Many students may not feel trained enough for performing practical clinical tasks prior to their clinical clerkships or at graduation.2 There are different views on the competencies required for young physicians to begin their career. These competencies include several clinical skills that young physicians should be able to perform.24 Therefore entrustable professional activities (EPAs) have increased in recent years. EPAs are core units of professional medical practice that physicians were entrusted to do on their own without supervision after supervisor approval. Among EPAs at different institutions for graduating medical students are venipuncture, rectal examination and several other clinical skills. These clinical skills are believed to be done by physician on their own or are believed that each physician has to know how to perform them.25 Our data shows that the scores during the second testing were not significantly higher in performing venipuncture. We suppose the reason for no improvement in venipuncture performance is that students did not practice the skill during the clerkship due to the delegation of this skill to nurse practitioners. However, we detected significant improvement in rectal examination score on the second testing. We suppose that the reason for significant improvement in rectal examination performance is that students have been practicing this clinical skill during their clerkship.