Abstract:
CONTEXT:Clinical supervisors oversee trainees' performance while granting them increasing opportunities to work independently. Although the factors contributing to supervisors' trust in their trainees to conduct clinical work have been identified, how the development of trust is shaped by these factors remains less clear. OBJECTIVES:This study was designed to determine how supervisors develop and experience trust in resident (postgraduate years 2 and 3) trainees in the clinical workplace. METHODS:Internal medicine in-patient supervisors at two institutions were interviewed about the meaning and experience of developing trust in resident trainees. Transcribed data were coded and analysed using a phenomenographic approach. RESULTS:Forty-three supervisors participated. Supervisors characterised the meaning of trust from the perspectives of trainee competence and leadership or from their own perspective of needing to provide more or less supervision. Supervisors initially considered trust to be usually independent of prior knowledge of the resident, and then used sources of information about trust to develop their judgements of trust. Sources, which incorporated inference, included supervisors' comparisons with a standard, direct observation of the trainee as a team leader or care provider, and stakeholder input from team members, patients and families. Barriers against and accelerators to trust formation related to the resident, supervisor, resident-supervisor relationship, context and task. Trust formation had implications for supervisors' roles, residents' increasingly independent provision of care, and team functioning. CONCLUSIONS:From a general starting point, supervisors develop trust in residents informed by observation, inference and information gathered from the team and patients. Judgements of trust yield outcomes defined by supervisors' changing roles, the increasingly independent provision of care by residents, and team functioning. The implications of these findings for graded resident autonomy aligned with learning needs can inform the design of training environments to enable readiness for unsupervised practice.
journal_name
Med Educjournal_title
Medical educationauthors
Hauer KE,Oza SK,Kogan JR,Stankiewicz CA,Stenfors-Hayes T,Cate OT,Batt J,O'Sullivan PSdoi
10.1111/medu.12745subject
Has Abstractpub_date
2015-08-01 00:00:00pages
783-95issue
8eissn
0308-0110issn
1365-2923journal_volume
49pub_type
杂志文章abstract::For many years student ratings have been used to assess the strengths and weaknesses of various courses and the teaching abilities of the instructors involved. Investigators have either supported or attacked the validity of this assessment procedure on the basis of the direction and degree of the relationship found be...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1978.tb00337.x
更新日期:1978-05-01 00:00:00
abstract::The view, background and motivation of providers of medical education was studied using a structured questionnaire which was sent to all those who organized courses for the Postgraduate Education Allowance in the West of Scotland. Two hundred and twenty-five replies were received from 254 course providers, giving an 8...
journal_title:Medical education
pub_type: 杂志文章
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更新日期:1993-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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abstract::The inconsistency of the marking in clinical examinations is a well documented problem. This project identified some of the factors responsible for this inconsistency. A standardized rating situation was devised. Five students were videotaped as they performed part of a physical examination on simulated patients. Eigh...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1980.tb02379.x
更新日期:1980-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:2009-05-01 00:00:00
abstract:CONTEXT:The banner of patient-centredness flies over many academic institutions; however, the practice and teaching of medicine remain oriented to disease. This incongruence is the result of an original Flexnerian dichotomy between the basic and clinical sciences and is maintained by a more recent distinction between d...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2007.02905.x
更新日期:2007-12-01 00:00:00
abstract::This report considers the implications for medical education of a global survey of the knowledge, behaviour and attitudes of medical students regarding tobacco. This was conducted in 42 countries derived from all continents. A total of 9326 students (44% women) from 51 medical schools replied anonymously to a multiple...
journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1994.tb02697.x
更新日期:1994-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2009.03407.x
更新日期:2009-08-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1985.tb01313.x
更新日期:1985-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1994.tb02735.x
更新日期:1994-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:2020-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03127.x
更新日期:2008-10-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.1998.00209.x
更新日期:1998-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2008.03249.x
更新日期:2009-01-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1981.tb02482.x
更新日期:1981-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1985.tb01350.x
更新日期:1985-11-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2929.2006.02545.x
更新日期:2006-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01310.x
更新日期:2002-10-01 00:00:00
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journal_title:Medical education
pub_type: 临床试验,杂志文章
doi:10.1046/j.1365-2923.1999.00378.x
更新日期:1999-08-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章,评审
doi:10.1111/medu.13117
更新日期:2016-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1046/j.1365-2923.2002.01152.x
更新日期:2002-03-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1996.tb00739.x
更新日期:1996-05-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14426
更新日期:2020-12-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1992.tb00125.x
更新日期:1992-01-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.2012.04301.x
更新日期:2012-09-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/medu.14435
更新日期:2020-12-12 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2929.2005.02105.x
更新日期:2005-04-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
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更新日期:2008-07-01 00:00:00
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journal_title:Medical education
pub_type: 杂志文章
doi:10.1111/j.1365-2923.1976.tb00432.x
更新日期:1976-05-01 00:00:00