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

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      , MD 1 , 2 , , , MD 3 , , MD 4 , , MD 5 , , MD 6 , , MD 7 , , MD 8 , , MD 9 , , MD 4 , , MD 10 , , MD 11 , , MD 12 , , MD 8 , , MD 13 , , MD 14 , , MD 12 , , MD 15 , , MD 16

      Journal of General Internal Medicine

      Springer US

      medical education, medical education—assessment, medical education—mentoring, medical education—undergraduate, medical education curriculum development/assessment, clinical skills assessment

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          Abstract

          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.

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          Author and article information

          Contributors
          412-624-3151 , dme101@pitt.edu
          Journal
          J Gen Intern Med
          J Gen Intern Med
          Journal of General Internal Medicine
          Springer US (New York )
          0884-8734
          1525-1497
          20 June 2017
          November 2017
          : 32
          : 11
          : 1255-1260
          Affiliations
          [1 ] ISNI 0000 0004 1936 9000, GRID grid.21925.3d, University of Pittsburgh School of Medicine, ; Pittsburgh, PA USA
          [2 ] ISNI 0000 0004 1936 9000, GRID grid.21925.3d, University of Pittsburgh, ; Pittsburgh, PA USA
          [3 ] ISNI 0000 0001 0741 4132, GRID grid.430852.8, University of Illinois College of Medicine at Peoria, ; Peoria, IL USA
          [4 ] ISNI 0000 0001 2159 2859, GRID grid.170430.1, University of Central Florida College of Medicine, ; Orlando, FL USA
          [5 ]Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, MA USA
          [6 ] ISNI 0000000122483208, GRID grid.10698.36, University of North Carolina School of Medicine, ; Chapel Hill, NC USA
          [7 ] ISNI 0000 0001 2167 3675, GRID grid.14003.36, University of Wisconsin School of Medicine and Public Health, ; Madison, WI USA
          [8 ] ISNI 0000 0004 1936 7961, GRID grid.26009.3d, Duke University School of Medicine, ; Durham, NC USA
          [9 ] ISNI 0000 0004 1936 8091, GRID grid.15276.37, University of Florida College of Medicine, ; Gainesville, FL USA
          [10 ] ISNI 0000 0001 2169 2489, GRID grid.251313.7, University of Mississippi School of Medicine, ; Jackson, MS USA
          [11 ] ISNI 0000 0004 1936 9684, GRID grid.27860.3b, University of California-Davis School of Medicine, ; Sacramento, CA USA
          [12 ] ISNI 0000 0001 2166 5843, GRID grid.265008.9, Sidney Kimmel Medical College at Thomas Jefferson University, ; Philadelphia, PA USA
          [13 ] ISNI 0000 0001 2111 8460, GRID grid.30760.32, Medical College of Wisconsin, ; Milwaukee, WI USA
          [14 ] ISNI 0000000419368657, GRID grid.17635.36, University of Minnesota Medical School, ; Minneapolis, MN USA
          [15 ] ISNI 0000 0000 9553 6721, GRID grid.239494.1, Carolinas Medical Center, ; Charlotte, NC USA
          [16 ] ISNI 0000 0001 2287 3919, GRID grid.257413.6, Indiana University School of Medicine, ; Charlotte, NC USA
          Article
          PMC5653547 PMC5653547 5653547 4089
          10.1007/s11606-017-4089-8
          5653547
          28634908
          8f2182e4-799f-4f9d-95cf-23676891a993
          © Society of General Internal Medicine 2017
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          Perspective
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          © Society of General Internal Medicine 2017

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