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Entrustable Professional Activities

Entrustable Professional Activities (EPAs)

An EPA is a key task of a discipline that an individual can be trusted to perform without direct supervision in a given health care context, once sufficient competence has been demonstrated. Each EPA typically consists of multiple milestones.

You can download all of the Internal Medicine EPAs here.

Transition to Discipline

Foundations of Discipline

Core of Discipline

Transition to Practice

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D1	Performing histories and physical exams, documenting and presenting findings, across clinical settings for initial and subsequent care
D2	Identifying and assessing unstable patients, providing initial management, and obtaining help
D3	Performing the basic procedures of Internal Medicine

F1	Assessing, diagnosing, and initiating management for patients with common acute medical presentations in acute care settings
F2	Managing patients admitted to acute care settings with common medical problems and advancing their care plans
F3	Consulting specialists and other health professionals, synthesizing recommendations, and integrating these into the care plan
F4	Formulating, communicating, and implementing discharge plans for patients with common medical conditions from acute care settings
F5	Assessing unstable patients, providing targeted treatment and consulting as needed
F6	Discussing and establishing patients' goals of care
F7	Identifying personal learning needs while caring for patients and addressing those needs

C1	Assessing, diagnosing and, managing patients with complex or atypical acute medical presentations
C2	Assessing and managing patients with complex chronic conditions
C3	Providing internal medicine consultation to other clinical services
C4	Assessing, resuscitating, and managing unstable and critically ill patients
C5	Performing the procedures of Internal Medicine
C6	Assessing capacity for medical decision-making
C7	Discussing serious and/or complex aspects of care with patients, families, and caregivers
C8	Caring for patients who have experienced a patient safety incident (adverse event)
C9	Caring for patients at the end of life
C10	Implementing health promotion strategies in patients with or at risk for disease
C11	Supervising junior learners in the clinical setting

P1	Managing an inpatient medical service
P2	Managing longitudinal aspects of care in a medical clinic
P3	Assessing and managing patients in whom there is uncertainty in diagnosis and/or treatment
P4	Providing consultation to off-site health care providers
P5	Initiating and facilitating transfers of care through the health care system
P6	Working with other physicians and healthcare professionals to develop collaborative patient care plans
P7	Identifying learning needs in clinical practice, and addressing them with a personal learning plan
P8	Identifying and analyzing system-level safety, quality or resource stewardship concerns in healthcare delivery

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