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The use of entrustable professional activities as a basis for assessment may bridge the gap between the theory of competency-based education and clinical practice. The purposes of this study are to 1) develop and gather validity evidence EPAs; 2) create an EPA-aligned workplace-based assessment tool, and 3) examine validity evidence. Results indicate two of the studied EPAs demonstrate sufficient reliability for decisions. Key enablers and barriers to engagement with the EPA Web App were explored. Feedback analyses demonstrated that comments were critical and relevant to residents helping build alliances with their supervising faculty. The process described here can be applied to other graduate medical education programs interested in incorporating EPAs in their curriculum as part of the programmatic assessment.