Evidence map›Paper›PMID 41612117›Full record

ArticleJournal of general internal medicine2026

Implementation of Core Entrustable Professional Activities in the Internal Medicine Clerkship: A Psychometric Study.

Julia Lister, Shahidali Jaffer, Rachel Stork Poeppelman, Kathleen Lane, Karen Jankowski, Kelsey Angell, Claudio Violato

Abstract read
In one paragraph

Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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

7 authors.

Julia ListerDivision of Hospital Medicine, Department of Medicine, University of Minnesota Medical School, Minneapolis, MN, USA. liste013@umn.edu.ORCID 0009-0002-4872-4705
Shahidali JafferDivision of Hospital Medicine, Department of Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
Rachel Stork PoeppelmanDivision of Pediatric Critical Care Medicine, Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN, USA.
Kathleen LaneDivision of Hospital Medicine, Department of Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
Karen JankowskiDepartment of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, USA.
Kelsey AngellDepartment of Medicine, University of Minnesota Medical School, Minneapolis, MN, USA.
Claudio ViolatoUniversity of Minnesota Medical School, Minneapolis, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEntrustable professional activities (EPAs) have been proposed as a holistic approach to competency-based assessment. The 13 Core EPAs for Entering Residency (CEPAER) are essential tasks that a medical student should be trusted to perform with indirect supervision upon entering residency, based on demonstrated competence.

objectiveTo study the validity and reliability of workplace-based assessments of the 13 core EPAs as measurements of medical student performance and growth over the Internal Medicine (IM) clerkship.

designCorrelational-based population study.

participantsA total of 398 third-year medical students at the University of Minnesota Medical School participated. Students were enrolled in a required 8-week IM clerkship during the 2023-2024 and 2024-2025 academic years. A total of 825 assessors provided EPA ratings with a mean number of 12 per assessor; SD = 15.08. MAIN MEASURES: There were 10,034 EPA-based assessments collected (mean per student = 25; SD = 6.1). The most frequently assessed EPAs were EPA 6 (Provide an oral presentation of a clinical encounter; n = 1866; mean per student = 4.69), EPA 5 (Document a clinical encounter in the patient record; n = 1662; mean per student = 4.18), and EPA 2 (Recommend and interpret common diagnostic and screening tests; n = 1421; mean per student = 3.57). KEY

resultsRegression analyses indicated statistically significant growth in entrustment scores for EPAs 1, 2, 3, 5, 6, 8, 10, and 12. Generalizability analysis showed that to achieve adequate reliability (Ep2 ≥ 0.80), at least 5 assessments were required to be conducted by 5 raters.

conclusionEPAs represent a valid and reliable measure for medical student growth during the IM clerkship, particularly for EPAs 1, 2, 3, 5, 6, 8, and 10.

Indexed as

Clinical ClerkshipClinical CompetenceCompetency-Based EducationInternal MedicinePsychometricsStudents, MedicalEducational MeasurementFemaleHumansMaleMinnesotaReproducibility of ResultsCompetency-based medical educationEntrustable professional activitiesInternal Medicine clerkshipWorkplace-based assessment

Identifiers

PMID41612117
PMCPMC13493635

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.