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Table 2 Intern Year EPAs, including titles and descriptions

From: The development of a framework of entrustable professional activities for the intern year in Ireland

No.

EPA Title

Description

1

Clerk a patient

- The doctor can clerk a patient in the outpatient and day care setting, admit a patient to the ward and has a good understanding of decision to admit criteria.

2

Request and interpret basic investigations

- The doctor can request appropriate, and interpret, basic diagnostic laboratory and radiological investigations.

3

Perform essential procedural skills

- The doctor is competent in the following essential procedures:

 o Hand hygiene

 o Venepuncture

 o Peripheral intravenous cannulation

 o Blood cultures from a peripheral vein

 o Arterial blood gas sampling

 o Electrocardiogram (ECG)

 o Nasogastric tube insertion

 o Urinary catheter insertion

 o Preparation, reconstitution, dilution and administration of iv drugs

 o Blood sampling and blood cultures from central line and tunnelled lines

 o Sterile field set up

 o Sterile glove application

4

Manage the work of in-patient care

- The doctor can manage their daily workload to prioritise, delegate tasks, advance patient flow, and deliver patient-centred care.

5

Prescribe and monitor drugs and fluids

- The doctor can prescribe safely, and in compliance with legal requirements, in both a hospital and community setting, and in an elective and emergency setting.

6

Recognise and manage the deteriorating/acutely unwell patient

- The doctor can identify and respond to the acutely unwell patient appropriately.

7

Handover and discharge a patient

- The doctor can handover and receive the handover of a clinical case to/from colleagues and manage the discharge of a patient competently.

 

Set of related activities

Description

 

Engage in Personal and Professional Development

- At the end of internship, the doctor has achieved all EPAs to level 4, and is a well-rounded professional who strives to improve themselves clinically and educationally.