A collective case study of supervision and competence judgments on the inpatient internal medicine ward.

ABSTRACT:

Introduction

Workplace-based assessment in competency-based medical education employs entrustment-supervision scales to suggest trainee competence. However, clinical supervision involves many factors and entrustment decision-making likely reflects more than trainee competence. We do not fully understand how a supervisor's impression of trainee competence is reflected in their provision of clinical support. We must better understand this relationship to know whether documenting level of supervision truly reflects trainee competence.

Methods

We undertook a collective case study of supervisor-trainee dyads consisting of attending internal medicine physicians and senior residents working on clinical teaching unit inpatient wards. We conducted field observations of typical daily

SUBMITTER: Gilchrist T 

PROVIDER: S-EPMC8187503 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature