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

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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.

No MeSH data available.


Model of Trust by Mayer, Davis and Schoorman [28]
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Fig1: Model of Trust by Mayer, Davis and Schoorman [28]

Mentions: In 1995, Mayer et al. [28] addressed heightened interest in understanding trust in occupational settings, which was triggered by increasing workforce diversity and the emergence of self-directed working teams. They developed a conceptual model of trust (Fig. 1), characterizing how it develops among two parties: a trusting party, called trustor and a party to be trusted, called trustee. This model was then applied to examining the development of employees’ trust in their managers, i. e. upward in hierarchy [30–32]. In comparison, in medical education the primary interest lies in how the supervising physician entrusts a trainee, i. e., downward in hierarchy. However, Mayer et al.’s model appears to be applicable to trust processes independently of hierarchy [32] and provides the opportunity to better understand the supervisor’s decision to entrust a trainee.Fig. 1


Applying occupational and organizational psychology theory to entrustment decision-making about trainees in health care: a   conceptual model
Model of Trust by Mayer, Davis and Schoorman [28]
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5383570&req=5

Fig1: Model of Trust by Mayer, Davis and Schoorman [28]
Mentions: In 1995, Mayer et al. [28] addressed heightened interest in understanding trust in occupational settings, which was triggered by increasing workforce diversity and the emergence of self-directed working teams. They developed a conceptual model of trust (Fig. 1), characterizing how it develops among two parties: a trusting party, called trustor and a party to be trusted, called trustee. This model was then applied to examining the development of employees’ trust in their managers, i. e. upward in hierarchy [30–32]. In comparison, in medical education the primary interest lies in how the supervising physician entrusts a trainee, i. e., downward in hierarchy. However, Mayer et al.’s model appears to be applicable to trust processes independently of hierarchy [32] and provides the opportunity to better understand the supervisor’s decision to entrust a trainee.Fig. 1

View Article: PubMed Central - PubMed

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.

No MeSH data available.