Entrustable professional activities: a path toward competency-based medical education—analysis based on <italic style="font-style: italic">Entrustable Professional Activities and Entrustment Decision-Making in Health Professions Education</italic>

Qi Xin

doi:10.3760/cma.j.cn116021-20250310-02054

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Entrustable professional activities: a path toward competency-based medical education—analysis based on Entrustable Professional Activities and Entrustment Decision-Making in Health Professions Education

Research on entrustable professional activities | 更新时间：2025-07-01

- Entrustable professional activities: a path toward competency-based medical education—analysis based on Entrustable Professional Activities and Entrustment Decision-Making in Health Professions Education
- Chinese Journal of Medical Education Research Vol. 24, Issue 6, Pages: 721-727(2025)
- 作者机构：
  
  北京大学第一医院大外科教研室，整形烧伤外科，北京 100034
- 作者简介：
  
  Email：randyq@126.com
- 基金信息：
  
  The Project of China Medical Board(22-457)
- DOI：10.3760/cma.j.cn116021-20250310-02054
  CLC： R-05
- Received：10 March 2025，
  
  Published：20 June 2025
- 稿件说明：
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齐心. 置信职业行为：通往胜任力导向医学教育之路——基于《医学教育中的置信职业行为与置信决策》的解析[J]. 中华医学教育探索杂志, 2025, 24(6): 721-727.

Qi Xin. Entrustable professional activities: a path toward competency-based medical education—analysis based on Entrustable Professional Activities and Entrustment Decision-Making in Health Professions Education[J]. Chinese journal of medical education research, 2025, 24(6): 721-727.
齐心. 置信职业行为：通往胜任力导向医学教育之路——基于《医学教育中的置信职业行为与置信决策》的解析[J]. 中华医学教育探索杂志, 2025, 24(6): 721-727. DOI： 10.3760/cma.j.cn116021-20250310-02054.

Qi Xin. Entrustable professional activities: a path toward competency-based medical education—analysis based on Entrustable Professional Activities and Entrustment Decision-Making in Health Professions Education[J]. Chinese journal of medical education research, 2025, 24(6): 721-727. DOI： 10.3760/cma.j.cn116021-20250310-02054.

摘要

置信职业行为作为胜任力导向医学教育的新范式，已被国内外医学教育者广泛探索与实践。ten Cate教授率领国际置信职业行为团队撰写了《医学教育中的置信职业行为与置信决策》，该书从置信职业行为的背景、定义、课程、评价和实施等5个方面，系统梳理了置信职业行为的内涵与外延，有助于国内教育者深入理解置信职业行为，并为置信职业行为在我国医学教育中的规范应用提供了理论依据与实践路径。

Abstract

Entrustable professional activities (EPAs) as a new paradigm for competency-based medical education have been extensively explored and practiced by medical educators both in China and internationally. Led by Professor Olle ten Cate

the international EPA team authored

Entrustable Professional Activities and Entrustment Decision-Making in Health Professions Education

. This book systematically elucidates the connotation and extension of EPAs from the five aspects of background

definition

curriculum

assessment

and implementation. This book enhances the understanding of EPAs among Chinese educators and provides a theoretical foundation and practical pathways for the standardized application of EPAs in the Chinese medical education.

关键词

Keywords

references

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ten Cate O , Burch V , Chen H , et al . Entrustable professional activities and entrustment decision-making in health professions education [M ] . London : Ubiquity Press , 2024 .

ten Cate O , Burch VC , Chen HC , et al . 医学教育中的置信职业行为与置信决策 [M ] . 齐心，吴红斌，译. 北京：北京大学医学出版社， 2025 .

ten Cate O , Khursigara-Slattery N , Cruess RL , et al . Medical competence as a multilayered construct [J ] . Med Educ , 2024 , 58 ( 1 ): 93 - 104 . DOI: 10.1111/medu.15162 http://dx.doi.org/10.1111/medu.15162 .

Royal Australian College of Physicians (RACP) . RACP Curriculum Framework: Know, Do, Be .( 2019-10-11 )[ 2025-01-22 ] . https://www.racp.edu.au/docs/default-source/default-document-library/racp-curriculum-model.pdf?sfvrsn=9 https://www.racp.edu.au/docs/default-source/default-document-library/racp-curriculum-model.pdf?sfvrsn=9 .

Warm EJ , Mathis BR , Held JD , et al . Entrustment and mapping of observable practice activities for resident assessment [J ] . J Gen Intern Med , 2014 , 29 ( 8 ): 1177 - 1182 . DOI: 10.1007/s11606-014-2801-5 http://dx.doi.org/10.1007/s11606-014-2801-5 .

ten Cate O , Chen HC , Hoff RG , et al . Curriculum development for the workplace using entrustable professional activities (EPAs): AMEE guide No. 99 [J ] . Med Teach , 2015 , 37 ( 11 ): 983 - 1002 . DOI: 10.3109/0142159X.2015.1060308 http://dx.doi.org/10.3109/0142159X.2015.1060308 .

Nousiainen MT , Mironova P , Hynes M , et al . Eight-year outcomes of a competency-based residency training program in orthopedic surgery [J ] . Med Teach , 2018 , 40 ( 10 ): 1042 - 1054 . DOI: 10.1080/0142159X.2017.1421751 http://dx.doi.org/10.1080/0142159X.2017.1421751 .

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Jarrett JB , Goliak KL , Haines ST , et al . Development of an entrustment-supervision assessment tool for pharmacy experiential education using stakeholder focus groups [J ] . Am J Pharm Educ , 2022 , 86 ( 1 ): 8523 . DOI: 10.5688/ajpe8523 http://dx.doi.org/10.5688/ajpe8523 .

Edgar L , Jones MD , Harsy B , et al . Better decision-making: shared mental models and the clinical competency committee [J ] . J Grad Med Educ , 2021 , 13 ( 2 Suppl ): 51 - 58 . DOI: 10.4300/JGME-D-20-00850.1 http://dx.doi.org/10.4300/JGME-D-20-00850.1 .

张欣，闫辉，刘黎黎，等 . 临床胜任力评估委员会的国际经验借鉴与实践初探 [J ] . 中国毕业后医学教育， 2023 ， 7 （ 4 ）： 348 - 352 .

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Entrustable professional activities: a path toward competency-based medical education—analysis based on Entrustable Professional Activities and Entrustment Decision-Making in Health Professions Education

DOI：10.3760/cma.j.cn116021-20250310-02054

摘要

Abstract

关键词

Keywords

references