• Jolanta Karpinski and Jason R Frank.
• J. Karpinski is associate director, specialties, Office of Specialty Education, Royal College of Physicians and Surgeons of Canada, and staff physician, Division of Nephrology, Department of Medicine, University of Ottawa Faculty of Medicine, Ottawa, Ontario, Canada.
• Acad Med. 2021 Jul 1; 96 (7S): S36-S41.

AbstractEntrustable professional activities (EPAs) have emerged as a meaningful framework for achieving competency-based medical education (CBME). However, little is known about how to adapt EPAs to large-scale, multispecialty, system-wide implementations. The authors describe the design and experience of creating such a system based on EPAs and the Van Melle Core Components Framework for all accredited training programs under the auspices of the Royal College of Physicians and Surgeons of Canada. The resulting design is a unique configuration and use of EPAs, called Royal College EPAs. Others looking to implement EPAs for large-scale health professions education systems may want to consider this design approach.Copyright © 2021 by the Association of American Medical Colleges.

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