Entrustment-Based Discussions: A tool for front-line educators to support entrustment decisions for EPAs

Date:  Sunday 6 September 2020
Time:  1330-1630
Location:  Argyll II, Crowne Plaza

  • Maryellen Gusic, University of Virginia School of Medicine, USA
  • Carrie Chen, Georgetown University School of Medicine, USA
  • Harm Peters, Charit√© - Universit√§tsmedizin, Germany
  • Marrije Hennus, University Medical Center Utrecht, the Netherlands
  • Olle ten Cate, University Medical Center, Netherlands

Summary of theme and why it is important:  As medical schools and postgraduate programs around the world implement Entrustable professional activities (EPAs) to focus assessment, front line teachers need to be prepared to incorporate this new assessment framework in their daily work with learners. As supervisors, clinical teachers are required to gather data about learners’ abilities to make well-informed decisions about the level of supervision their learners need to safely perform various clinical care tasks. This workshop engages participants in interactive exercises to practice Entrustment-Based Discussion (EBD), one technique for “data-gathering”. EBD focuses on evaluation of the risks related to granting a learner more responsibility and offers information to clinical teachers, allowing them to feel both confident and comfortable about their entrustment decisions. In small groups, participants will explore what information is needed or useful to decide how much supervision a learner requires to perform a future patient care task. The EBD technique will be demonstrated in a video scenario and participants will examine how information obtained during an EBD can be used to support or raise concerns about a learner’s readiness to perform a task with less supervision. Participants will then work in dyads with an observer to practice EBDs using various scenarios. They will also practice using coaching as a technique to provide feedback to promote learners continued development. Lastly, in a large group facilitated discussion, attendees will explore the applications of EBD and the faculty development needs required for implementation of EBDs at their home institution.
What participants will gain:  The goal of the workshop is to provide participants with tools to support entrustment decisions in their daily work with learners. Participants will gain skills in translating data from entrustment-based discussions into supervision decisions and will also gain skills in using a coaching approach to provide feedback to learners.
Who should participate:  Educators with interest in EPA assessment, workplace learning and competency-based education are encouraged to attend.
Level of workshop:  Introductory

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