ArticleBMC medical education2020
What can we expect from medical graduates? Empirical survey on the performance of Core EPAs in the first days of residency.
Article in BMC medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Entrustable professional activities in medical education: strategies and results - a systematic review.Medical education online · 2026Pooled it
- [Organize teaching in the surgical rotation -What practical experience do students starting the final year clerkship have?]Chirurgie (Heidelberg, Germany) · 2026Article
- Establishing a set of qualities for clinical teaching faculty in undergraduate medical internship.BMC medical education · 2025Article
- [The new medical licensing regulations (ÄApprO) : Status and expected challenges].Orthopadie (Heidelberg, Germany) · 2024Article
- An update on current EPAs in graduate medical education: A scoping review.Medical education online · 2021Article
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4 authors.
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Abstract
backgroundCore Entrustable Professional Activities (EPAs) have been defined to specify the performance expectations for entering residents worldwide. The content of these EPAs was elaborated and validated primarily via medical expert consent approaches. The present study aims to collect empirical information on the actual task performance and supervision level of entering residents as a complementary methodological approach to enhance the content validity of a set of institutional EPAs.
methodsIn the summers of 2017 and 2018, Charité medical graduates (n = 720) received a post-graduation survey by mail. The questionnaire covered the performance of Core EPAs, Core procedures and more advanced EPAs. Graduates were asked how frequently they had performed the respective EPAs since the start of residency and under what level of supervision. We expected the large majority of graduates (> 75%) to have performed the Core EPAs and procedures under at least indirect supervision.
resultsIn total, 215 graduates (30%) returned the questionnaire, and 131 (18%) surveys could be included in the data analysis. The majority of participants were female (63%) and worked in hospitals (50%) or in university medical centres (30%) across various medical disciplines. Among the Core EPAs, 10 out of 11 tasks had been performed by more than 75% of graduates since the start of residency, 9 under indirect supervision. Regarding the Core procedures, only 3 out of 13 procedures had been performed by the large majority of graduates under indirect supervision, and 10 procedures had not been carried out by at least one-third of participants. Among the 5 advanced EPAs, none of 5 had been performed by more than 75% of the participants since the start of residency, and 4 had been carried out by 50% under indirect supervision.
conclusionsThe results of this study largely and complementarily confirm the validity of the defined Core EPAs representing realistic expectations for entry into residence at our institution. The low actual performance rate of Core procedures serves to stimulate an institutional discussion on their adjustment to better match the workplace reality.
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