UNC graduates are expected to be Advocates, Clinicians, and Thinkers. They do so by incorporating the following ten overarching professional domains of competence into their patient care and professional activities. These domains of competence include capacities that represent behaviors consistently displayed across settings and can be seen as personal characteristics (descriptors). The domains of competence are assessed throughout the curriculum, and most are included on the daily Assessment of Clinical Encounter (ACE) for each patient encounter.

Domains of Competence

Domains of Competence

Entrustable Professional Activities

EPAs comprise a series of tasks learners are expected to repeatedly perform safely and independently prior to graduation, offering a bridge between competency-based assessment and clinical practice. These tasks are nested into four core EPAs: assessment, plan of care, collaborative care, and provision of care. This document presents the description of each EPA, including the scope of work, domains of competence, and associated knowledge and skills. Attitudes, commonly accompanying knowledge and skills, follow the ARICH framework* (Agency, Reliability, Integrity, Capacity, and Humility), and apply across all EPAs as the ingredients of entrustment for health professions. Rubrics to assess practice readiness for each EPA are presented throughout this document. Supporting the EPAs, our framework identifies Encounter Management elements (preparedness, time management, safety and infection control, and documentation) assessed as a part of EPAs, and presented in Appendix B.

*ten Cate O, Chen HC. Med Teach 2020;42:1413-20.

Entrustable Professional Activitiy 1 Entrustable Professional Activitiy 2 Entrustable Professional Activitiy 3 Entrustable Professional Activitiy 4

ARICH Framework

Definitions
  • Agency: proactive toward work, team, safety, personal development
  • Reliability: conscientious, predictable, accountable, responsible
  • Integrity: truthful, benevolent, patient-centered
  • Capability: specific knowledge, skills, experience, situational awareness
  • Humility: recognizes limits, asks for help, receptive to feedback

Elements of Entrustment

Patient History