{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T00:06:14Z","timestamp":1790726774109,"version":"4.1.0"},"reference-count":102,"publisher":"Ubiquity Press, Ltd.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,29]]},"DOI":"10.5334\/pme.2580","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:43:36Z","timestamp":1790685816000},"page":"930-945","source":"Crossref","is-referenced-by-count":1,"title":["Competency-Based Health Professions Education in Evolution: Challenges and Adaptations After Implementation"],"prefix":"10.5334","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5431-1320","authenticated-orcid":false,"given":"Robert","family":"Englander","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2648-8791","authenticated-orcid":false,"given":"Mary Ellen","family":"Goldhamer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4636-8260","authenticated-orcid":false,"given":"Aleda M. H.","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3510-4294","authenticated-orcid":false,"given":"Anna","family":"Oswald","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7604-5964","authenticated-orcid":false,"given":"Adelle","family":"Atkinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9783-5797","authenticated-orcid":false,"given":"Holly","family":"Caretta-Weyer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6104-462X","authenticated-orcid":false,"given":"Teresa M.","family":"Chan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7932-5056","authenticated-orcid":false,"given":"Fremen Chihchen","family":"Chou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0208-4925","authenticated-orcid":false,"given":"Timothy R.","family":"Dalseg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1495-6906","authenticated-orcid":false,"given":"Reshma G.","family":"Kini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0088-6951","authenticated-orcid":false,"given":"Roberta I.","family":"Ladenheim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1214-6747","authenticated-orcid":false,"given":"Leila","family":"Niemi-Murola","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0957-1382","authenticated-orcid":false,"given":"David A.","family":"Turner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1686-5207","authenticated-orcid":false,"given":"Linda","family":"Snell","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1227-5397","authenticated-orcid":false,"given":"Andrew K.","family":"Hall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3285","reference":[{"issue":"5","key":"key20260929123648_B1","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1097\/00001888-200205000-00003","article-title":"Shifting paradigms: From Flexner to competencies","volume":"77","year":"2002","journal-title":"Acad Med"},{"key":"key20260929123648_B2","year":"1978","journal-title":"Competency-based curriculum development in medical education"},{"issue":"8","key":"key20260929123648_B3","doi-asserted-by":"crossref","first-page":"638","DOI":"10.3109\/0142159X.2010.501190","article-title":"Competency-based medical education: Theory to practice","volume":"32","year":"2010","journal-title":"Med Teach"},{"issue":"1","key":"key20260929123648_B4","first-page":"24","article-title":"Competency-based medical education at scale: A road map for transforming national systems of postgraduate medical education","volume":"13","year":"2024","journal-title":"Perspect Med Educ"},{"issue":"6","key":"key20260929123648_B5","doi-asserted-by":"crossref","first-page":"594","DOI":"10.1080\/0142159X.2017.1315077","article-title":"Implementing competency-based medical education: What changes in curricular structure and processes are needed?","volume":"39","year":"2017","journal-title":"Med Teach"},{"issue":"8","key":"key20260929123648_B6","doi-asserted-by":"crossref","first-page":"1523","DOI":"10.1016\/j.jfma.2021.10.024","article-title":"\u201cGlocalization\u201d in medical education: A framework underlying implementing cbme in a local context","volume":"121","year":"2022","journal-title":"J Formos Med Assoc"},{"issue":"1","key":"key20260929123648_B7","article-title":"Methodological recommendations for assessing the impact of adaptations on outcomes in implementation research","volume":"20","year":"2025","journal-title":"Implement Sci"},{"issue":"1","key":"key20260929123648_B8","doi-asserted-by":"crossref","first-page":"1001","DOI":"10.5334\/pme.2628","article-title":"Approaches to the Evaluation of Competency-Based Health Professions Education Implementation from Around the Globe","volume":"15","author":"As members of the International Competency-Based Health Professions Educators Collaborative","year":"2026","journal-title":"Perspectives on Medical Education"},{"issue":"7","key":"key20260929123648_B9","doi-asserted-by":"crossref","first-page":"1002","DOI":"10.1097\/ACM.0000000000002743","article-title":"A core components framework for evaluating implementation of competency-based medical education programs","volume":"94","year":"2019","journal-title":"Acad Med"},{"key":"key20260929123648_B10","year":"2015"},{"issue":"7","key":"key20260929123648_B11","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1080\/01421590701392903","article-title":"The ACGME outcome project: Retrospective and prospective","volume":"29","year":"2007","journal-title":"Med Teach"},{"issue":"12","key":"key20260929123648_B12","doi-asserted-by":"crossref","first-page":"1176","DOI":"10.1111\/j.1365-2929.2005.02341.x","article-title":"Entrustability of professional activities and competency-based training","volume":"39","year":"2005","journal-title":"Med Educ"},{"issue":"1","key":"key20260929123648_B13","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1017\/cem.2019.417","article-title":"The competency-based medical education evolution of canadian emergency medicine specialist training","volume":"22","year":"2020","journal-title":"CJEM"},{"key":"key20260929123648_B14","article-title":"Describing the process to develop core entrustable professional activities for entrance into physical therapist practice: Applying a national consensus approach","year":"2026","journal-title":"J Phys Ther Educ"},{"issue":"2","key":"key20260929123648_B15","doi-asserted-by":"crossref","first-page":"155","DOI":"10.3138\/jvme-2023-0012","article-title":"Implementing competency-based veterinary education: A survey of AAVMC member institutions on opportunities, challenges, and strategies for success","volume":"51","year":"2024","journal-title":"J Vet Med Educ"},{"issue":"1","key":"key20260929123648_B16","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1080\/0142159X.2017.1245856","article-title":"Using consensus group methods such as delphi and nominal group in medical education research()","volume":"39","year":"2017","journal-title":"Med Teach"},{"issue":"10","key":"key20260929123648_B17","doi-asserted-by":"crossref","first-page":"1352","DOI":"10.1097\/ACM.0000000000001204","article-title":"Toward defining the foundation of the md degree: Core entrustable professional activities for entering residency","volume":"91","year":"2016","journal-title":"Acad Med"},{"key":"key20260929123648_B18","article-title":"Core competencies for undergraduate students in clinical associate, dentistry and medical teaching and learning programmes in south africa","author":"Health Professions Council of South Africa","year":"2014","journal-title":"Pretoria"},{"issue":"1","key":"key20260929123648_B19","first-page":"880","article-title":"CBE and the Missing \u2018E\u2019: Making Competency-Based Education an Equitable Framework for Global Health Professions Education","volume":"15","year":"2026","journal-title":"Perspectives on Medical Education"},{"issue":"2","key":"key20260929123648_B20","first-page":"7","article-title":"Defining fitness for purpose in south african anaesthesiologists using a delphi technique to assess the canmeds framework","volume":"25","year":"2019","journal-title":"Southern African Journal of Anaesthesia and Analgesia"},{"issue":"1","key":"key20260929123648_B21","doi-asserted-by":"crossref","first-page":"44","DOI":"10.3390\/ime3010005","article-title":"The curriculum ideologies underlying the afrimeds curriculum framework for undergraduate medical and dental education in south africa","volume":"3","year":"2024","journal-title":"International Medical Education [Internet]"},{"issue":"7","key":"key20260929123648_B22","doi-asserted-by":"crossref","first-page":"375","DOI":"10.17159\/sadj.v79i07.18335","article-title":"Development of a framework for a dental curriculum to align to afrimeds competency framework through document analysis","volume":"79","year":"2024","journal-title":"South African Dental Journal"},{"issue":"1","key":"key20260929123648_B23","article-title":"Importance and fitness of family medicine milestone project from america to taiwan","volume":"25","year":"2025","journal-title":"BMC Med Educ"},{"key":"key20260929123648_B24","unstructured":"Post-graduate medical education regulations (pgmer) 2023. Available from: https:\/\/www.nmc.org.in\/MCIRest\/open\/getDocument?path=\/Documents\/Public\/Portal\/LatestNews\/PGMER%202023.pdf."},{"key":"key20260929123648_B25","unstructured":"Kini R. Faculty development e-course on entrustable professional activities in postgraduate pathology; 2025. Available from: https:\/\/schoolofpathology.kciapm.org\/courses\/EPA-Pathology-672a2056c5920908be915895."},{"key":"key20260929123648_B26","article-title":"The milestones guidebook for residents and fellows","year":"2025"},{"issue":"18","key":"key20260929123648_B27","article-title":"ACGME launches outcomes assessment project","volume":"279","year":"1998","journal-title":"Jama"},{"issue":"11","key":"key20260929123648_B28","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.1056\/NEJMsr1200117","article-title":"The next gme accreditation system\u2013rationale and benefits","volume":"366","year":"2012","journal-title":"N Engl J Med"},{"issue":"3","key":"key20260929123648_B29","doi-asserted-by":"crossref","first-page":"367","DOI":"10.4300\/JGME-D-18-00372.1","article-title":"Milestones 2.0: A step forward","volume":"10","year":"2018","journal-title":"J Grad Med Educ"},{"issue":"4","key":"key20260929123648_B30","doi-asserted-by":"crossref","first-page":"521","DOI":"10.1016\/j.jpeds.2010.07.001","article-title":"Pediatrics milestones: A developmental approach to the competencies","volume":"157","author":"Pediatric Milestone Project Working G","year":"2010","journal-title":"J Pediatr"},{"issue":"3","key":"key20260929123648_B31","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1097\/ACM.0000000000002020","article-title":"Education in pediatrics across the continuum (epac): First steps toward realizing the dream of competency-based education","volume":"93","year":"2018","journal-title":"Acad Med"},{"key":"key20260929123648_B32","article-title":"Competency-based advancement in medical education: Outcomes of the education in pediatrics across the continuum (EPAC) project","year":"2025","journal-title":"Academic Medicine"},{"key":"key20260929123648_B33","year":"2024"},{"issue":"1","key":"key20260929123648_B34","doi-asserted-by":"crossref","first-page":"70","DOI":"10.1080\/0142159X.2017.1394576","article-title":"Thresholds and interpretations: How clinical competency committees identify pediatric residents with performance concerns","volume":"40","year":"2018","journal-title":"Medical teacher"},{"issue":"5","key":"key20260929123648_B35","article-title":"Graduating residents\u2019 readiness for unsupervised practice","volume":"155","year":"2025","journal-title":"Pediatrics"},{"issue":"9","key":"key20260929123648_B36","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1001\/jamasurg.2020.2420","article-title":"A national mixed-methods evaluation of preparedness for general surgery residency and the association with resident burnout","volume":"155","year":"2020","journal-title":"JAMA Surg"},{"issue":"5","key":"key20260929123648_B37","doi-asserted-by":"crossref","first-page":"1103","DOI":"10.1111\/j.1365-2648.2008.04898.x","article-title":"Transition shock: The initial stage of role adaptation for newly graduated registered nurses","volume":"65","year":"2009","journal-title":"J Adv Nurs"},{"issue":"6","key":"key20260929123648_B38","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1097\/00005110-200406000-00010","article-title":"The graduate nurse experience","volume":"34","year":"2004","journal-title":"J Nurs Adm"},{"issue":"2 Suppl","key":"key20260929123648_B39","first-page":"64","article-title":"Implementing the promotion in place model of competency-based time-variable graduate medical education in pathology","volume":"17","year":"2025","journal-title":"J Grad Med Educ"},{"issue":"5","key":"key20260929123648_B40","doi-asserted-by":"crossref","first-page":"518","DOI":"10.1097\/ACM.0000000000005652","article-title":"Promotion in place: A model for competency-based, time-variable graduate medical education","volume":"99","year":"2024","journal-title":"Acad Med"},{"issue":"3","key":"key20260929123648_B41","doi-asserted-by":"crossref","first-page":"331","DOI":"10.1097\/ACM.0000000000005928","article-title":"In the eye of the beholder: A stakeholder analysis of the value of the \u201cpromotion in place\u201d competency-based time-variable graduate medical education pilot","volume":"100","year":"2025","journal-title":"Acad Med"},{"issue":"7","key":"key20260929123648_B42","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1097\/ACM.0000000000005147","article-title":"How does timeless training impact resident motivation for learning, assessment, and feedback? Evaluating a competency-based time-variable training pilot","volume":"98","year":"2023","journal-title":"Acad Med"},{"issue":"4","key":"key20260929123648_B43","doi-asserted-by":"crossref","first-page":"376","DOI":"10.1056\/NEJMra2411880","article-title":"Competency-based medical education at the front lines of patient care","volume":"393","year":"2025","journal-title":"N Engl J Med"},{"issue":"4","key":"key20260929123648_B44","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/S2155-8256(15)30031-4","article-title":"Transition to practice study in hospital settings","volume":"5","year":"2015","journal-title":"Journal of Nursing Regulation"},{"issue":"2","key":"key20260929123648_B45","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1097\/NNA.0b013e31827f205c","article-title":"Lessons learned from 10 years of research on a post-baccalaureate nurse residency program","volume":"43","year":"2013","journal-title":"J Nurs Adm"},{"issue":"1","key":"key20260929123648_B46","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1002\/aet2.10009","article-title":"Mcmaster modular assessment program (mcmap) through the years: Residents\u2019 experience with an evolving feedback culture over a 3-year period","volume":"1","year":"2017","journal-title":"AEM Educ Train"},{"issue":"4","key":"key20260929123648_B47","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1080\/10401334.2019.1574581","article-title":"Attending emergency physicians\u2019 perceptions of a programmatic workplace-based assessment system: The McMaster modular assessment program (mcmap)","volume":"31","year":"2019","journal-title":"Teach Learn Med"},{"issue":"11","key":"key20260929123648_B48","doi-asserted-by":"crossref","first-page":"S10","DOI":"10.1097\/ACM.0000000000001373","article-title":"\u201cIt\u2019s complicated\u201d: Understanding the relationships between checklists, rating scales, and written comments in workplace-based assessments","volume":"91","year":"2016","journal-title":"Academic Medicine"},{"issue":"3","key":"key20260929123648_B49","article-title":"The impact of electronic data to capture qualitative comments in a competency-based assessment system","volume":"14","year":"2022","journal-title":"Cureus"},{"issue":"6","key":"key20260929123648_B50","doi-asserted-by":"crossref","first-page":"803","DOI":"10.1017\/cem.2019.395","article-title":"The development of entrustable professional activities reference cards to support the implementation of competence by design in emergency medicine","volume":"21","year":"2019","journal-title":"CJEM"},{"issue":"null","key":"key20260929123648_B51","first-page":"229","article-title":"Coaching by design: Exploring a new approach to faculty development in a competency-based medical education curriculum","volume":"10","year":"2019","journal-title":"Adv Med Educ Pract"},{"issue":"1","key":"key20260929123648_B52","doi-asserted-by":"crossref","first-page":"33","DOI":"10.5334\/pme.959","article-title":"Coaching in competence by design: A new model of coaching in the moment and coaching over time to support large scale implementation","volume":"13","year":"2024","journal-title":"Perspect Med Educ"},{"issue":"1","key":"key20260929123648_B53","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1007\/s40596-022-01628-x","article-title":"Coaching in postgraduate competency-based medical education: A qualitative exploration of three models","volume":"47","year":"2023","journal-title":"Acad Psychiatry"},{"issue":"Suppl 1","key":"key20260929123648_B54","first-page":"S12","article-title":"The coaching approach in graduate medical education: Practical considerations for program creation and implementation","volume":"9","year":"2025","journal-title":"AEM Educ Train"},{"issue":"4","key":"key20260929123648_B55","first-page":"48","article-title":"Developing a dashboard for faculty development in competency-based training programs: A design-based research project","volume":"12","year":"2021","journal-title":"Can Med Educ J"},{"issue":"3","key":"key20260929123648_B56","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1080\/10401334.2019.1708365","article-title":"The quality of assessment of learning (qual) score: Validity evidence for a scoring system aimed at rating short, workplace-based comments on trainee performance","volume":"32","year":"2020","journal-title":"Teach Learn Med"},{"issue":"5","key":"key20260929123648_B57","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1097\/ACM.0000000000005634","article-title":"Using natural language processing to evaluate the quality of supervisor narrative comments in competency-based medical education","volume":"99","year":"2024","journal-title":"Acad Med"},{"key":"key20260929123648_B58","unstructured":"Society for improving medical professional learning Available from: https:\/\/simpl.org\/."},{"issue":"4","key":"key20260929123648_B59","article-title":"Implementing workplace-based assessments at scale: The SIMPL approach","volume":"4","year":"2023","journal-title":"Ann Surg Open"},{"issue":"6","key":"key20260929123648_B60","doi-asserted-by":"crossref","first-page":"e118","DOI":"10.1016\/j.jsurg.2016.08.010","article-title":"The feasibility of real-time intraoperative performance assessment with SIMPL (system for improving and measuring procedural learning): Early experience from a multi-institutional trial","volume":"73","year":"2016","journal-title":"J Surg Educ"},{"issue":"10","key":"key20260929123648_B61","doi-asserted-by":"crossref","first-page":"1398","DOI":"10.1097\/ACM.0000000000001292","article-title":"Entrusting observable practice activities and milestones over the 36 months of an internal medicine residency","volume":"91","year":"2016","journal-title":"Acad Med"},{"issue":"7S","key":"key20260929123648_B62","doi-asserted-by":"crossref","first-page":"S70","DOI":"10.1097\/ACM.0000000000004090","article-title":"Validity evidence for assessing entrustable professional activities during undergraduate medical education","volume":"96","year":"2021","journal-title":"Acad Med"},{"issue":"5","key":"key20260929123648_B63","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1097\/ACM.0000000000005907","article-title":"Implementing core entrustable professional activities in undergraduate medical education: A psychometric study","volume":"100","year":"2025","journal-title":"Acad Med"},{"issue":"1","key":"key20260929123648_B64","doi-asserted-by":"crossref","first-page":"44","DOI":"10.5334\/pme.956","article-title":"Design and implementation of a national program of assessment model \u2013 integrating entrustable professional activity assessments in canadian specialist postgraduate medical education","volume":"13","year":"2024","journal-title":"Perspect Med Educ"},{"issue":"7","key":"key20260929123648_B65","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1080\/0142159X.2021.1925099","article-title":"Key considerations in planning and designing programmatic assessment in competency-based medical education","volume":"43","year":"2021","journal-title":"Med Teach"},{"key":"key20260929123648_B66","year":"2022"},{"issue":"1","key":"key20260929123648_B67","doi-asserted-by":"crossref","first-page":"95","DOI":"10.5334\/pme.962","article-title":"Evaluating competence by design as a large system change initiative: Readiness, fidelity, and outcomes","volume":"13","year":"2024","journal-title":"Perspect Med Educ"},{"issue":"5","key":"key20260929123648_B68","doi-asserted-by":"crossref","first-page":"583","DOI":"10.4300\/JGME-D-22-00050.1","article-title":"\u201cThe most crushing thing\u201d: Understanding resident assessment burden in a competency-based curriculum","volume":"14","year":"2022","journal-title":"J Grad Med Educ"},{"key":"key20260929123648_B69","author":"F\u00e9d\u00e9ration des m\u00e9dicins r\u00e9sidents du Qu\u00e9bec","year":"2020"},{"issue":"11","key":"key20260929123648_B70","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1097\/ACM.0000000000005305","article-title":"The assessment burden in competency-based medical education: How programs are adapting","volume":"98","year":"2023","journal-title":"Acad Med"},{"key":"key20260929123648_B71","unstructured":"Competence by design adaptations plan2025. Available from: https:\/\/news.royalcollege.ca\/content\/dam\/document\/newsroom\/CBD%20Adaptations%20Plan.pdf."},{"issue":"4","key":"key20260929123648_B72","article-title":"Developing a competency-based learning and assessment system for residency training: Analysis study of user requirements and acceptance","volume":"22","year":"2020","journal-title":"J Med Internet Res"},{"key":"key20260929123648_B73","first-page":"91","article-title":"Electronic assessment system implements epas in practice. Erikoisl\u00e4\u00e4k\u00e4ri","volume":"32","year":"2022"},{"issue":"3","key":"key20260929123648_B74","first-page":"115","article-title":"User experience evaluation of the epas-based e-portfolio system and an analysis of its impact","volume":"10","year":"2020","journal-title":"J Acute Med"},{"issue":"4","key":"key20260929123648_B75","doi-asserted-by":"crossref","first-page":"1242","DOI":"10.1002\/ohn.1104","article-title":"Emyway workplace-based entrustable professional activities assessments in otolaryngology residency training: A nationwide experience","volume":"172","year":"2025","journal-title":"Otolaryngol Head Neck Surg"},{"issue":"7","key":"key20260929123648_B76","doi-asserted-by":"crossref","first-page":"641","DOI":"10.3109\/0142159X.2014.973388","article-title":"Twelve tips for programmatic assessment","volume":"37","year":"2015","journal-title":"Med Teach"},{"issue":"7","key":"key20260929123648_B77","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1111\/medu.13884","article-title":"Some assembly required: Tracing the interpretative work of clinical competency committees","volume":"53","year":"2019","journal-title":"Med Educ"},{"issue":"10","key":"key20260929123648_B78","doi-asserted-by":"crossref","first-page":"1074","DOI":"10.1080\/0142159X.2017.1353070","article-title":"How do clinical competency committees use different sources of data to assess residents\u2019 performance on the internal medicine milestones?A mixed methods pilot study","volume":"39","year":"2017","journal-title":"Med Teach"},{"issue":"1","key":"key20260929123648_B79","doi-asserted-by":"crossref","first-page":"56","DOI":"10.5334\/pme.961","article-title":"Implementing competence committees on a national scale: Design and lessons learned","volume":"13","year":"2024","journal-title":"Perspect Med Educ"},{"issue":"6","key":"key20260929123648_B80","doi-asserted-by":"crossref","first-page":"765","DOI":"10.1097\/ACM.0000000000001543","article-title":"Implementing an entrustable professional activities framework in undergraduate medical education: Early lessons from the aamc core entrustable professional activities for entering residency pilot","volume":"92","year":"2017","journal-title":"Acad Med"},{"issue":"4","key":"key20260929123648_B81","doi-asserted-by":"crossref","first-page":"536","DOI":"10.1097\/ACM.0000000000004242","article-title":"Entrustment decision making in the core entrustable professional activities: Results of a multi-institutional study","volume":"97","year":"2022","journal-title":"Acad Med"},{"issue":"1","key":"key20260929123648_B82","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1007\/s40670-020-00918-z","article-title":"Developing an entrustment process: Insights from the AAMC CoreEPA pilot","volume":"30","year":"2020","journal-title":"Med Sci Educ"},{"issue":"5","key":"key20260929123648_B83","doi-asserted-by":"crossref","first-page":"1631","DOI":"10.1007\/s10459-024-10318-2","article-title":"Dual purposes by design: Exploring alignment between residents\u2019 and academic advisors\u2019 documents in a longitudinal program","volume":"29","year":"2024","journal-title":"Adv Health Sci Educ Theory Pract"},{"key":"key20260929123648_B84","author":"F\u00e9d\u00e9ration des m\u00e9dicins r\u00e9sidents du Qu\u00e9bec","year":"2022"},{"issue":"4","key":"key20260929123648_B85","doi-asserted-by":"crossref","first-page":"478","DOI":"10.1080\/10401334.2023.2229803","article-title":"Assessment-seeking strategies: Navigating the decision to initiate workplace-based assessment","volume":"36","year":"2024","journal-title":"Teach Learn Med"},{"issue":"6","key":"key20260929123648_B86","doi-asserted-by":"crossref","first-page":"676","DOI":"10.4300\/JGME-D-23-00204.1","article-title":"Only as strong as the weakest link: Resident perspectives on entrustable professional activities and their impact on learning","volume":"15","year":"2023","journal-title":"J Grad Med Educ"},{"issue":"1","key":"key20260929123648_B87","first-page":"946","article-title":"(placeholder \u2013 icbhpe paper) Assessment fit for (more than one) purpose? Reconciling dual purposing in competency-based health professions education","volume":"15","year":"2026","journal-title":"PME"},{"issue":"3","key":"key20260929123648_B88","doi-asserted-by":"crossref","first-page":"205","DOI":"10.3109\/0142159X.2012.652239","article-title":"A model for programmatic assessment fit for purpose","volume":"34","year":"2012","journal-title":"Med Teach"},{"issue":"1","key":"key20260929123648_B89","article-title":"Longitudinal assessment of resident performance using entrustable professional activities","volume":"3","year":"2020","journal-title":"JAMA Netw Open"},{"issue":"1","key":"key20260929123648_B90","article-title":"Pediatric fellows and their ability to meet minimum supervision levels at graduation","volume":"156","year":"2025","journal-title":"Pediatrics"},{"key":"key20260929123648_B91","unstructured":"Surgery ABo. Entrustable professional activities (epas 2025 [Available from: https:\/\/www.absurgery.org\/get-certified\/epas\/."},{"key":"key20260929123648_B92","unstructured":"Pediatrics ABo. SIMPL approach to implementing epas in pediatrics pilot project: American Board of Pediatrics; 2025 Available from: https:\/\/www.abp.org\/cbme-simpl."},{"issue":"2","key":"key20260929123648_B93","article-title":"American board of orthopaedic surgery\u2019s initiatives toward competency-based education","volume":"7","year":"2022","journal-title":"JB JS Open Access"},{"issue":"4","key":"key20260929123648_B94","doi-asserted-by":"crossref","first-page":"253","DOI":"10.22454\/FamMed.2025.866091","article-title":"National recommendations for implementation of competency-based medical education in family medicine","volume":"57","year":"2025","journal-title":"Fam Med"},{"issue":"1","key":"key20260929123648_B95","article-title":"Implementation of the SIMPL (society for improving medical professional learning) performance assessment tool in the emergency department: A pilot study","volume":"7","year":"2023","journal-title":"AEM Educ Train"},{"issue":"4","key":"key20260929123648_B96","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1097\/SLA.0000000000005991","article-title":"Implementation of entrustable professional activities in general surgery: Results of a national pilot study","volume":"278","year":"2023","journal-title":"Ann Surg"},{"key":"key20260929123648_B97","volume-title":"Managing curriculum reform in the transition to competency-based education using entrustable professional activities","year":"2024"},{"key":"key20260929123648_B98","article-title":"Leading change Harvard Business Review Press","year":"2012"},{"key":"key20260929123648_B99","article-title":"Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science","volume":"4","year":"2009","journal-title":"Implement Sci"},{"key":"key20260929123648_B100","first-page":"5","article-title":"Constructive alignment in university teaching","volume":"1","year":"2014","journal-title":"Herdsa review of higher education"},{"key":"key20260929123648_B101","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/ACM.0000000000002080","article-title":"Competency-based, time-variable education in the health professions: Crossroads","volume":"93","year":"2018","journal-title":"Acad Med"},{"key":"key20260929123648_B102","first-page":"1","article-title":"Eight-year outcomes of a competency-based residency training program in orthopedic surgery","volume":"2018","journal-title":"Med Teach"}],"container-title":["Perspectives on Medical Education"],"original-title":[],"language":"en","deposited":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T12:43:49Z","timestamp":1790685829000},"score":1,"resource":{"primary":{"URL":"https:\/\/pmejournal.org\/articles\/10.5334\/pme.2580\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":102,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,9,29]]}},"alternative-id":["10.5334\/pme.2580"],"URL":"https:\/\/doi.org\/10.5334\/pme.2580","relation":{},"ISSN":["2212-277X"],"issn-type":[{"value":"2212-277X","type":"print"}],"subject":[],"published":{"date-parts":[[2026]]}}}