A New Instrument for Assessing Resident Competence in Surgical Clinic: The Ottawa Clinic Assessment Tool

The Promise of Milestones: Are They Living Up to Our Expectations?

“…29 Evaluators then could determine if the trainee was trusted to observe only (''I had to do it''); trusted to perform with direct observation (''I had to talk them through''); trusted to perform with indirect observation and key findings repeated (''I had to direct them from time to time''); trusted to perform with indirect observation (''I needed to be available just in case''); trusted to perform independently with no supervision (''I did not need to be there''); or trusted to supervise others. 29,30 EPA descriptors for each level of supervision could be described to standardize entrustment decisions. 27 Milestones could be helpful to drill down where trainees are struggling to facilitate appropriate remediation.…”

Influence of Clinical Competency Committee Review Process on Summative Resident Assessment Decisions

“…It embraces a broader view of entrustment 22,23,25 than focusing on individual specific entrustable professional activities to determine the level of entrustment germane to the specialty. [26][27][28][29] One program did not have a review process where CCC members were assigned residents, and the program director reported the consensus decisions of the group. Program directors also provided information about how many CCC members prereview residents prior to full CCC meetings.…”

Milestone Ratings and Supervisory Role Categorizations Swim Together, but Is the Water Muddy?

“…Our focus on supervisory role categorization arises from the pediatric graduate medical education community in the United States embracing a view of entrustment that includes important entrustment decisions that happen during training [14][15][16] in addition to those important for making decisions about readiness to practice outside training. [3][4][5]17 These include readiness to serve as an intern, readiness to serve without an onsite supervisor immediately available, and readiness to supervise others. [14][15][16] These entrustment Current CCC members and all categorical pediatrics residents were considered eligible participants at each site.…”