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. 2020 Aug;12(4):425–434. doi: 10.4300/JGME-D-19-00803.1

Table 1.

List of Entrustable Professional Activities (EPAs) and Suggested Number of Observations for Each and Stage Length

EPA Code EPA Text Suggested No. of Observations
Transition to Discipline (TD): ∼3 months
TD1 Recognizing the unstable/critically ill patient, mobilizing the health care team and supervisor, and initiating basic life support 10
TD2 Performing and documenting focused histories and physical examinations, and providing preliminary management of cardinal emergency department presentations 20
TD3 Facilitating communication of information between a patient in the emergency department, caregivers, and members of the health care team to organize care and disposition of the patient 10
Foundations of Discipline (F): ∼9 months
F1 Initiating and assisting in resuscitation of critically ill patients 15
F2 Assessing and managing patients with uncomplicated urgent and non-urgent emergency department presentations 30
F3 Contributing to the shared work of the emergency department health care team to achieve high-quality, efficient, and safe patient care 10
F4 Performing basic procedures 25
Core of Discipline (C): < 3 years
C1 Resuscitating and coordinating care for critically ill patients 40
C2 Resuscitating and coordinating care for critically injured trauma patients 25
C3 Providing airway management and ventilation 20
C4 Providing emergency sedation and systemic analgesia for diagnostic and therapeutic procedures 20
C5 Identifying and managing patients with emergent medical or surgical conditions 40
C6 Diagnosing and managing patients with complicated urgent and non-urgent patient presentations 40
C7 Managing urgent and emergent presentations for pregnant and postpartum patients 15
C8 Managing patients with acute toxic ingestion or exposure 15
C9 Managing patients with emergency mental health conditions or behavioral emergencies 15
C10 Managing and supporting patients in situational crisis to access health care and community resources 5
C11 Recognizing and managing patients who are at risk of exposure to, or who have experienced violence and/or neglect 5
C12 Liaising with prehospital emergency medical services 5
C13 Performing advanced procedures 25
C14 Performing and interpreting point-of-care ultrasound to guide patient management 50
C15 Providing end-of-life care for a patient 5
Transition to Practice (TP): ∼1+ year(s)
TP1 Managing the emergency department to optimize patient care and department flow 25
TP2 Teaching and supervising the learning of trainees and other health care professionals 15
TP3 Managing complex interpersonal interactions that arise during the course of patient care 5
TP4 Providing expert emergency medicine consultation to physicians or other health care providers 5
TP5 Coordinating and collaborating with health care professional colleagues to safely transition the care of patients, including handover and facilitating inter-institution transport 10
TP6 Dealing with uncertainty when managing patients with ambiguous presentations 5