ArticleJournal of general internal medicine2019
Entrustment Ratings in Internal Medicine Training: Capturing Meaningful Supervision Decisions or Just Another Rating?
Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 48 citations in OpenAlex.
- Thresholds of becoming: an exploration of threshold concepts as a means to support professional identity formation in competency-based curricula.Advances in health sciences education : theory and practice · 2024Article
- Entrustment Decision Making in the Intensive Care Unit: It's About More Than the Learner.ATS scholar · 2024Article
- A Qualitative Study of Drivers for Use of the Primary Care Exception Among Internal Medicine Teaching Faculty.Journal of general internal medicine · 2024Article
- Entrustable professional activities in postgraduate general surgery training: a scoping review protocol.BMJ open · 2023Article
- The critical role of direct observation in entrustment decisions.Canadian medical education journal · 2021Article
- A collective case study of supervision and competence judgments on the inpatient internal medicine ward.Perspectives on medical education · 2021Article
- "Doing it Right" Overnight: a Multi-perspective Qualitative Study Exploring Senior Medical Resident Overnight Call.Journal of general internal medicine · 2021Article
- Configurations for obtaining in-consultation assistance from supervisors in general practice training, and patient-related barriers to trainee help-seeking: a survey study.BMC medical education · 2020Article
- Cross-Coverage Care at a Crossroads.Journal of graduate medical education · 2019Article
- Transformation and Innovation at the Nexus of Health Systems and Medical Education.Journal of general internal medicine · 2019Article
- Trust as a Scaffold for Competency-Based Medical Education.Journal of general internal medicine · 2019Article
Corrections and comments
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Authors and funding
4 authors at 4 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The implementation of Entrustable Professional Activities has led to the simultaneous development of assessment based on a supervisor's entrustment of a learner to perform these activities without supervision. While entrustment may be intuitive when we consider the direct observation of a procedural task, the current implementation of rating scales for internal medicine's non-procedural tasks, based on entrustability, may not translate into meaningful learner assessment. In these Perspectives, we outline a number of potential concerns with ad hoc entrustability assessments in internal medicine post-graduate training: differences in the scope of procedural vs. non-procedural tasks, acknowledgement of the type of clinical oversight common within internal medicine, and the limitations of entrustment language. We point towards potential directions for inquiry that would require us to clarify the purpose of the entrustability assessment, reconsider each of the fundamental concepts of entrustment in internal medicine supervision and explore the use of descriptive rather than numeric assessment approaches.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.