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 8 - Procedures

Plan, prepare for, perform, and provide after care for important procedures

This activity requires the ability to:

  • select procedures
  • work in partnership with patients and their families or carers to make choices that are right for them, including obtaining consent
  • set up the equipment, maintaining a sterile field
  • perform procedures
  • provide after care for patients, and communicate after-care protocols and instructions to patients and medical and nursing staff
  • perform this activity in multiple settings, including inpatient and ambulatory care settings and in emergency departments.

For Adult Internal Medicine a trainee’s opportunity to perform procedures is setting dependent. In some cases, other health professionals may perform the procedure, and here Basic Trainees are expected to complete the processes before and after the procedure.

For Paediatrics & Child Health, the exemplar procedure is lumbar puncture. It is a crucial procedure for Basic Trainees in Paediatrics & Child Health, and trainees’ processes before and after completing the lumbar puncture should be applied to other procedures and those procedures observed.

This activity does not include complex procedures that require specialist training or are inappropriate for Basic Trainees.


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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