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Developing entrustable professional activities for family medicine training in South Africa

Louis S. Jenkins, Robert Mash, Ts'epo Motsohi, Mergan Naidoo, Tasleem Ras, Richard Cooke, Hanneke Brits
South African Family Practice | Vol 65, No 1 : Part 1| a5690 | DOI: https://doi.org/10.4102/safp.v65i1.5690 | © 2023 Louis S. Jenkins, Robert Mash, Ts’epo Motsohi, Mergan Naidoo, Tasleem Ras, Richard Cooke, Hanneke Brits | This work is licensed under CC Attribution 4.0
Submitted: 01 December 2022 | Published: 17 February 2023

About the author(s)

Louis S. Jenkins, Department of Family and Emergency Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; and, Primary Health Care Directorate, Department of Family, Community and Emergency Care, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa; and, Department of Family and Emergency Medicine, George Hospital, Western Cape Department of Health, George, South Africa
Robert Mash, Department of Family and Emergency Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
Ts'epo Motsohi, Department of Family and Emergency Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
Mergan Naidoo, Discipline of Family Medicine, School of Nursing and Public Health, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa
Tasleem Ras, Division of Family Medicine, Department of Family, Community and Emergency Care, Faculty of Health Sciences, University of Cape Town, Cape Town, South Africa
Richard Cooke, Department of Family Medicine and Primary Care, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
Hanneke Brits, Department of Family Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa

Abstract

Workplace-based assessment (WPBA) is becoming part of high-stake assessments in specialist training. Entrustable professional activities (EPAs) are a recent addition to WPBA. This is the first South African publication on developing EPAs for postgraduate family medicine training. An EPA is a unit of practice, observable in the workplace, constituting several tasks with underlying knowledge, skills and professional behaviours. Entrustable professional activities allow for entrustable decisions regarding competence in a described work context. A national workgroup representing all nine postgraduate training programmes in South Africa has developed 19 EPAs. This new concept needs change management to understand the theory and practice of EPAs. Family medicine departments with large clinical workloads are small, necessitating navigating logistical issues to develop EPAs. It has unmasked existing workplace learning and assessment challenges.

Contribution: This article contributes new thinking to developing EPAs for family medicine in an effort to understand more authentic WPBA nationally.

 


Keywords

entrustable professional activities (EPAs); family medicine; specialist; training; South Africa

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