# Effect of PGY Training Year on Perceived Readiness to Perform Entrustable Professional Activities

## TL;DR

Family medicine residents feel more ready to perform professional activities as they progress through their training years.

## Contribution

This study quantifies perceived resident readiness to perform family medicine EPAs across PGY years.

## Key findings

- PGY3 residents reported the highest mean readiness (8.17/9) compared to PGY1 (5.23) and PGY2 (7.27).
- Residents felt least ready for obstetrical care (5.07) and mental health care (5.87).
- Readiness levels were broadly similar across most EPAs with few significant variations.

## Abstract

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Background

The Family Medicine for America’s Health (FMAH) collaborative approved a set of Entrustable Professional Activities (EPAs) for the specialty, designed to serve as a set of activities that all practitioners in the specialty can be expected to perform. The extent to which family medicine residents feel equipped to perform EPAs is not known.

Objective

To assess the extent to which family medicine residents in all three PGY years feel ready to perform Entrustable Professional Activities.

Methods

This spring, eighteen residents were asked to complete the “ProMedica Monroe Family Medicine Entrustable Professional Activities Survey,” which asks residents, for all 20 EPAs, to 1) identify their readiness to perform the EPA on a 9-point Likert scale, and 2) endorse their level of PGY training.

Results

Fifteen of out eighteen eligible participants completed the survey. Mean readiness levels across EPAs were 5.23/9 for PGY1s, 7.27 for PGY2s, and 8.17 for PGY3s. Residents reported higher readiness levels with inpatient care (7.67) and relationship building (7.80), but lower levels with mental health care (5.87) and obstetrical care (5.07).

Conclusions

Residents perceive increases in readiness to perform family medicine EPAs with each PGY year. Resident readiness levels are broadly similar across EPAs, with few outliers.