Education & AdministrationUse of the Electrodiagnostic Entrustable Professional Activity for Competency Assessment in Physical Medicine and Rehabilitation Training ProgramsBaer, Heather R. MD; Gilbert, Aaron R. MD; Forster, Jeri E. PhD; Ketchum, Nicholas C. MD; Mallow, Michael MD; Nguyen, Vu Q. C. MD, MBAAuthor Information From the Department of Physical Medicine & Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, Colorado (HRB); Department of Physical Medicine & Rehabilitation, Northwestern Feinberg School of Medicine, Chicago, Illinois (ARG); Shirley Ryan Ability Lab, Chicago, Illinois (ARG); Department of Physical Medicine & Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, Colorado (JEF); VHA Rocky Mountain Mental Illness Research, Education and Clinical Center, Aurora, Colorado (JEF); Department of Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, Wisconsin (NCK); Department of Rehabilitation Medicine, Sidney Kimmel Medical College at Thomas Jefferson University, Philadelphia, Pennsylvania (MM); and Department of Physical Medicine & Rehabilitation, Carolinas Medical Center/Carolinas Rehabilitation, Charlotte, North Carolina (VQCN). All correspondence should be addressed to: Heather R. Baer, MD, Department of Physical Medicine and Rehabilitation, University of Colorado, 12631 E 17th Ave, Aurora, CO 80045. Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.ajpmr.com). Online date: August 28, 2019 American Journal of Physical Medicine & Rehabilitation: January 2020 - Volume 99 - Issue 1 - p 81–85 doi: 10.1097/PHM.0000000000001302 Buy SDC Metrics Abstract Entrustable professional activities have emerged as a means for the evaluation of resident competency that is expressed in terms of the assessed need for supervision. Recently, 19 physical medicine and rehabilitation–specific entrustable professional activities were published (Am J Phys Med Rehabil. 2017;96:762–764). The electrodiagnostic entrustable professional activity and six new electrodiagnostic entrustable professional activities subcategories (observable practice activities) were piloted as an entrustable professional activities/observable practice activities set within five residency programs. Survey-based (quantitative) and open-ended (qualitative) feedback was collected from participants. Participating attendings found this method feasible and generally reported satisfaction with the entrustable professional activities/observable practice activities as a means of providing feedback to residents. Residents were less clear on the added value of this approach. Qualitative data supported the need for adjustments to the entrustment scale to allow for more gradations within supervisory levels, a standardized orientation of residents to the use of observable practice activities and an increased quantity of assessments for each observable practice activities category to allow for demonstration of resident progress toward independence. Use of the electrodiagnostic entrustable professional activity/observable practice activities set shows promise as a means for observational competency assessment in the outpatient setting. However, feedback acquired through this pilot study suggests changes that could be made to improve future implementation. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.