Competencies: The Domains of Being a Good Doctor

Core Activities

Core Entrustable Professional Activities for Entering Residency (CEPAER)

  • Activities entering residents should be expected to perform on day 1 of residency without direct supervision
  • Aspirational for where you should be by graduation
  • Related to competencies but are the observable behaviors of a physician


Association of American Medical Colleges (AAMC) 13 CEPAERs (bolded EPAs are emphasized on this clerkship)

  1. Gather a history and perform a physical examination
  2. Prioritize a differential diagnosis following a clinical encounter
  3. Recommend and interpret common diagnostic and screening tests
  4. Enter and discuss orders/prescriptions
  5. Document a clinical encounter in the patient record
  6. Provide an oral presentation
  7. Form clinical questions and retrieve evidence to advance patient care
  8. Give or receive a patient handover to transition care responsibility
  9. Collaborate as a member of an interprofessional team
  10. Recognize a patient requiring urgent or emergent care, and initiate evaluation and management
  11. Obtain informed consent for tests and/or procedures
  12. Perform general procedures of a physician
  13. Identify system failures and contribute to a culture of safety and improvement