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Key Factors in Clinical Competency Committee Members’ Decisions Regarding Residents’ Readiness to Serve as Supervisors: A National Study.

A new interesting article has been published in Acad Med. 2018 Sep 25. doi: 10.1097/ACM.0000000000002469. and titled:

Key Factors in Clinical Competency Committee Members’ Decisions Regarding Residents’ Readiness to Serve as Supervisors: A National Study.

Authors of this article are:
Schumacher DJ Martini A Bartlett KW King B Calaman S Garfunkel LC Elliott SP Frohna JG Schwartz A Michelson CD; and the Association of Pediatric Program Directors Longitudinal Educational Assessment Research Network Clinical Competency Committee Study Group.

A summary of the article is shown below:
PURPOSE: Entrustment has become a popular assessment framework in recent years. Most research in this area has focused on how frontline assessors determine when a learner can be entrusted. However, less work has focused on how these entrustment decisions are made. The authors sought to understand the key factors that pediatric residency program clinical competency committee (CCC) members consider when recommending residents to a supervisory role.METHOD: CCC members at 14 pediatric residency programs recommended residents to one of five progressive supervisory roles (from not serving as a supervisory resident to serving as a supervisory resident in all settings). They then responded to a free text prompt, describing the key factors that led them to that decision. The authors analyzed these responses, by role recommendation, using a thematic analysis.RESULTS: Of the 155 CCC members at the participating programs, 84 completed 769 supervisory role recommendations during the 2015-2016 academic year. Four themes emerged from the thematic analysis: (1) determining supervisory ability follows from demonstrated trustworthiness; (2) demonstrated performance matters but so does experience; (3) ability to lead a team is considered; and (4) contextual considerations external to the resident are at play.CONCLUSIONS: CCC members considered resident and environmental factors in their summative entrustment decision-making. The interplay between these factors should be considered as CCC processes are optimized and studied further.Written work prepared by employees of the Federal Government as part of their official duties is, under the U.S. Copyright Act, a “work of the United States Government” for which copyright protection under Title 17 of the United States Code is not available. As such, copyright does not extend to the contributions of employees of the Federal Government.

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