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

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    Name:
    CCC_Paper_4_draft_15.pdf
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    Author
    Schumacher, Daniel J
    Martini, Abigail
    Bartlett, Kathleen W
    King, Beth
    Calaman, Sharon
    Garfunkel, Lynn C
    Elliott, Sean P
    Frohna, John G
    Schwartz, Alan
    Michelson, Catherine D
    Affiliation
    Univ Arizona, Coll Med
    Univ Arizona, Coll Med, Phoenix Childrens Hosp
    Issue Date
    2019-02-01
    
    Metadata
    Show full item record
    Publisher
    LIPPINCOTT WILLIAMS & WILKINS
    Citation
    Schumacher, D. J., Martini, A., Bartlett, K. W., King, B., Calaman, S., Garfunkel, L. C., ... & Michelson, C. D. (2019). Key Factors in Clinical Competency Committee Members’ Decisions Regarding Residents’ Readiness to Serve as Supervisors: A National Study. Academic Medicine, 94(2), 251-258.
    Journal
    ACADEMIC MEDICINE
    Rights
    Copyright © 2019 by the Association of American Medical Colleges.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    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. 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. 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. 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.
    Note
    12 month embargo; published online: 25 September 2018
    ISSN
    1938-808X
    PubMed ID
    30256253
    DOI
    10.1097/ACM.0000000000002469
    Version
    Final accepted manuscript
    Additional Links
    https://journals.lww.com/academicmedicine/fulltext/2019/02000/Key_Factors_in_Clinical_Competency_Committee.32.aspx
    ae974a485f413a2113503eed53cd6c53
    10.1097/ACM.0000000000002469
    Scopus Count
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    UA Faculty Publications

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