![]() Three main mechanisms were instrumental in this process: lowering the feedback threshold, change in feedback focus, and gamification. Participants reflected on a number of changes in their day-to-day experience of feedback culture with the implementation of EPAs. The authors used open, axial, and selective coding to gain knowledge and understanding on the interplay of EPAs and feedback culture. Data collection and analysis were conducted iteratively. ![]() Interviews took place between February and December 2021. Using a constructivist grounded theory approach, the authors interviewed a purposive and theoretical sample of residents (n = 11) and attendings (n = 11) at the Institute of Anaesthesiology, University Hospital of Zurich, where EPAs had recently been implemented. The aim of this study was to explore the extent to which the introduction of EPAs via mobile app impacts feedback culture as experienced by anesthesiology residents and attending physicians. Yet, recent studies suggest that EPAs have not yet overcome all of the challenges to implementing meaningful feedback. Entrustable professional activities (EPAs) were introduced as a potential way to optimize workplace-based assessments.
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