Introduction:

The National Health System is evolving towards the organizational homologation for a more efficient use of their resources and to provide a better quality of care to the population. This situation demands an educational shift consistent with these purposes.

Objective:

To present the epistemological and pedagogical bases for the development of an educational model based on Entrustable Professional Activities in Medicine, with flexible and diversified characteristics compatible with the usual educational experiences on clinical settings.

Method:

Based on the idea of epistemological interpretation, the authors establish a set of conceptual relations based on experiential theory and situated learning, as well as deliberate and reflective practice in order to support the development of competencies in a process that goes from novice to expert.

Results:

The pedagogical model present progress in clarifying the relationship between Entrustable Professional Activities and competencies in clinical practices and act as a mediator between the educational subjects that interact in the hospital.