Why the study?
Pragmatic challenges remain in implementing entrustable professional activities as surgical training shifts toward competency-based education, prompting a review of best practices to assist programs and individuals.
EPAs represent a significant shift toward competency-based education in US general surgery residency programs, requiring further analysis of barriers and facilitators for optimal implementation.
EPAs represent the next significant shift in the evaluation of general surgery residents as part of the overarching progression toward CBE among all US residency programs. While pragmatic challenges to the implementation of EPAs remain, the best practices from EPA and other CBE assessment literature summarized in this review may assist individuals and programs in implementing EPAs. As EPAs become more widely used in general surgery resident training, further analysis of barriers and facilitators to successful and sustainable EPA implementation will be needed to continue to optimize and advance this new assessment framework.
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Montgomery et al. (2024) studied this question.
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