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

About The Event

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 environment


Objective: 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. Methods: 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. Results: 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. Conclusions: 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.

Our Speakers

H. Tuxephoni Winsor
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