At present, an entrustable professional activities (EPAs) framework of general practitioners has been constructed at home and abroad. But there are few practical studies on the EPAs framework of general practitioners.

To understand the rationality and feasibility of EPAs framework for Chinese general practitioners through practical research.

Residents in 6 residency training bases for general practitioners in China from September 2021 to January 2022 were included in the study. The post competency of general practitioners was evaluated and fed back by the EPAs of Chinese general practitioners, using multiple linear regression analysis to explore the influencing factors of EPAs for general practitioners.

A total of 141 general practice residents were included in the study. With a total average score of 144.57 points, the lowest average score was graded in the EPA22 clinical teaching, and the highest score was graded in the EPA13 key population healthcare . The total score of general practice residents under 30 years old and older than 30 years of age was (141.30±33.73)points, and (150.01±25.04) points, respectively. No significant difference in the total score was detected between them (P>0.05). The total score of male and female residents was comparable [(146.63±27.29)points vs (143.73±32.42) points, P>0.05]. The total score of residents with previous clinical work experience was significantly higher than those without previous clinical work experience [(149.44±28.07) points vs(137.60±33.69) points, P<0.05]. The total EPAs scores of first-year, second-year and third-year residents were (113.43±22.07) points, (134.00±16.72) points and (174.94±12.35) points, respectively. The total scores and EPA scores of first-grade, second-grade and third-grade residents showed a gradually increasing trend, and the pairwise difference between groups was significantly different(P<0.001). The total score of undergraduate resident physicians and graduate resident physicians was not statistically significant [(148.38±28.87) points vs(139.28±33.14) points, P>0.05]. The total scores of general practice residents in Northeast China, North China, East China, South Central China, Southwest China and Northwest China were (139.32±26.55) points, (153.43±28.61) points, (148.15±33.44) points, (144.83±35.11) points, (143.30±34.60) points and (142.93±34.09) points, respectively. There was no significant difference in the total score of regional distribution (P>0.05). The results of the multiple linear regression analysis showed that work experience and rotation grade are influencing factors for EPAs of general practitioners (P<0.05). The feedback results showed that more than 80% of residents and teachers believed that EPAs evaluation was very important. The EPAs framework was comprehensive and specific, which reflected the competency requirements of general practitioners with a good feasibility.

The EPAs framework for Chinese general practitioners has good rationality and feasibility. In the future, multi-center long-term continuous practice studies will be carried out to further test our findings and provide a basis for improving the evaluation framework.