Defining the Practice of the General Pediatrician: Entrustable Professional Activities Update

The General Pediatrics Entrustable Professional Activities (EPAs) were created in 2013 to define the practice of the general pediatrician. Rooted in the needs of patients, the EPAs detail the essential tasks of practicing pediatricians and offer a framework for defining the expected outcomes of residency training. To support competency-based medical education and ensure graduates are prepared to meet the evolving needs of patients, the pediatrics community has committed to meaningfully incorporating the EPAs into training and certification and using them to guide curricula, individualize training, ground assessment, and determine readiness for practice. In support of this goal, a team of pediatricians, program directors, trainees, and public members assembled to review and update the General Pediatrics EPA framework. With input from volunteers and over 1000 program director and general pediatrician survey respondents, they revised the 17 original EPAs, consolidating the framework and ensuring each activity is clear, specific, and reflects contemporary practice. The resulting 12 revised EPAs and their essential cross-cutting knowledge, skills, and abilities were approved by the American Board of Pediatrics Board of Directors in June 2025. Here we describe the process undertaken to perform the first comprehensive revision of the General Pediatrics EPAs and highlight changes to content and language. By reviewing and revising the EPAs with broad and diverse input, we reaffirm these activities as the essential work of our specialty, providing a framework by which we can support a competency-based approach to training and lifelong learning focused on meeting the needs of children.