Impact of the Absence of Epas in Multiprofessional Residences in Brazil: A Scope Review

Entrustable professional activities are widely recognized as valuable tools for evaluating physicians in various roles. However, their application can be extended to other health professions when adapted to specific contexts, such as multiprofessional residencies in primary health care. This study aimed to assess the impacts of using these activities in both multiprofessional and uniprofessional residencies. The methodology followed the Joanna Briggs Institute (JBI) framework for scoping reviews and the PRISMA-ScR structure. The process involved six steps: definition of population, concept, and context (PCC); establishment of eligibility criteria; identification of best sources of information; selection of evidence sources; synthesis of results; and elaboration of the conclusion. A total of 592 records were identified, with 30 studies selected after screening. These were analyzed according to key variables and domains. The main emerging themes were: a) changes in curriculum assessment; b) development of specific activities for the target audience; c) positive outcomes from the use of such activities; d) integration with other assessment tools; and e) educator engagement. The findings indicate that the use of entrustable professional activities is not yet standardized across higher education institutions. However, when implemented, they have proven effective and promising for strengthening continuing education, particularly within the Brazilian public health system (SUS). Further research is recommended to explore their benefits in improving the quality of primary health care led by multiprofessional residents.