Specify Expectations of Role
Develop a Clinical Practice Ramp-Up Road-Map
- Identify Key Entrustable Professional Activities (EPAs) for the APP
- Draft Idealized Ramp-Up Schedule
Specify Expectations of Role
Develop a Clinical Practice Ramp-Up Road-Map
A well-designed onboarding plan ensures that a new APP can safely and efficiently meet the clinical needs they were hired to fill. It also plays a key role in retention—APPs who feel supported and confident in their role are more likely to stay long term.
Using these four structured steps—defining the role, pinpointing measurable EPAs, planning a gradual ramp-up, and delivering foundational knowledge—creates a clear, trackable, and supportive onboarding pathway. This approach helps both APPs and supervisors monitor progress and adapt training in real time.
Month 1: Orientation & Core Priorities
Goal: Build a base understanding of immediate clinical responsibilities.
Action Items:
Months 2–3: Skill Building & Structured Exposure
Goal: Deepen understanding and apply foundational skills.
Action Items:
Months 4–6: Integration & Independent Study
Goal: Promote independent learning and practice readiness.
Action Items:
Ongoing Support Tools
Tracking APP Progress and Clinical Skills
This framework helps both supervisors and APPs monitor clinical growth during onboarding. It includes logs, assessments, and skill checklists, all tied to defined role expectations, EPAs, and training milestones.
1. Assess EPA Progress and Patient Logs
2. Track Patient Encounters
3. Maintain a Procedure Log (If Applicable)
For APPs performing procedures:
How It All Fits
By combining EPAs, logs, and structured assessments, this system ensures: