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Table 4 Themes and sub-themes with examples of quotations from the content analysis of free text comment in the external survey

From: Entrustable professional activities (EPAs) for undergraduate medical education – development and exploration of social validity

Relevant target areas and content

Definition of the activities

Clinical practice and learning

-Clinical authenticity

”After fullfillment of Internship (”AT”) you should be able to handle this, thus being a licensure requirement (EPA 7)

”This is all a prerequisite for independent work as a medical doctor” (EPA 8)

- Speciality perspectives

”I miss inclusion of the ability to perform a clinical consultation/examination within the field of gynecology”

“Clinical neurological examination”.

[is missing]

-Phrasing

“Strangely formulated heading with errors of referral”

- Scope

“The students can manage the classic disease presentations quite well. However, uncommon symptoms are more difficult and they can seldom formulate a complete investigation plan for a patient” (EPA 2)

- Limitations

“There is not enough focus directed towards the immediate action (EPA 7”)

- Integrated practice

” I don’t know regarding adult health care but in pediatrics this is something that needs more training, thus requiring more educational hours”

“It is already addressed but collaborative skills both regarding intra- and interprofessional practice can’t be emphasized enough”

“ATLS needs to be included as mandatory”

- Feedback

” This of course calls for structured supervision during internship/corresponding clinical placements” (EPA 7)

“ (EPA content)….does not reflect how strongly dependent newly graduated medical students have been, and are of bedside supervision)

- Assessment

“How to assess that the student can reason regarding a method’s reliability in relation to its properties and limitations?”

“Difficult to assess in an adequate setting” (EPA 7)