Finding a Path to Entrustment in Undergraduate Medical Education

A Progress Report from the AAMC Core Entrustable Professional Activities for Entering Residency Entrustment Concept Group

David R. Brown, Jamie Warren, Abbas Hyderi, Ronald E. Drusin, Jeremy Moeller, Melvin Rosenfeld, Philip R. Orlander, Sandra Yingling, Stephanie Call, Kyla Terhune, Janet Bull, Robert Englander, Dianne P. Wagner

    Research output: Contribution to journalArticle

    12 Citations (Scopus)

    Abstract

    Problem To better prepare graduating medical students to transition to the professional responsibilities of residency, 10 medical schools are participating in an Association of American Medical Colleges pilot to evaluate the feasibility of explicitly teaching and assessing 13 Core Entrustable Professional Activities for Entering Residency. The authors focused on operationalizing the concept of entrustment as part of this process. Approach Starting in 2014, the Entrustment Concept Group, with representatives from each of the pilot schools, guided the development of the structures and processes necessary for formal entrustment decisions associated with students' increased responsibilities at the start of residency. Outcomes Guiding principles developed by the group recommend that formal, summative entrustment decisions in undergraduate medical education be made by a trained group, be based on longitudinal performance assessments from multiple assessors, and incorporate day-to-day entrustment judgments by workplace supervisors. Key to entrustment decisions is evidence that students know their limits (discernment), can be relied on to follow through (conscientiousness), and are forthcoming despite potential personal costs (truthfulness), in addition to having the requisite knowledge and skills. The group constructed a developmental framework for discernment, conscientiousness, and truthfulness to pilot a model for transparent entrustment decision making. Next Steps The pilot schools are studying a number of questions regarding the pathways to and decisions about entrustment. This work seeks to inform meaningful culture change in undergraduate medical education through a shared understanding of the assessment of trust and a shared trust in that assessment.

    Original languageEnglish (US)
    Pages (from-to)774-779
    Number of pages6
    JournalAcademic Medicine
    Volume92
    Issue number6
    DOIs
    StatePublished - Jun 1 2017

    Fingerprint

    Undergraduate Medical Education
    Internship and Residency
    Students
    education
    Group
    American Medical Association
    school
    Medical Schools
    Medical Students
    Workplace
    responsibility
    performance assessment
    Decision Making
    Teaching
    medical student
    Costs and Cost Analysis
    workplace
    student
    decision making
    costs

    ASJC Scopus subject areas

    • Medicine(all)
    • Education

    Cite this

    Finding a Path to Entrustment in Undergraduate Medical Education : A Progress Report from the AAMC Core Entrustable Professional Activities for Entering Residency Entrustment Concept Group. / Brown, David R.; Warren, Jamie; Hyderi, Abbas; Drusin, Ronald E.; Moeller, Jeremy; Rosenfeld, Melvin; Orlander, Philip R.; Yingling, Sandra; Call, Stephanie; Terhune, Kyla; Bull, Janet; Englander, Robert; Wagner, Dianne P.

    In: Academic Medicine, Vol. 92, No. 6, 01.06.2017, p. 774-779.

    Research output: Contribution to journalArticle

    Brown, DR, Warren, J, Hyderi, A, Drusin, RE, Moeller, J, Rosenfeld, M, Orlander, PR, Yingling, S, Call, S, Terhune, K, Bull, J, Englander, R & Wagner, DP 2017, 'Finding a Path to Entrustment in Undergraduate Medical Education: A Progress Report from the AAMC Core Entrustable Professional Activities for Entering Residency Entrustment Concept Group', Academic Medicine, vol. 92, no. 6, pp. 774-779. https://doi.org/10.1097/ACM.0000000000001544
    Brown, David R. ; Warren, Jamie ; Hyderi, Abbas ; Drusin, Ronald E. ; Moeller, Jeremy ; Rosenfeld, Melvin ; Orlander, Philip R. ; Yingling, Sandra ; Call, Stephanie ; Terhune, Kyla ; Bull, Janet ; Englander, Robert ; Wagner, Dianne P. / Finding a Path to Entrustment in Undergraduate Medical Education : A Progress Report from the AAMC Core Entrustable Professional Activities for Entering Residency Entrustment Concept Group. In: Academic Medicine. 2017 ; Vol. 92, No. 6. pp. 774-779.
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