Proposed End of Training EPAs Manage the care of patients in general internal medicine continuity clinic Manage the care of patients on general internal medicine inpatient ward Manage the care of patients in the critical care unit Provide general internal medicine consultation to nonmedical specialties Provide preoperative assessment & preoperative care Manage transitions of care Lead interprofessional care teams Lead family meetings Assure patient safety Improve the quality of personal and system-level care Engage in life-long learning Provide patient advocacy Behave professionally

End of Training EPA Sample Description Milestones linked to EPA Map to Competencies Patient care Medical knowledge Interpersonal and communication skills Professionalism Practice based learning/improvement Systems based practice Assessment Strategies

End of Training EPA Example Manage the care of patients in general internal medicine continuity clinic Description Provide continuing care to a panel of patients over time, diagnosing and managing common medical symptoms and problems and providing appropriate preventive care Milestones linked to EPA PC-B2: Accurately track important changes in the physical examination over time in the outpatient/inpatient settings PC-F1: Recognize situations with a need for urgent or emergent medical care including life threatening conditions Map to Competencies Patient care Medical knowledge Interpersonal and communication skills Professionalism Practice based learning/improvement Systems based practice Assessment Strategies MiniCEX, chart audit, global evaluations, etc