Defining the practice of the general pediatrician: Entrustable professional activities update

Authors

• Meghan O'Connor, Department of Pediatrics, University of Utah, Salt Lake City, Utah.
• Laura Chiel, Department of Pediatrics, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts.
• Joanna Lewis, Advocate Health - MidwestFollow
• Ariel S. Winn, Department of Pediatrics, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts.
• Patricia Poitevien, Department of Pediatrics, The Warren Alpert Medical School of Brown University, Providence, Rhode Island.
• Andrew Dwyer, American Board of Pediatrics, Chapel Hill, North Carolina.
• Brenda Nuncio Lujano, American Board of Pediatrics, Chapel Hill, North Carolina.
• Cathy Koenig, American Board of Pediatrics, Chapel Hill, North Carolina.
• Jennifer Adair, Children's Medical Group, P.A., Mobile, Alabama.
• Maneesh Batra, Department of Pediatrics, University of Washington, Seattle, Washington.
• Laura Brooks, F. Read Hopkins Pediatric Associates, Inc., Lynchburg, Virginia.
• Zoe Chiel, Psychological Services, PLLC, Stamford, Connecticut.
• Dominick DeBlasio, Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio.
• Michael D. Fishman, Department of Pediatrics, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts.
• Faith Lockett Gardner, Triad Adult and Pediatric Medicine, Greensboro, North Carolina.
• Amber Hairfield, Department of Pediatrics, University of Texas Medical Branch, Galveston, Texas.
• Anna Kuo, Peachtree Park Pediatrics, Atlanta, Georgia.
• Porshia Mack, Alameda Health System, Oakland, California.
• Victoria Mitre, Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
• Tatiana Ndjatou, Department of Pediatrics, Staten Island University Hospital, Northwell Health, Staten Island, New York.
• Emma Omoruyi, Department of Pediatrics, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, Texas.
• LaToshia Rouse, Birth Sisters Doula Services, Raleigh, North Carolina.
• Judith Shaw, Department of Pediatrics, The Robert Lanner, M.D., College of Medicine at the University of Vermont, Burlington, Vermont.
• Pamela Simms-Mackey, Department of Pediatrics, Alameda Health System, Oakland California.
• David A. Stewart, Department of Pediatrics, University of Michigan Medical School, Ann Arbor, Michigan.
• Andria Tatem, Department of Pediatrics, Eastern Virginia Medical School, Norfolk, Virginia.
• Jonathan Tolentino, Department of Internal Medicine, University of Miami Miller School of Medicine, Miami, Florida.
• Michael A. Barone, American Board of Pediatrics, Chapel Hill, North Carolina.
• David A. Turner, American Board of Pediatrics, Chapel Hill, North Carolina.

Recommended Citation

O'Connor M, Chiel L, Lewis J, et al. Defining the Practice of the General Pediatrician: Entrustable Professional Activities Update. Pediatrics. Published online April 10, 2026. doi:10.1542/peds.2025-073647

Affiliations

Advocate Children's Hospital Park Ridge

Abstract

The General Pediatrics Entrustable Professional Activities (EPAs) were created in 2013 to define the practice of the general pediatrician. Rooted in the needs of patients, the EPAs detail the essential tasks of practicing pediatricians and offer a framework for defining the expected outcomes of residency training. To support competency-based medical education and ensure graduates are prepared to meet the evolving needs of patients, the pediatrics community has committed to meaningfully incorporating the EPAs into training and certification and using them to guide curricula, individualize training, ground assessment, and determine readiness for practice. In support of this goal, a team of pediatricians, program directors, trainees, and public members assembled to review and update the General Pediatrics EPA framework. With input from volunteers and over 1000 program director and general pediatrician survey respondents, they revised the 17 original EPAs, consolidating the framework and ensuring each activity is clear, specific, and reflects contemporary practice. The resulting 12 revised EPAs and their essential cross-cutting knowledge, skills, and abilities were approved by the American Board of Pediatrics Board of Directors in June 2025. Here we describe the process undertaken to perform the first comprehensive revision of the General Pediatrics EPAs and highlight changes to content and language. By reviewing and revising the EPAs with broad and diverse input, we reaffirm these activities as the essential work of our specialty, providing a framework by which we can support a competency-based approach to training and lifelong learning focused on meeting the needs of children.

Type

Article

PubMed ID

41956489