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EPAs, Competencies, Subcompetencies, and Milestones

Under the ACGME accreditation system, all residents are evaluated using a competency-based assessment model. All medical educators and residents need varying levels of familiarity with this model to understand expectations for the completion of residency training. 

Entrustable Professional Activities (EPAs)
EPAs are broad categories of activities that define the essential professional work of a discipline. With regard to residency training, EPAs define the expectations for the education of family physicians. EPAs integrate all of the core competencies, subcompetencies, and their specific milestones.

The ACGME Assessment Model
The ACGME's assessment model includes six domains of clinical competence: patient care, medical knowledge, systems-based practice, interpersonal and communications skills, and practice-based learning and improvement. These general competencies apply to all specialties.

The subcompetencies and the Milestones, which further divide the general clinical competencies into meaningful components, provide key observable behaviors and are specialty-specific.

Learn More
Use STFM's Residency Accreditation Toolkit to learn how to meet ACGME requirements, assess resident performance, and implement competency-based education.

Click on the tabs below to view each of the components of competency-based family medicine education. 

 

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