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Table 2 Internal medicine residency EPAs and their entrustability levelsa for each year

From: Entrustability levels of general internal medicine residents

Num.

EPAs

Yr1

Yr2

Yr3

Yr4

1

Managing the internal medicine emergency cases (e.g. diabetic ketoacidosis, GI bleeding etc.)

2

3

4

5

2

Managing the cardiac emergency cases

2

3

4

5

3

Leadership of Internal medicine emergency wards especially at the times of crisis

2

3

4

5

4

Leadership of the health care (treatment) team

2

3

4

5

5

Cardio pulmonary resuscitation

3

4

5

5

6

Internal medicine history taking & physical exam

4

5

5

5

7

Clinical judgement & differential diagnosis

2

3

4

5

8

Interpreting the Para-clinical findings

2

3

4

5

9

Developing therapeutic protocols

2

3

4

5

10

Drug administration

2

3

4

5

11

Patient discharge

1

2

3

4

12

Admitting patient from other medical centers

1

2

3

4

13

Referring the patient to other services

1

2

3

4

14

Admitting patient from other services

1

2

3

4

15

Consultation to other services

1

2

3

4

16

Pre-operative consultation

1

2

3

4

17

Requesting consultation from other services

1

2

3

4

18

Appropriate Patient education

2

3

4

5

19

Teamwork collaboration with other services

2

3

4

5

20

Continuous competence improvement

2

3

4

5

21

Education to junior levels

2

3

4

5

22

Managing the common internal medicine outpatient cases

2

2

3

4

23

Visiting and care giving to patients in intensive care wards

2

3

4

5

24

Requesting appropriate diagnostic para-clinical investigations

3

4

5

5

25

Administering and requesting appropriate rehabilitations

2

3

4

5

26

Team leadership in the specialty field

2

3

4

5

27

Performing primary procedures (e.g. NGT insertion, urine smears preparation and examination etc.)

3

4

5

5

28

Performing advanced procedures (e.g. Lumbar Puncture, Pleural or ascites fluid tap etc.)

2

3

4

4

  1. aEntrustability levels: 1: Be present and observe, 2: Act with direct supervision 3: Act with indirect supervision, 4: act without supervision 5: provide supervision