Key Factors in Clinical Competency Committee Members' Decisions Regarding Residents' Readiness to Serve as Supervisors: A National Study
AuthorSchumacher, Daniel J
Bartlett, Kathleen W
Garfunkel, Lynn C
Elliott, Sean P
Frohna, John G
Michelson, Catherine D
AffiliationUniv Arizona, Coll Med
Univ Arizona, Coll Med, Phoenix Childrens Hosp
MetadataShow full item record
PublisherLIPPINCOTT WILLIAMS & WILKINS
CitationSchumacher, 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.
RightsCopyright © 2019 by the Association of American Medical Colleges.
Collection InformationThis 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 firstname.lastname@example.org.
AbstractEntrustment 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.
Note12 month embargo; published online: 25 September 2018
VersionFinal accepted manuscript
- Justifications for Discrepancies Between Competency Committee and Program Director Recommended Resident Supervisory Roles.
- Authors: Schumacher DJ, Poynter S, Burman N, Elliott SP, Barnes M, Gellin C, Gonzalez Del Rey J, Sklansky D, Thoreson L, King B, Schwartz A, APPD LEARN CCC Study Group.
- Issue date: 2019 Jul
- Influence of Clinical Competency Committee Review Process on Summative Resident Assessment Decisions.
- Authors: Schumacher DJ, King B, Barnes MM, Elliott SP, Gibbs K, McGreevy JF, Del Rey JG, Sharma T, Michelson C, Schwartz A, Members of the APPD LEARN CCC Study Group.
- Issue date: 2018 Aug
- The greater good: how supervising physicians make entrustment decisions in the pediatric emergency department.
- Authors: Tiyyagura G, Balmer D, Chaudoin L, Kessler D, Khanna K, Srivastava G, Chang TP, Auerbach M
- Issue date: 2014 Nov-Dec
- Use of Resident-Sensitive Quality Measure Data in Entrustment Decision Making: A Qualitative Study of Clinical Competency Committee Members at One Pediatric Residency.
- Authors: Schumacher DJ, Martini A, Sobolewski B, Carraccio C, Holmboe E, Busari J, Poynter S, van der Vleuten C, Lingard L
- Issue date: 2020 Nov
- How Entrustment Is Informed by Holistic Judgments Across Time in a Family Medicine Residency Program: An Ethnographic Nonparticipant Observational Study.
- Authors: Sagasser MH, Fluit CRMG, van Weel C, van der Vleuten CPM, Kramer AWM
- Issue date: 2017 Jun