Internal medicine educators had a stable opinion of EPAs developed through this study, and residents generally agreed. Using this approach, programs could identify EPAs for resident evaluation, building on the initial list created via our study.

BACKGROUND: Graduate medical education programs assess trainees' performance to determine readiness for unsupervised practice. Entrustable professional activities (EPAs) are a novel approach for assessing performance of core professional tasks. AIM: To describe a pilot and feasibility evaluation of two EPAs for competency-based assessment in internal medicine (IM) residency. SETTING/PARTICIPANTS: Post-graduate year-1 interns (PGY-1s) and attendings at a large internal medicine (IM) residency program. PROGRAM DESCRIPTION: Two Entrustable professional activities (EPA) assessments (Discharge, Family Meeting) were piloted. PROGRAM FEASIBILITY EVALUATION: Twenty-eight out of 43 (65.1 %) PGY-1s and 32/43 (74.4 %) attendings completed surveys about the Discharge EPA experience. Most who completed the EPA assessment (10/ 12, 83.8 %, PGY-1s; 9/11, 83.3 %, attendings) agreed it facilitated useful feedback discussions. For the Family Meeting EPA, 16/26 (61.5 %) PGY-1s completed surveys, and most who participated (9/12 PGY1s, 75 %) reported it improved attention to family meeting education, although only half recommended continuing the EPA assessment. DISCUSSION: From piloting two EPA assessments in a large IM residency, we recognized our reminder systems and time dedicated for completing EPA requirements as inadequate. Collaboration around patient safety and palliative care with relevant clinical services has enhanced implementation and buy-in. We will evaluate how well EPA-based assessment serves the intended purpose of capturing trainees' trustworthiness to conduct activities unsupervised.

STEMI from culprit unprotected left main coronary artery stenosis is associated with significant mortality and morbidity. Emergency PCI provides an important treatment option in this high-risk group, but in-hospital mortality remains high.

Power flow study is the initial step which provides voltage magnitudes, phase angles, active and reactive power flows at respective buses under normal operating conditions. It helps in analyzing the current state of the power system and effective alternative options for expanding the existing system in order to meet with the increasing load demand. Contingency Analysis is also a major part of study for reliable and planned operation of power system. It is very significant function in modern Energy Management Systems. The objective of contingency analysis is to give operator the information about the static security. There are several factors which may lead to the contingency in power system, for example line outage, transformer outage, generator outage and overloads resulting the extreme situations such as voltage collapse, over loads in other branches and/or sudden system voltage rise or drop. Contingency analysis is used to calculate parameters violations. In this paper, maximum loading parameter is calculated and contingency status of Western System Coordinating Council 3 Machine, 9 Bus test system is done using PSAT toolbox in MATLAB.