The time has come for Brazil: translating Competence Based Medical Education into practice by Entrustable Professional Activities (EPAs)

Abstract

FRANCISCHETTI, IedaHOLZHAUSEN, Ylva  and  PETERS, Harm. The time has come for Brazil: translating Competence Based Medical Education into practice by Entrustable Professional Activities (EPAs). Interface (Botucatu) [online]. 2020, vol.24, e190455.  Epub Mar 16, 2020. ISSN 1807-5762.  https://doi.org/10.1590/interface.190455.

The medical competencies presented by the National Curriculum Guidelines and the policies to encourage the education of more physicians have popularized themes such as competence and active learning. Distortions in the curricular implementation resulted in a fragmented and reproductive approach of the practices distancing them of the work process. Several Western countries seeking improvement of the Competence-Based Medical Education (CBME), have recently adopted the concept of Entrustable Professional Activities (EPAs) to better translate this benchmark into clinical practice. This article presents the EPAs for Brazilian medical education as a possible solution for CBME accomplishment. The study explores the EPAs, from their concept to their realization. It aims to provide insights for their understanding and analysis of their capacity as a mediator for more qualified training and more responsivity to local health needs, contributing to the literature in the area.

Keywords : Clinical practice; Competency; Curriculum; Entrustable professional activities; Medical education.

Access in: https://www.scielo.br/scielo.php?script=sci_abstract&pid=S1414-32832020000100506&lng=en&nrm=iso&tlng=en