Students collect evidence for each EPA, in the form of EPA Observations (formerly Mini-CEXs / CBDs) and Clinical Skills (formerly DOPS), populating a portfolio throughout the clinical years of the programme.

For each EPA, supervisors judge how much they can trust students to carry out that activity safely and effectively.

The EPAs are:

• EPA 1 - Undifferentiated assessment - Take a focused history and perform an appropriate examination of an undifferentiated patient, formulating an initial prioritised problem list.

• EPA 2 - Assessment of acutely unwell patients - Recognise and assess the deteriorating patient and initiate immediate management and escalation.

• EPA 3 - Diagnostic planning - Formulate and justify an appropriate differential diagnosis and plan further investigations and tests.

• EPA 4 - Management planning - Develop a safe, effective and patient-centred management plan, including monitoring and follow up.

• EPA 5 - Safe prescribing - Demonstrate good knowledge of medicines and prescribing; select appropriate medicines, understand doses and routes, complete medicines reconciliation, recognise adverse effects and monitor response and safety.

• EPA 6 - Managing multimorbidity - Assess and manage patients with multiple long-term conditions, prioritising care and shared decision making.

• EPA 7 - Managing complexity and uncertainty - Apply clinical reasoning to complex and uncertain situations, making appropriate decisions with limited information.

• EPA 8 - Communication with patients - Communicate clearly, sensitively and effectively with patients and carers, sharing information and involving them in care.

• EPA 9 - Documentation and transitions of care - Document clinical information accurately and communicate effectively during handoffs and transitions in care.

• EPA 10 - Working in a team - Work effectively as a valued member of the clinical team and collaborate with others to deliver safe, high quality care.

• EPA 11 - Professionalism and patient safety - Demonstrate professional behaviour, integrity and respect, and recognise and act to maintain patient safety.

• EPA 12 - Goals of care and escalation - Recognise when goals of care need to be discussed or reviewed and escalate appropriately.