student counselling

Entrustable Professional Activities (EPA) in Clerkship

Workplace Based Assessment in Clerkship

If you are a faculty member, resident, fellow or clinical associate and teaching and/or evaluating medical clerks during their 3rd year rotations, part of your role will be to provide feedback and coaching to learners in the workplace (WBA). The Association of Faculties of Medicine of Canada (AFMC) has identified 12 clinical skills or tasks for proficiency by the time of graduation, called EPAs (entrustable professional activities). The MD program has developed a simple tool to document the feedback provided to students for EPAs that may be used across clerkship courses. The goal is to provide a developmental assessment of skills acquisition and to promote and support learning. EPAs in the MD program are not being used for progress decisions. This site provides resources to support you in this assessment role.

EPA eModules

For a quick overview about EPAs, review the brief 2-5minute micro eModules.

Essentials of being an EPA Assessor

These essential resources introduce Faculty, Residents, Fellows, and Clinical Associates to being an EPA Assessor in the MD Clerkship Curriculum. 

The 12 min Video reviews key elements of EPA assessment along with a demonstration of how an EPA assessment and feedback session could be conducted. The EPA Primer takes you through a description of who can be an assessor, assessor role, methods of assessment.

To access any of the resources, select and click on a link on the right.

EPA Resources for MD Learners

These essential resources introduce clerkship learners to EPA assessments, including how to start an assessment in Elentra, and how to navigate Elentra to view completed EPA assessments and send assessors reminders to complete an in progress or pending assessment.

The 12 min Video reviews key elements of EPA assessment along with a demonstration of how an EPA assessment and feedback session could be conducted.

To access any of the resources, select and click on a link on the right.

EPA Resources for Course and Site Directors

These resources may be used in educating Faculty, Resident, Fellow and Clinical Associate teachers and administrative staff on EPA implementation and processes.

Please adapt and use this customizable EPA Implementation Slide Deck if it will be helpful in your local faculty development activities. It includes some background information on EPAs, rationale for their implementation as a workplace based assessment tool, an overview of the tool itself, a summary of each EPA with its corresponding key observable behaviours, and an introduction to the pilot phase of implementation. 

As well, this poster may be printed and displayed at clinical sites where the assessment of EPAs are taking place.  The 12 EPAs can be referenced and there is a QR code and link to start an assessment. 

To access any of the resources, select and click on a link on the right.

WBA Implementation Newsletter and Quick Hits

In this section you can find WBA Implementation Newsletters and Quick Hits developed by the MD Program.

To access any of the resources, select and click on a link on the right.
The faculty development session, recording, and tutor manual were very helpful.  I felt well prepared going into it without prior experience, and I felt well supported at the session, with the just-in-time opportunity for coaching.
Sacha Agrawal, Assistant Professor, University of Toronto