Abstract
Introduction Entrustable Professional Activities (EPAs) are specific and measurable units of clinical practice used in competency-based training. Learners demonstrate skills to assessors who assign supervision levels for future practice. This study evaluated the impact of EPA-based assessment and logbook use on medical student performance and confidence in peripheral intravenous (IV) cannulation. Methods This multi-phase mixed methods study involved medical students attending a teaching course incorporating EPA-based teaching and assessment. Participants were divided into test and control groups. Self-assessed confidence scores and EPA levels were measured before and after the teaching course comparing logbook and non-logbook users. Thematic analysis of student and assessor feedback explored perceptions of EPA assessment and course effectiveness. Results Confidence scores significantly improved from pre-test (mean 2.91/5) to post-test (mean 4.05/5, p