Milestones and EPAs
Advocacy Center
Educational Innovations
Education Redesign
The Match
Milestones and EPAs
ACGME and ABIM Release 22 Internal Medicine Reporting Milestones
Internal Medicine End of Training EPAs
Building Assessments for an EPA in Three Steps
Milestones Linked to Core Competencies
Literature Behind NAS, Milestones, and EPAs
Definitions To Get You Started
PGY Level-Specific Self-Assessment Forms
Subspecialty Fellowship Milestones
Physician-Scientist Initiative

Print-Friendly Page Print | Email Email Definitions To Get You Started 


Competency-based medical education – an outcomes-based approach to the design, implementation, assessment and evaluation of a medical education program using an organizing framework of competencies. 

Competency – an observable ability of a health professional related to a specific activity that integrates knowledge, skills, values, and attitudes.  

    • Since they are observable, they can be measured and assessed.
    • They can be assembled like building blocks to facilitate progressive  development.

Competence – possessing the knowledge, skills, and attitudes across multiple domains or aspects of performance in a certain context. Statements about competence require descriptive qualifiers to define the relevant abilities, context, and stage of training.

    • Competence is multi-dimensional and dynamic, changing with time, experience, and setting.

Entrustable professional activities (EPAs) – the specific knowledge, skills and attitudes acquired over the course of training that society and our profession believe are critical to performing as a physician. EPAs are defined by milestones in each competency.

Milestone – a significant point in development and helps to define the appropriate developmental trajectory of a trainee. Milestones identify the discrete knowledge, skills, and attitudes expected of learners as they progress through training.

Narrative – standardized descriptions that will be used to identify and describe residents as they move toward competence in a category or EPA.  Program directors will NOT be asked to write individual narratives about each resident


This website is optimized for viewing in Microsoft Internet Explorer
             330 John Carlyle Street  | Suite 610 |  Alexandria, VA  22314
Home  |  AAIM Privacy Policy  |  Site Map
© 2014 Alliance for Academic Internal Medicine