Establishing a Competency Based Medical Education Curriculum for International Medical Graduates Pursuing Pediatric Surgery Training in High-income Countries

Canada's Royal College of Physicians and Surgeons established a competency-based medical education (CBME) training in pediatric surgery in 2021. Specialty-specific Entrustable Professional Activities (EPAs), foundational to CBME, were created within this framework as tools to assess fellow progression. We aimed to determine which of these EPAs were appropriate for assessment of international medical graduates (IMGs) from Low and Lower-Middle-Income Countries (LMICs) training in pediatric surgery in Canada.