Short Report - Special Collection: Innovative educational methods for FM training in Africa

Development of entrustable professional activities for family medicine in South Africa

Robert Mash, Louis Jenkins, Mergan Naidoo
African Journal of Primary Health Care & Family Medicine | Vol 16, No 1 | a4483 | DOI: https://doi.org/10.4102/phcfm.v16i1.4483 | © 2024 Robert Mash, Louis Jenkins, Mergan Naidoo | This work is licensed under CC Attribution 4.0
Submitted: 02 February 2024 | Published: 29 March 2024

About the author(s)

Robert Mash, Department of Family and Emergency Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa
Louis Jenkins, Department of Family and Emergency Medicine, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; Department of Primary Health Care Directorate, 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
Mergan Naidoo, Department of Family Medicine, College of Health Sciences, University of KwaZulu-Natal, Durban, South Africa

Abstract

South Africa is undergoing a significant shift towards implementing enhanced workplace-based assessment methodologies across various specialist training programmes, including family medicine. This paradigm involves the evaluation of Entrustable Professional Activities (EPAs) through comprehensive portfolios of evidence, which a local and national clinical competency committee then assesses. The initial phase of this transformative journey entails the meticulous development of EPAs rooted in discrete units of work. Each EPA delineates the registrar’s level of entrustment for autonomous practice, along with the specific supervision requirements. This concise report details the collaborative effort within the discipline of family medicine in South Africa, culminating in the consensus formation of 22 meticulously crafted EPAs for postgraduate family medicine training. The article intricately outlines the systematic structuring and rationale behind the EPAs, elucidating the iterative process employed in their development. Notably, this marks a groundbreaking milestone as the first comprehensive documentation of EPAs nationally for family medicine training in Africa.

Keywords

entrustable professional activities; family medicine; South Africa; postgraduate; training.

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