“…Therefore, entrustment scales align with the construct of competency-based education when compared to more traditional evaluation scales, such as ordinal scales with adjectives or normative scales, and reflect a judgment with relevant clinical meaning for assessors. (Crossley, Johnson, Booth, & Wade, 2011;Rekman et al, 2016;Williams, Klamen, & McGaghie, 2003;Yeates, O'Neill, Mann, & Eva, 2013) In addition to intuitiveness for assessors within clinical evaluation, early uses of entrustment scales suggest improved inter-rater reliability as compared to alternative evaluation scales (Gofton, Dudek, Wood, Balaa, & Hamstra, 2012;Kogan, Conforti, Iobst, & Holmboe, 2014;Mink et al, 2017), particularly as these scales provide an assessment structured around the way evaluators already make day-to-day clinical entrustment decisions. In response, residency programs have begun to institute these as an adjunct to their traditional milestone evaluations.…”