Entrustable professional activities (EPAs) have become a critical bridge connecting ″competency″ with ″actual clinical practice″ in medical education. However, various challenges arise during their implementation at the micro, meso, and macro levels. On August 24, 2025, an international symposium titled ″Entrustable Professional Activities: Issues in Global Implementation″ was organized in Barcelona by Olle ten Cate and Marije P. Hennus from the University Medical Center Utrecht in the Netherlands, along with Roberta I. Ladenheim from the University Institute of the Italian Hospital of Buenos Aires in Argentina. The symposium brought together medical education experts from around the world to engage in in-depth discussions on the challenges and strategies of implementing EPAs across different cultural, policy, and healthcare systems. This article systematically reviews the common challenges encountered in the implementation of EPAs and the practical experiences from various regions, aiming to inform and inspire medical educators.
Li Shan
,
Qi Jianguang
,
He Rui
,
Qi Xin
,
Olle ten Cate
. Implementation challenges and regional practices of entrustable professional activities in a global context[J]. Chinese Journal of Medical Education, 2026
, 46(5)
: 321
-325
.
DOI: 10.3760/cma.j.cn115259-20260201-00156
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