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Background: Entrustable professional activities (EPA) have gained acceptance in UME to assess readiness to transition from medical student to intern. The best method for evaluating students within the EPA context has not been identified. Many of the EPA can be routinely evaluated in a single ED shift.

Educational Objectives: The goal is to evaluate fourth year medical student’s proficiency in EPA 1-10 during an ED shift. Curricular Design: Many methods have been described to assess a single EPA using simulated patients. This is time and resource intensive.