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Table 5 Mean percentage of students who reach supervision level 4 or higher (left) as well as level 5 and higher (right) in performing the tasks on the supervisor’s ratings for 12 end-of-training EPAs, including the task in EPA 2. The numbers in parentheses indicate the number of subscales

From: Introducing an assessment tool based on a full set of end-of-training EPAs to capture the workplace performance of final-year medical students

  Level 4 Level 5
and higher and higher
1. Along the clinical encounter   
1.1. Take a medical history, perform a physical examination and provide a structured summary of the results (6)Take a medical history, perform a physical examination and provide a structured summary of the results (6) 89% 68%
1.2. Compile a diagnostic plan and initiate implementation (5) 85% 61%
1.3. Interpret test results and initiate further steps (6) 84% 61%
1.4. Compile a treatment plan and initiate implementation (5) 83% 57%
2. Perform general procedures of a physician   
2.1. Sample venous blood 100% 98%
2.2. Sample capillary blood 94% 85%
2.3. Insert a peripheral venous catheter 100% 92%
2.4. Take a blood culture 89% 81%
2.5. Take a smear (mouth, nose, wounds, anal of urogenital) 85% 79%
2.6. Give an intracutaneous injection 67% 44%
2.7. Give a subcutaneous injection 78% 51%
2.8. Give a intramuscular injection 49% 24%
2.9. Give an infusion 94% 83%
2.10. Place a nasogastric tube 50% 21%
2.11. Take an electrocardiogram 81% 64%
2.12. Put on or change a simple bandage 94% 83%
2.13. Write a prescription, countersignature by physician 75% 53%
3. Communication with patients   
3.1. Seek consent for medical procedures and diagnostics (2) 75% 63%
3.2. Informe and advise a patient (6) 84% 66%
4. Communication with colleagues   
4.1. Present a patient history (2) 89% 74%
4.2. Give or receive a patient handover (2) 82% 59%
4.3. Compile and distribute a patient report (3) 92% 57%
5. Further professional activities of a physician   
5.1. Recognize an emergency situation and act upon it (13) 78% 60%
5.2. Undertake an evidence-based patient case presentation and initiate patient-specific implementation (5) 91% 72%