What are EPAs?

In our professional roles, we regularly use multiple abilities simultaneously as we carry out our daily tasks.

Entrustable Professional Activities are those authentic tasks of a discipline. They are observable and are made up of those multiple abilities described above.

In CBD, these abilities are then described in terms of milestones, not too dissimilar from the developmental milestones of infants and toddlers. A milestone is the individual skill required to perform the abilities described in the EPA.

In turn, each milestone is made up of the competencies that we have come to know through the CanMEDS roles.


All information on the resident’s performance, including entrustment decisions by the competence committee and exposure to required training experiences is collected electronically in a portfolio.