Entrustable professional activities and transitions across the continuum of training and practice

Transitions of trainees in the health professions to new contexts, to new training stages, and to unsupervised health care practice are critical learning periods where entrustable professional activities (EPAs) can play a pivotal role. For entrustment decisions, the critical questions are: are trainees prepared for a next phase, often with more autonomy, and are graduates prepared for the requirements of practice, often unsupervised? This chapter addresses EPA-related issues from the perspective of these transitions and how they apply to the entire continuum of education and practice. Supervision plays a key role, both before transitions and after.