Introduction:

Progressive care (PC) can be defined as the organization of the patient’s medical and nursing care according to his or her needs, from admission to outpatient follow- up. A program for a PC residency based on entrustable professional activities (EPA) was designed.

Objective:

To describe the process of identification, development, and validation of EPA for the PC residency program.

Method:

A theory review on progressive care was made to define the professional profile of the specialist. EPA for the program were drafted. Validation was achieved through the Delphi method in two rounds where 24 professionals participated. Each EPA was consulted for its representativity and indispensability, keeping only those that reached 70% of agreement. The completeness of the learning scenarios was also evaluated. In the second Delphi round, EPA that did not reach 70% of the agreement were submitted, including suggested drafting modifications.

Results:

A PC specialist understands the hospital as a set of instruments and tools that integrate and approach the patient, and he or she uses them to manage patient care throughout every stage of treatment. 52 EPA were defined and organized in 9 learning scenarios, according to the PC professional profile established. Of the 52 evaluated EPA, 47 reached 70% of representativity and indispensability. The 5 remaining EPA were submitted to the second Delphi round after modifications, achieving representativity in 3 of them.

Conclusions:

The education of health care professionals is leaning towards competency-based programs that allow learners to achieve goals in different moments of their training, according to their needs.