• J Breckwoldt, S K Beckers, G Breuer, and A Marty.
• Dekanat, Medizinische Fakultät, Universität Zürich, Pestalozzistr. 3/5, 8091, Zürich, Schweiz. jan.breckwoldt@dekmed.uzh.ch.
• Anaesthesist. 2018 Jun 1; 67 (6): 452-457.

AbstractEntrustable professional activities (EPAs) are characterized as self-contained units of work in a given typical clinical context, which may be entrusted to a trainee for independent execution at a certain point of training. An example could be the intraoperative anesthesia management of an ASA 1 patient for an uncomplicated surgical intervention as an EPA in early postgraduate anesthesia training. The EPAs can be described as an evolution of a competency-based medical educational concept, applying the concept of the competencies of a person to specific workplace contexts. In this way the expected level of skills and supervision at a certain stage of training have a more practical meaning and the danger of fragmentation of individual competencies in the competence-based model is avoided. It is a more holistic view of a trainee. Experience with this new concept is so far limited, therefore, further studies are urgently needed to determine whether and how EPAs can contribute to improvements in further training.

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