TY - JOUR
T1 - Clarifying essential terminology in entrustment
AU - Schumacher, Daniel J.
AU - Cate, Olle ten
AU - Damodaran, Arvin
AU - Richardson, Denyse
AU - Hamstra, Stanley J.
AU - Ross, Shelley
AU - Hodgson, Jennie
AU - Touchie, Claire
AU - Molgaard, Laura
AU - Gofton, Wade
AU - Carraccio, Carol
N1 - Funding Information:
The concept for this article originated during a two-day forum meeting of the International Competency-Based Medical Education (ICBME) Collaborators in Ottawa, Canada, July 2019.
Publisher Copyright:
© 2021 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2021/7
Y1 - 2021/7
N2 - With the rapid uptake of entrustable professional activties and entrustment decision-making as an approach in undergraduate and graduate education in medicine and other health professions, there is a risk of confusion in the use of new terminologies. The authors seek to clarify the use of many words related to the concept of entrustment, based on existing literature, with the aim to establish logical consistency in their use. The list of proposed definitions includes independence, autonomy, supervision, unsupervised practice, oversight, general and task-specific trustworthiness, trust, entrust(ment), entrustable professional activity, entrustment decision, entrustability, entrustment-supervision scale, retrospective and prospective entrustment-supervision scales, and entrustment-based discussion. The authors conclude that a shared understanding of the language around entrustment is critical to strengthen bridges among stages of training and practice, such as undergraduate medical education, graduate medical education, and continuing professional development. Shared language and understanding provide the foundation for consistency in interpretation and implementation across the educational continuum.
AB - With the rapid uptake of entrustable professional activties and entrustment decision-making as an approach in undergraduate and graduate education in medicine and other health professions, there is a risk of confusion in the use of new terminologies. The authors seek to clarify the use of many words related to the concept of entrustment, based on existing literature, with the aim to establish logical consistency in their use. The list of proposed definitions includes independence, autonomy, supervision, unsupervised practice, oversight, general and task-specific trustworthiness, trust, entrust(ment), entrustable professional activity, entrustment decision, entrustability, entrustment-supervision scale, retrospective and prospective entrustment-supervision scales, and entrustment-based discussion. The authors conclude that a shared understanding of the language around entrustment is critical to strengthen bridges among stages of training and practice, such as undergraduate medical education, graduate medical education, and continuing professional development. Shared language and understanding provide the foundation for consistency in interpretation and implementation across the educational continuum.
KW - Clinical assessment
KW - outcomes-based
KW - postgraduate education
KW - undergraduate education
KW - Clinical Competence
KW - Prospective Studies
KW - Internship and Residency
KW - Education, Medical, Undergraduate
KW - Retrospective Studies
KW - Competency-Based Education
KW - Education, Medical, Graduate
UR - http://www.scopus.com/inward/record.url?scp=85106221873&partnerID=8YFLogxK
U2 - 10.1080/0142159X.2021.1924365
DO - 10.1080/0142159X.2021.1924365
M3 - Article
C2 - 33989100
AN - SCOPUS:85106221873
SN - 0142-159X
VL - 43
SP - 737
EP - 744
JO - Medical Teacher
JF - Medical Teacher
IS - 7
ER -