Entrustable Professional Activities (EPAs) underpin workplace-based assessment in this curriculum. Each EPA represents an integrated clinical task that General Practitioners must perform safely and independently, assessed through direct or indirect observation in real clinical settings.
The curriculum and EPA framework are closely aligned: the curriculum defines the required knowledge, skills, and professional behaviours, while EPAs assess their application in practice. Together, they create a coherent approach to developing and demonstrating readiness for independent clinical work.
The examples show how specific activities within general practice & chapters of the curriculum align with particular EPAs.
EPA 9: Manage the care of adults, including older people with acute presentations
A patient presenting with acute kidney injury secondary to dehydration provides an opportunity to demonstrate EPA 9. The trainee could invite the GP Trainer to observe the consultation and assessment, a PIP-C can be used to provide feedback on diagnostic reasoning, medication review for nephrotoxic drugs, and safe planning for monitoring or referral. A succinct case entry could be: “assessment of AKI in older adult.”
Reflection should explore identification of prerenal, renal, and post-renal causes, risk stratification, and clear explanation of red flags warranting urgent referral.
Core Knowledge Test (CKT)
-
Management of Urinary Tract Infection.
-
Investigation of persistent haematuria.
-
Management of chronic kidney disease.
Clinical Competency Test (CCT)
- A patient with symptoms suggestive of recurrent UTIs.
- A male has noticed that his urine is occasionally red in colour.
- Holistic management of a patient with a new diagnosis of Chronic Kidney Disease.
Disclaimer: The examples provided within this section are intended to be indicative only and are included to illustrate how elements of the curriculum may be assessed in the Clinical Competency Test (CCT).
Examination questions in the CCT test the ability of candidates to integrate knowledge, skills, and professional behaviours across multiple curriculum areas to address the challenges posed by the question.
The indicative content should therefore be used solely as a general guide as to some of the topics that may be introduced. Actual examination questions will assess a greater depth and complexity of understanding than the illustrative examples provided.
Please note that a number of CCT questions will require candidates to undertake a physical examination of the simulated patient. In some circumstances, for example in the case of an intimate examination, candidates may be required to display their examination skills through use of a manikin or other device.