Entrustable Professional Activities

Entrustable Professional Activities (EPAs) are important work tasks that trainees need to be able to perform with supervision at a distance by the end of Basic Training.

By the end of Basic Training trainees need to be able to perform each EPA with supervision at a distance.

Each of the EPAs:

  • is an exemplar, discrete task, separable from other tasks, which relates to patient care
  • can be readily observed and assessed
  • relates to safe healthcare in the workplace. There are consequences associated to this task that are not easily reversed.

Entrustable Professional Activities for Basic Trainees in Adult Internal Medicine and Paediatrics & Child Health (PDF 1.1MB)

EPA Behaviours

Each EPA includes the behaviours of a trainee who can perform the task with supervision at a distance and examples of behaviours of a trainee who is not yet ready to perform the task with supervision at a distance. The behaviours are categorised according to the domains of the RACP Professional Practice Framework, however each EPA should be performed and assessed as a complete task.

How to browse related content

Some parts of the curriculum standards relate to content in other curriculum standards. For example, in the Medical Expertise behaviours you can access links to related Competency content. View the related content within each of the following domains by clicking the '+' symbol.

EPA 3 - Documentation

Document the progress of patients in multiple settings

This activity requires the ability to:

  • produce written summaries of care, including discharge summaries, clinic letters, and transfer documentation
  • provide information for colleagues, health professionals, and patients
  • prepare written correspondence that functions as a historical record of patients’ presentation, management and progress, including key points of diagnosis and decision making, and as a clinical handover tool to inform follow-up and coordination of care plans
  • produce clinical documentation that summarises current issues and enables subsequent health professionals to understand the issues and continue care
  • perform this activity in multiple settings, including inpatient and ambulatory care settings and in emergency departments.


Each EPA has lists of behaviours. The behaviours help trainees understand how they can improve, and help supervisors to make decisions about whether trainees can be trusted to do the task with supervision at a distance

Related Knowledge Guide

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