Explore and Validate the Conceptual Framework of the Entrustment Decision-Making Process in the Workplace of Emergency Department

Competency-based medical education (CBME) focuses on the competencies that the trainees should equip with and the workplace-based assessments in the hope of providing quality healthcare that meets the societal needs. In recent years, Entrustable Professional Activities (EPA) and ad-hoc workplace-based assessments have become important concepts and strategies in the implementation of CBME for building connections between the practice of healthcare education and healthcare workplace. However, the thorough understanding of and the relationship between the clinical teachers’ entrustment decision making process, the interaction between clinical teachers and trainees, and trainees’ actual clinical performance still remain unclear. Further investigation on above mentioned issues are required to fill the gap between CBME and the daily practice of healthcare workplace. In the first year of this study, the qualitative interviews will be conducted to investigate the influencing factors and models of clinical teachers’ entrustment decision making process in emergency department setting. Next, the workplace observations and post-observation interviews with the emergency medicine residents will be conducted in the second year. It will help us to understand how the trainees perceive themselves to be trusted in performing tasks independently, their help-seeking behaviors, and their actual interaction with the clinical teachers. In the third year, we will further develop the ideal indexes for teacher’s entrustment decision making and trainee’s performance clinical observation scale for two specific emergency professional activities based on the EPAs projects proposed by Taiwan Society of Emergency Medicine. This will help us explore the associations between the trainee’s healthcare performance quality on the two emergency professional activities and the other three factors including (a) the clinical teachers’ entrustment decision making process and model, (b) how the trainees perceive themselves to be trusted in performing tasks independently, and (c) the trainee’s help-seeking behaviors.

Project ID:PF10907-1657
External Project ID:MOST109-2511-H182-001-MY3