Evidence map›Paper›PMID 34569433›Full record

ArticleMedical education online2021

An update on current EPAs in graduate medical education: A scoping review.

Lu Liu, Zhehan Jiang, Xin Qi, A'Na Xie, Hongbin Wu, Huaqin Cheng, Weimin Wang, Haichao Li

Open access · goldAbstract readScoping Review
In one paragraph

Article in Medical education online, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
4.3field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pitfalls and Potential: Alternative Licensure Pathways for International Medical Graduates in Psychiatry.Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry · 2026
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  6. Bridging competence and practice: The role of Entrustable Professional Activities (EPAs) in optometric education.Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) · 2025
    Review
  7. Portfolio of learning in clinical training.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2025
    Article
  8. Neonatology fellow assessment and evaluation: embracing the word salad of CBME, EPAs, and milestones.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Review
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  10. Article
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  14. Developing an electronic portfolio of learning for family medicine training in South Africa.African journal of primary health care & family medicine · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. What Feedback Content Do Clinical Teachers Address During OSTEs?Advances in medical education and practice · 2023
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Lu LiuInstitute of Medical Education, Peking University, Beijing, China.
Zhehan JiangInstitute of Medical Education, Peking University, Beijing, China.ORCID 0000-0002-1376-9439
Xin QiPeking University First Hospital, Beijing, China.
A'Na XieNational Center for Health Professions Education Development, Peking University, Beijing, China.
Hongbin WuInstitute of Medical Education, Peking University, Beijing, China.
Huaqin ChengInstitute of Medical Education, Peking University, Beijing, China.
Weimin WangNational Center for Health Professions Education Development, Peking University, Beijing, China.
Haichao LiPeking University First Hospital, Beijing, China.
Peking University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this scoping review is to update the recent progress of EPAs research in GME, focusing on the topical concern of EPAs effectiveness, and to provide a reference for medical researchers in countries/regions interested in introducing EPAs. Guided by Arksey and O'Malley's framework regarding scoping reviews, the researchers, in January 2021, conducted a search in five databases to ensure the comprehensiveness of the literature. After the predetermined process, 29 articles in total were included in this study. The most common areas for the implementation and evaluation of EPAs were Surgery (n = 7,24.1%), Pediatric (n = 5,17.2%) and Internal medicine (n = 4,13.8%), a result that shows a relatively large change in the research trend of EPAs in the last two years. Prior to 2018, EPAs research focused on internal medicine, psychiatry, family medicine, and primary care. The articles in the category of EPAs implementation and evaluation had four main themes: (1) validation of EPAs (n = 16,55.2%); (2) describing the experience of implementing EPAs (n = 11,37.9%); (3) examining the factors and barriers that influence the implementation and evaluation of EPAs (n = 6,20.6%); and (4) researching the experiences of faculty, interns, and other relevant personnel in using EPAs. Training programs were the most common EPAs implementation setting (n = 26,89.6%); direct observation and evaluation (n = 12,41.4%), and evaluation by scoring reports (n = 5,17.2%) were the two most common means of assessing physicians' EPA levels; 19 papers (65.5%) used faculty evaluation, and nine of these papers also used self-assessment (31.0%); the most frequently used tools in the evaluation of EPAs were mainly researcher-made instruments (n = 37.9%), assessment form (n = 7,24.1%), and mobile application (n = 6,20.7%). Although EPAs occupy an increasingly important place in international medical education, this study concludes that the implementation and diffusion of EPAs on a larger scale is still difficult.

Indexed as

Competency-Based EducationInternship and ResidencyChildClinical CompetenceEducation, Medical, GraduateHumansInternal MedicineassessmentEntrustable professional activitiespostgraduate medical educationscoping review

Identifiers

PMID34569433
PMCPMC8477952
OpenAlexW3204797843

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.