Medical Science Educator

, Volume 29, Issue 1, pp 247–253 | Cite as

Incoming Interns Perceived Preparedness for Core Entrustable Professional Activities

  • R. Ellen Pearlman
  • Melissa A. Pawelczak
  • Jeffrey B. Bird
  • Andrew C. Yacht
  • Gino A. FarinaEmail author
Original Research



The AAMC described 13 core entrustable professional activities (EPAs) for which every graduating medical student should perform proficiently on day 1 of residency. We studied how prepared starting interns felt in the core EPAs.


Interns from a diverse health system were surveyed on how well medical school prepared them in the 13 core EPAs. Data were collected on type of medical school, participation in an acting/sub-internship (AI/SI), knowledge of EPAs, and participation in an EPA experience.


We collected 224 surveys out of 384 (58%) interns. 61.2% attended allopathic, 14.6% attended osteopathic, and 24.2% attended international schools. 67% had not heard of EPAs. 29% had an EPA experience of which 82% were required. 80% or more felt prepared in all EPAs except orders (60.7%) and handovers (73%). Allopathic interns were significantly more likely to have heard of EPAs and participated in an EPA experience than international. Allopathic interns felt more prepared than international in oral presentations and evidence-based medicine. Interns who participated in an EPA experience felt more prepared for oral presentation and evidence-based medicine. There were small but significant differences in feeling prepared in certain EPAs and types of AI/SI taken.


The majority of interns entering residency have not heard of EPAs with fewer than 1/3 of interns participating in an EPA experience. International graduates were less likely to be aware or have experience with EPAs and report being less prepared in oral presentation and evidence-based medicine compared to allopathic graduates.


Preparation for residency Core entrustable professional activities 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflicts of interest.

Informed Consent

Informed consent was obtained and participation was voluntary. This study has not been published in print or online and is not under consideration for publication in another journal.


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Copyright information

© International Association of Medical Science Educators 2019

Authors and Affiliations

  1. 1.Department of Science Education and MedicineDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellHempsteadUSA
  2. 2.Department of Science Education and PediatricsDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellHempsteadUSA
  3. 3.Department of Science Education and Emergency MedicineDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellHempsteadUSA
  4. 4.Department of Science EducationDonald and Barbara Zucker School of Medicine at Hofstra/NorthwellHempsteadUSA

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