Careers

The purpose of the fourth year of medical school remains controversial. Competing demands during this transitional phase cause confusion for students and educators. In 2014, the Association of American Medical Colleges (AAMC) released 13 Core Entrustable Professional Activities for Entering Residenc...

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Bibliographic Details
Published in:	Journal of general internal medicine : JGIM Vol. 32; no. 11; pp. 1255 - 1260
Main Authors:	Elnicki, D. Michael, Aiyer, Meenakshy K., Cannarozzi, Maria L., Carbo, Alexander, Chelminski, Paul R., Chheda, Shobhina G., Chudgar, Saumil M., Harrell, Heather E., Hood, L. Chad, Horn, Michelle, Johl, Karnjit, Kane, Gregory C., McNeill, Diana B., Muntz, Marty D., Pereira, Anne G., Stewart, Emily, Tarantino, Heather, Vu, T. Robert
Format:	Journal Article
Language:	English
Published:	New York Springer US 01-11-2017 Springer Nature B.V
Subjects:	Career Mobility Clinical Competence Colleges & universities Curriculum - trends Education, Medical, Undergraduate - methods Education, Medical, Undergraduate - trends Female Graduate studies Humans Internal Medicine Internal Medicine - education Internal Medicine - methods Internal Medicine - trends Internship and Residency - methods Internship and Residency - trends Male Medical students Medicine Medicine & Public Health Perspective Phase transitions Physicians Professional activities Schools, Medical - trends Students Students, Medical medical education—undergraduate medical education—mentoring clinical skills assessment medical education medical education curriculum development/assessment medical education—assessment
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Summary:	The purpose of the fourth year of medical school remains controversial. Competing demands during this transitional phase cause confusion for students and educators. In 2014, the Association of American Medical Colleges (AAMC) released 13 Core Entrustable Professional Activities for Entering Residency (CEPAERs). A committee comprising members of the Clerkship Directors in Internal Medicine and the Association of Program Directors in Internal Medicine applied these principles to preparing students for internal medicine residencies. The authors propose a curricular framework based on five CEPAERs that were felt to be most relevant to residency preparation, informed by prior stakeholder surveys. The critical areas outlined include entering orders, forming and answering clinical questions, conducting patient care handovers, collaborating interprofessionally, and recognizing patients requiring urgent care and initiating that care. For each CEPAER, the authors offer suggestions about instruction and assessment of competency. The fourth year of medical school can be rewarding for students, while adequately preparing them to begin residency, by addressing important elements defined in the core entrustable activities. Thus prepared, new residents can function safely and competently in supervised postgraduate settings.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	0884-8734 1525-1497
DOI:	10.1007/s11606-017-4089-8