Competencies, Milestones, NAS
When does a House Officer become an Internist?
A brief primer on the Next Accreditation System
Entrustable Professional Activities (EPAs)
Attributes expected of an Internist in independent practice
EPAs are a set of basic expectations that must be met by a graduating resident in order to practice independently (i.e. become an Internist); these have been developed by AAIM (Academic Alliance of Internal Medicine) and ABIM (American Board of Internal Medicine). Residency education, is, thus, designed to ensure these EPAs are met by graduation; while it is not necessary that an individual rotation incorporate experiences to support every EPA, the sum experience of all rotations during residency must.
Curricular Milestones (CMs)Level-appropriate expectations that define what it means to be a competent Internist
To demonstrate a graduating resident has met the EPAs, criteria have been developed by AAIM and ABIM for each EPA that should be evaluated and met at expected times during a resident's training; these interval-based criteria are termed Curricular Milestones and are Competency-based. Advancement in training requires meeting appropriately-timed milestones; failure to do so will result extension or termination of training. pThe level appropriate expectations are as follows: