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C61. Alberta’s evolution in addiction education: Entrustable Professional Activity Simulations (EPA-Sims)

C61. Alberta’s evolution in addiction
education: Entrustable Professional
Activity Simulations (EPA-Sims)

Learner category:

  •  Intermediate Level

Learning objectives:

  • Describe what the Provincial Addiction Curricula
    & Experiential Skill (PACES) Learning Pathway
    provides in virtualized addiction education.
  • Explain the relevance of a compentency crosswalk
    as a guide to creating inter-professional training
    objectives in addiction education curricula 3. Explain how entrustable professional activities
    can be offered effectively in a simulated clinical


The prototype design of entrustable professional activity
Simulations (EPA-Sims) featured within the Alberta Health
Services (AHS) Provincial Addiction Curricula & Experiential
Skill (PACES) Learning Pathway transcends the challenge
often experienced with traditional face-to-face training
programs. PACES EPA-Sims alleviate the requirement for
in-person preceptorship, and chance exposure to clinical
scenarios required for demonstration of entrustable
performance by the learner.
The PACES prototype design of EPA-Sims features an interdisciplinary competency map and virtualized complex clinical
scenarios. At each critical clinical decision point, the learner
is requested to select how they would proceed by choosing
from the de-identified options of “not-entrustable,” “preentrustable” and “entrustable” activities. The application of the
most evidence-informed treatment response (ie: entrustable
activity) is required in order for the learner to advance to the
next clinical scenario.
Within two years of launching the EPA-sim prototype design,
over 4,500 health professionals enrolled into the training and
15,000 views of the simulated scenarios were accumulated.

The creation of PACES EPA-Sims support inter-professional
competency development, and provide virtual preceptorship
for application of entrustable performance within a simulated
clinical environment. PACES EPA-Sims present an innovative
solution to the challenges of traditional face to face training
programs, and are an exciting prospect for the evolution of
addiction education.
Tuxephoni Winsor, RN.BN.MHS
Alberta Health Services, Canada
Tuxephoni Winsor is a master’s prepared Registered Nurse
with 25 years clinical experience in addiction and mental
health. She is grateful for a diversified career that has
encompassed the provision of care to marginalized and
incarcerated populations with complex co-morbidity across
the developmental spectrum.
Tuxephoni’s professional passion is for harnessing technology
and innovation to mobilize evidence informed practice and
the enhancement of concurrent capable care across the
Addiction & Mental Health treatment continuum. Tuxephoni is
currently serving as President of the Canadian Chapter of the
International Nurses Society of Addiction.

Comments (3)

  1. Dennis Hagarty

    Nicely done. It is encouraging to see you have created this with the lay person in mind. So often they do not have an opportunity to know what is going on with their loved one and having reliable information is so important.

  2. H. Tuxephoni Winsor

    Thanks very much Dennis! Agree. Having individuals with living/lived experience involved in developing the simulations has provided a very valued perspective. Have a fabulous day!

  3. Rachel Shuster, BSN, RN, CARN, CAAP

    What a fantastic presentation. Thank you so much. Also, I have DEFINITELY been pronouncing your name 1000000% incorrectly. I’ll work on that! 🙂

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