Children's Hospital Colorado

Addressing Racism and Health Inequities

Entrustable Professional Activities (EPAs) were developed by Olle ten Cate in 2005 as a framework for operationalizing and assessing competency-based medical education. EPAs are observable, routine activities that a general pediatrician or subspecialist should be able to perform safely and effectively to meet the needs of their patients.

However, the original EPA framework, developed by the American Board of Pediatrics (ABP) in conjunction with the general pediatrics and subspecialty communities, did not adequately address structural racism, discrimination and social determinants of health and their contribution to inequities.

Listen to pediatric experts discuss the revised EPA framework

In this episode, Ndidi Unaka, MD, and David Turner, MD, share the development and content of a revised EPA, Use of Population Health Strategies and Quality Improvement Methods to Promote Health and Address Racism, Discrimination and Other Contributors to Inequities Among Pediatric Populations.

Dr. Unaka is a pediatric hospitalist involved in Cincinnati Children’s Community Health initiatives and the Medical Director of QI and Data Analytics for Cincinnati Children’s ACO, HealthVine.

Dr. Turner is the Vice President of Competency-Based Medical Education at the American Board of Pediatrics.

In this episode, our experts discuss:

  • Inadequacies of the original EPA framework
  • How they revised the EPA framework
  • Moving towards a more preventive population health approach and focus on wellness
  • The importance of addressing discrimination and racism in all medical rotations
  • How leadership can use the revised EPA to inform curriculum development
  • How the revised EPA can be a driver for systems change within institutions

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