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Perspect Med Educ. 2017 Apr;6(2):119-126. doi: 10.1007/s40037-017-0336-2.

Applying occupational and organizational psychology theory to entrustment decision-making about trainees in health care: a conceptual model.

Author information

1
Dieter Scheffner Center for Medical Education and Educational Research, Charité-Universitätsmedizin Berlin, Berlin, Germany.
2
Department of Medical Education, Southern Illinois University School of Medicine, Springfield, IL, USA.
3
Center for Research and Development of Education, University Medical Center Utrecht, Utrecht, The Netherlands.
4
Dieter Scheffner Center for Medical Education and Educational Research, Charité-Universitätsmedizin Berlin, Berlin, Germany. harm.peters@charite.de.

Abstract

In medical contexts around the world, supervising physicians continuously decide what degree of supervision to apply as trainees carry out professional activities. Although the implications for patients can be far-reaching, little is known about how these entrustment decisions are formed. The concept of 'Entrustable Professional Activities' has initiated interest and valuable research on factors that may influence the entrustment decision process.The aim of the current article is to link models of entrustment developed in the fields of occupational and organizational psychology and military psychology to medical education studies that have explored the factors influencing physicians' entrustment decisions. We provide a conceptual framework of the entrustment decision-making process, which we suggest will contribute to the understanding of how supervising physicians arrive at the decision to entrust a medical trainee with a professional activity.

KEYWORDS:

Entrustable Professional Activities; Entrustment; Trust

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