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Revista de la Facultad de Medicina (México)

On-line version ISSN 2448-4865Print version ISSN 0026-1742


HAMUI-SUTTON, Alicia; VARELA-RUIZ, Margarita; ORTIZ-MONTALVO, Armando  and  TORRUCO-GARCIA, Uri. Entrustable Professianl Activities: a step futher in the paradigm of medical education competencies. Rev. Fac. Med. (Méx.) [online]. 2015, vol.58, n.5, pp.24-39. ISSN 2448-4865.


The National Health System is evolving towards the organizational homologation for a more efficient use of their resources and to provide a better quality of care to the population. This situation demands an educational shift consistent with these purposes.


To present the epistemological and pedagogical bases for the development of an educational model based on Entrustable Professional Activities in Medicine, with flexible and diversified characteristics compatible with the usual educational experiences on clinical settings.


Based on the idea of epistemological interpretation, the authors establish a set of conceptual relations based on experiential theory and situated learning, as well as deliberate and reflective practice in order to support the development of competencies in a process that goes from novice to expert.


The pedagogical model present progress in clarifying the relationship between Entrustable Professional Activities and competencies in clinical practices and act as a mediator between the educational subjects that interact in the hospital.

Keywords : Medical education; clinical practice; Entrustable Professional Activities; domains; milestones; competencies; curriculum design.

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