Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Center for Research Development of Education, University Medical Center Utrecht, Utrecht, The Netherlands.
Med Teach. 2021 Jul;43(7):737-744. doi: 10.1080/0142159X.2021.1924365. Epub 2021 May 14.
With the rapid uptake of entrustable professional activties and entrustment decision-making as an approach in undergraduate and graduate education in medicine and other health professions, there is a risk of confusion in the use of new terminologies. The authors seek to clarify the use of many words related to the concept of entrustment, based on existing literature, with the aim to establish logical consistency in their use. The list of proposed definitions includes independence, autonomy, supervision, unsupervised practice, oversight, general and task-specific trustworthiness, trust, entrust(ment), entrustable professional activity, entrustment decision, entrustability, entrustment-supervision scale, retrospective and prospective entrustment-supervision scales, and entrustment-based discussion. The authors conclude that a shared understanding of the language around entrustment is critical to strengthen bridges among stages of training and practice, such as undergraduate medical education, graduate medical education, and continuing professional development. Shared language and understanding provide the foundation for consistency in interpretation and implementation across the educational continuum.
随着可委托专业活动和委托决策作为医学和其他健康专业本科和研究生教育的一种方法的快速采用，在使用新术语时存在混淆的风险。作者旨在根据现有文献，澄清许多与委托概念相关的词汇的使用，目的是在使用上建立逻辑一致性。所提出的定义列表包括独立性、自主性、监督、无监督实践、监督、一般和特定任务的可信赖性、信任、委托（ment）、可委托的专业活动、委托决策、可委托性、委托监督量表、回顾性和前瞻性委托监督量表以及基于委托的讨论。作者得出结论，围绕委托的语言的共同理解对于加强培训和实践各个阶段之间的桥梁至关重要，例如本科医学教育、研究生医学教育和继续专业发展。共享语言和理解为整个教育连续体的解释和实施提供了一致性的基础。
