The Greater Good: How Supervising Physicians Make Entrustment Decisions in the Pediatric Emergency Department

Tiyyagura, Gunjan; Balmer, Dorene F.; Chaudoin, Lindsey; Kessler, David; Khanna, Kajal; Srivastava, Geetanjali; Auerbach, Marc

doi:10.1016/j.acap.2014.06.001

Cited by 36 publications

(49 citation statements)

References 31 publications

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“…We explored some of the barriers and facilitators to the implementation of the workplace JIPT intervention in separate qualitative studies. 22,43 Interns cited barriers to successful workplace training interventions such as workplace busyness and instructor lack of support. In contrast, interns commonly mentioned that improved realism of the training model would improve the training experience.…”

Section: Discussionmentioning

confidence: 99%

Impact of Just-in-Time and Just-in-Place Simulation on Intern Success With Infant Lumbar Puncture

et al. 2015

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Section: Discussionmentioning

confidence: 99%

Impact of Just-in-Time and Just-in-Place Simulation on Intern Success With Infant Lumbar Puncture

et al. 2015

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“…Ad hoc entrustment decision literature shows influence of trainee features, supervisor features, the nature of the task and the circumstances, supplemented by the trainee-supervisor relationship (Hauer et al 2014) and patient or family preference (Tiyyagura et al 2014). Each of these groups includes several variables that affect the decision.…”

Section: Trainee Features That Allow Supervisors To Entrust Them Withmentioning

confidence: 99%

Curriculum development for the workplace using Entrustable Professional Activities (EPAs): AMEE Guide No. 99

et al. 2015

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This Guide was written to support educators interested in building a competency-based workplace curriculum. It aims to provide an up-to-date overview of the literature on Entrustable Professional Activities (EPAs), supplemented with suggestions for practical application to curriculum construction, assessment and educational technology. The Guide first introduces concepts and definitions related to EPAs and then guidance for their identification, elaboration and validation, while clarifying common misunderstandings about EPAs. A matrix-mapping approach of combining EPAs with competencies is discussed, and related to existing concepts such as competency milestones. A specific section is devoted to entrustment decision-making as an inextricable part of working with EPAs. In using EPAs, assessment in the workplace is translated to entrustment decision-making for designated levels of permitted autonomy, ranging from acting under full supervision to providing supervision to a junior learner. A final section is devoted to the use of technology, including mobile devices and electronic portfolios to support feedback to trainees about their progress and to support entrustment decision-making by programme directors or clinical teams.

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“…Four categories of factors have been identified in a range of studies to influence entrustment decision-making: trainee characteristics, supervisor characteristics, characteristics of the task at hand and contextual factors [23–25, 36]. In addition, the relationship between the supervisor and the trainee has been identified as an important category [6, 27].…”

Section: Integrating Trust Theory With Empirical Findings On Medical mentioning

confidence: 99%

“…Tiyyagura et al. [36] found, for example, that parental preferences influence supervisors’ decisions to entrust paediatrics trainees. Attempting to define units of analysis makes it possible to explore how exactly ‘context matters’ to the entrustment decision-making process.…”

Section: Integrating Trust Theory With Empirical Findings On Medical mentioning

confidence: 99%

Applying occupational and organizational psychology theory to entrustment decision-making about trainees in health care: a conceptual model

Holzhausen¹,

Maaz²,

Cianciolo³

et al. 2017

Perspect Med Educ

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In medical contexts around the world, supervising physicians continuously decide what degree of supervision to apply as trainees carry out professional activities. Although the implications for patients can be far-reaching, little is known about how these entrustment decisions are formed. The concept of ‘Entrustable Professional Activities’ has initiated interest and valuable research on factors that may influence the entrustment decision process.The aim of the current article is to link models of entrustment developed in the fields of occupational and organizational psychology and military psychology to medical education studies that have explored the factors influencing physicians’ entrustment decisions. We provide a conceptual framework of the entrustment decision-making process, which we suggest will contribute to the understanding of how supervising physicians arrive at the decision to entrust a medical trainee with a professional activity.

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The Greater Good: How Supervising Physicians Make Entrustment Decisions in the Pediatric Emergency Department

Cited by 36 publications

References 31 publications

Impact of Just-in-Time and Just-in-Place Simulation on Intern Success With Infant Lumbar Puncture

Impact of Just-in-Time and Just-in-Place Simulation on Intern Success With Infant Lumbar Puncture

Curriculum development for the workplace using Entrustable Professional Activities (EPAs): AMEE Guide No. 99

Applying occupational and organizational psychology theory to entrustment decision-making about trainees in health care: a conceptual model

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The Greater Good: How Supervising Physicians Make Entrustment Decisions in the Pediatric Emergency Department

Cited by 36 publications

References 31 publications

Impact of Just-in-Time and Just-in-Place Simulation on Intern Success With Infant Lumbar Puncture

Impact of Just-in-Time and Just-in-Place Simulation on Intern Success With Infant Lumbar Puncture

Curriculum development for the workplace using Entrustable Professional Activities (EPAs): AMEE Guide No. 99

Applying occupational and organizational psychology theory to entrustment decision-making about trainees in health care: a&nbsp;conceptual model

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Applying occupational and organizational psychology theory to entrustment decision-making about trainees in health care: a conceptual model