Sorry, you need to enable JavaScript to visit this website.

Entrustable Professional Activities for Subspecialties

EPAs That Cross the Generalist to Subspecialist Role:

Provide consultation to other healthcare providers caring for children and adolescents and refer patients requiring further consultation to other subspecialty providers if necessary.

Read More

Contribute to the fiscally sound, equitable and collaborative management of a healthcare workplace.

EPA 13

Apply public health principles and quality improvement methods to improve population health.

EPA 14

Lead an interprofessional health care team. 

EPA 15

Facilitate handovers to another healthcare provider either within or across settings.

EPA 16

EPAs That are Common to all Subspecialties:

Engage in scholarly activities through the discovery, application, and dissemination of new knowledge (broadly defined).

Read More

Lead within the subspecialty profession.

Read More

Subspecialty-Specific EPAs:
Adolescent Medicine
Cardiology
Child Abuse
Critical Care
Developmental-Behavioral
Emergency Medicine
Endocrinology
Gastroentrology
​Hematology-Oncology
​Hospital Medicine
Infectious Diseases
Neonatology
Nephrology
Pulmonology
Rheumatology
Transplant Hepatology

Adolescent Medicine

Authors

1. Provide care for adolescent and young adult patients with acute physical and mental health issues. 

EPA 1

2. Provide continuity of care for adolescent and young adult patients with chronic medical problems and complex health conditions.

EPA 2

3. Provide preventive health care that includes the conditions specific to the adolescent and young adult population.

EPA 3

4. Transition care of the adolescent and young adult patient to adult health care settings.

EPA 4

 

Cardiology

Authors

1. Application of the imaging skills required for all aspects of pediatric and congenital cardiology care.

EPA 1

2. Care for patients who require catheter based interventions.

EPA 2

3. Diagnosis and management of patients with arrhythmias and conduction abnormalities.

EPA 3

4. Diagnosis, initial management, and referral of children with advanced or end stage heart failure (AHF, ESHF)and/or pulmonary hypertension (PH) to experts for medical therapy, extracorporeal membrane oxygenation (ECMO), ventricular assist devices and/or cardiac transplantation.

EPA 4 

5. Diagnosis and management of congenital or acquired cardiac problems.

EPA 5

6. Diagnosis and management of patients with acute congenital or acquired cardiac problems requiring intensive care.

EPA 6

 

Child Abuse

Authors

1. Provide subspecialty medical evaluation for children and adolescents who are suspected victims of sexual abuse or assault.

EPA 1

2. Engage in behaviors and use coping strategies that will mitigate the emotional stress of caring for patients that have been abused, neglected or maltreated.

EPA 2

3. Provide subspecialty medical evaluation for cases of suspected child neglect and other forms of child maltreatment.

EPA 3

4. Provide subspecialty medical evaluation in cases of suspected child physical abuse.

EPA 4

 

Critical Care

Authors

1. Acute management of the critically ill patient, including those with underlying chronic disease.

EPA 1

2. Manage and coordinate care in pediatric critical care units for optimal patient outcomes.

EPA 2

3. Management of patients at the end of life.

EPA 3

 

Developmental-Behavioral

Authors

1. Effectively advocate for children and families affected by developmental and behavioral disorders.

EPA 1

2. Effectively communicate with families, schools and community organizations to facilitate their understanding of children’s developmental-behavioral diagnoses and to promote their engagement in clinical decision-making and treatment.

EPA 2

3. Perform comprehensive histories and physical and neurodevelopmental examinations to make accurate diagnoses for patients presenting with developmental-behavioral concerns from infancy through young adulthood.

EPA 3

4. Identify and longitudinally manage behavioral variations, problems, and disorders in typically developing children and children with developmental disorders.

EPA 4

5. Recommend appropriate medical workup and evidence-based medical, therapeutic, educational, and behavioral interventions for children with developmental-behavioral disorders.

EPA 5

 

Emergency Medicine

Authors

1. Recognize and provide care for acutely ill and/or injured pediatric patients presenting to the Emergency Department (ED).

EPA 1

2. Recognize and provide care for medically and technologically complex pediatric patients in the ED.

EPA 2

3. Demonstrate competence in performing common procedures associated with the practice of pediatric emergency medicine.

EPA 3

4. Provide patient triage, resuscitation, and stabilization; align care provided with severity of illness.

EPA 4

5. Emergency Department Management: Manage the emergency department to optimize patient care.

EPA 5

6. Provide supervision for emergency personnel to enhance patient care quality and assure patient safety.

EPA 6

 

Endocrinology

Authors

1. Demonstrate competence in understanding the reasons to perform and interpret the common procedures of the pediatric endocrinologist.

EPA 1

2. Facilitate the transition of patients with endocrine disorders from pediatric to adult health care.

EPA 2

3. Manage patients with acute endocrine disorders in ambulatory, emergency or inpatient settings.

EPA 3

4. Manage patients with chronic endocrine disorders in the ambulatory or inpatient settings.

EPA 4

 

Gastroentrology

Authors

​1. Care of infants, children and adolescents with acute and chronic gastrointestinal disorders.

EPA 1

2. Care of infants, children and adolescents with acute and chronic liver diseases, biliary/cholestatic diseases, pancreatic disorders, and those requiring liver transplantation.

EPA 2

3. Care for infants, children, and adolescents with common outpatient GI, liver/biliary, pancreatic and nutritional issues.

EPA 3

4. Care of infants, children and adolescents with nutritional issues, deficiencies, and obesity.

EPA 4

5. Perform medical procedures related to gastrointestinal and liver disease for screening, diagnosis, and intervention.

EPA 5

 

Hematology-Oncology

Authors

​1. Manage patients with hematology-oncology conditions, whether acute or chronic, simple or complex, in an ambulatory, emergency, or inpatient setting.

EPA 1

2. Enroll and treat patients on clinical research trials.

EPA 2

3. Provide a medical home for patients with hematologic, oncologic, or stem cell transplant needs.

EPA 3

4. Integration of palliative care for patients with hematologic and oncologic conditions.

EPA 4

5. Demonstrate competence in performing and interpreting common procedures of a pediatric hematologist/oncologist.

EPA 5

6. Facilitate the transition of care.

EPA 6

 

Hospital Medicine

Authors

1. Care for acutely ill patients in hospital settings.

EPA 1

2. Direct and coordinate care for patients with unclear diagnoses and complex patients.

EPA 2

3. Perform common procedures associated with the practice of pediatric hospital medicine

EPA 3

4. Anticipate, facilitate and lead comprehensive, coordinated, and safe transitions of care.

EPA 4

5. Apply science of safety concepts in advocating for pediatric patients within the hospital system.

EPA 5

6. Teach, provide feedback, and assess learners across a competency-based medical education continuum and engage in interprofessional education.

EPA 6

 

Infectious Diseases

Authors

1. Promoting Antimicrobial Stewardship Based on Microbiological Principles.

EPA 1

2. Management and prevention of infections associated with medical/surgical devices, surgery and trauma.

EPA 2

3. Management of healthy patients with pediatric infectious diseases.

EPA 3

4. Management of pediatric patients with complex medical problems and a proven or suspected infectious disease.

EPA 4

5. Prevention and containment of infection.

EPA 5

 

Neonatology

Authors

​1. Management of Neonatal Care Systems.

EPA 1

2. Manage patients with complex, multisystem diseases in the NICU.

EPA 2

3. Provide care to patients in the NICU with surgical problems in collaboration with pediatric general and subspecialty surgeons.

EPA 3

4. Provide resuscitation and stabilization of neonates and infants that aligns care with severity of illness.

EPA 4

5. Manage patients with acute, common single system diseases in an inpatient setting.

EPA 5

 

Nephrology

Authors

​1. Care of children with acute electrolyte and kidney disorders, including hypertension and disorders of the urinary tract.

EPA 1

2. Care of children with chronic electrolyte and kidney disorders, including hypertension and disorders of the urinary tract.

EPA 2

3. Care of the pediatric patient with ESRD and kidney transplant.

EPA 3

4. Provision and supervision of kidney-related procedures including native and transplant kidney biopsy, peritoneal dialysis, hemodialysis, and continuous renal replacement therapy.

EPA 4

 

Pulmonology

Authors

​1. Manage patients with acute complex respiratory disease in an ambulatory, emergency, or inpatient setting.

EPA 1

2. Care of children with chronic respiratory disease.

EPA 2

3. Demonstrate competence in communicating a new diagnosis of a life altering disease using a patient and family centered approach.

EPA 3

4. Manage the use of supplemental respiratory equipment such as oxygen, ventilators, and airway clearance devices.

EPA 4

5. Demonstrate competence in performing the common procedures of the pediatric pulmonary subspecialist.

EPA 5

Rheumatology

Authors

1. Demonstrate competence in the utilization of immunomodulatory therapy for pediatric rheumatology patient.

EPA 1

2. Manage patients with acute or chronic complex multi-system rheumatic disease in an ambulatory, emergency, or inpatient setting.

EPA 2

3. Provide or coordinate a medical home for patients with complex and chronic rheumatic disease.

EPA 3

 

Transplant Hepatology

Authors

1. Care for infants, children and adolescents who are pre-, peri-, and post- liver transplant.

EPA 1

2. Care for infants, children and adolescents who have been exposed to and/or are chronically infected with viral hepatitis.

EPA 2

3. Care for infants, children and adolescents with acute and chronic biliary/cholestatic diseases.

EPA 3

Curriculum