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Acad Pathol. 2017 Jun 27;4:2374289517714283. doi: 10.1177/2374289517714283. eCollection 2017 Jan-Dec.

Entrustable Professional Activities for Pathology: Recommendations From the College of American Pathologists Graduate Medical Education Committee.

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Department of Pathology, University of Oklahoma Health Sciences Center, Oklahoma City, OK, USA.
Department of Pathology, Medical Center and College of Medicine, Penn State Hershey, Hershey, PA, USA.
Department of Pathology and Anatomy, Virginia Medical School, Eastern Norfolk, VA, USA.
Department of Pathology, Microbiology, and Immunology, Vanderbilt University School of Medicine, Nashville, TN, USA.
Department of Pathology, University of Colorado-Anschutz Medical Campus, Aurora, CO, USA.
The Joint Pathology Center, Silver Spring, MD, USA.
Department of Pathology, School of Medicine, Stanford University, Stanford, CA, USA.
Department of Pathology and Cell Biology, Columbia University Medical Center, New York Presbyterian Hospital, New York, NY, USA.
Department of Pathology and Genomic Medicine, Houston Methodist Hospital, Houston, TX, USA.
ProPath Associates, Dallas, TX, USA.
Department of Pathology, Medical College of Georgia, Augusta University, Augusta, GA, USA.
College of American Pathologists, Northfield, IL, USA.


Competency-based medical education has evolved over the past decades to include the Accreditation Council for Graduate Medical Education Accreditation System of resident evaluation based on the Milestones project. Entrustable professional activities represent another means to determine learner proficiency and evaluate educational outcomes in the workplace and training environment. The objective of this project was to develop entrustable professional activities for pathology graduate medical education encompassing primary anatomic and clinical pathology residency training. The Graduate Medical Education Committee of the College of American Pathologists met over the course of 2 years to identify and define entrustable professional activities for pathology graduate medical education. Nineteen entrustable professional activities were developed, including 7 for anatomic pathology, 4 for clinical pathology, and 8 that apply to both disciplines with 5 of these concerning laboratory management. The content defined for each entrustable professional activity includes the entrustable professional activity title, a description of the knowledge and skills required for competent performance, mapping to relevant Accreditation Council for Graduate Medical Education Milestone subcompetencies, and general assessment methods. Many critical activities that define the practice of pathology fit well within the entrustable professional activity model. The entrustable professional activities outlined by the Graduate Medical Education Committee are meant to provide an initial framework for the development of entrustable professional activity-related assessment and curricular tools for pathology residency training.


Milestones; anatomic and clinical pathology; assessment; competency-based feedback; entrustable professional activities (EPAs); medical education; resident training

Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

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