These are requested "retrospectively" after an unplanned clinical event/action has occurred. Although, you should have enough time before most of these to briefly mention to your Observer that this is an EPA and if you can be assessed then provided with feedback afterwards. Even if both you and your Observer only look at the milestones after the fact, you can use the milestones as a guide for future learning. It's OK to not know the entire EPA's milestones beforehand. Simply manage appropriately.
Residents: this means you should be aware of these EPAs! Thankfully, the number is not overwhelming.
Be sure to check out other EPAs that require a minimum number in an emergent setting and those likely to be done when on call. The distinction with these EPAs is that you should have enough time to prospectively request an EPA assessment when on day or night anesthesia call.
3.9 Managing patients presenting with unanticipated difficult airway, including cannot intubate, cannot oxygenate situation
*The observation of this EPA should be documented with every encounter of a patient with an unanticipated difficult airway*
3.14 Managing serious and life-threatening perioperative complications in a time-appropriate manner
3.15 *elective Managing patients with perioperative anesthesia complications, including disclosure
3.17 Providing resuscitation and comprehensive management, including crisis resource management, for patients presenting with a life-threatening emergency, across the spectrum of age
3.22 Providing peripartum anesthetic management and resuscitation of parturients (including intra-uterine resuscitation) presenting with serious and life-threatening obstetrical complications