Trust and Remediation: Entrustable Professional Activities and Trust Decisions

Presented by Brian Martin, DO on March 16, 2017 at 12:00 pm

Professionalism is difficult to define, and both professionalism and unprofessional activities are too often described in terms that resemble the old adage: “you will know it when you see it.” Activities that are difficult to define and quantitate are also difficult to remediate, and leave the educator with the difficult and frustrating task of accessing a remedial endpoint for an attribute that is difficult to define. This program will examine the important role of trust in the training of medical professionals. How do we develop, evaluate and remediate trust in the training of medical professionals? The new paradigm in undergraduate medical education assessment: Entrustable Professional Activities (EPAs), has made the incorporation of trust a vital part of medical education. Medical Educators and patients both want the same thing in student health care providers. The patient needs to trust that the team member who is in a learning role is knowledgeable, yet understands the limits of his/her knowledge, is compassionate, can communicate with them in a way they can understand, who will be there when needed; in a word, one they can trust. The preceptor also needs to know the learner has these attributes, and wants a student who is able to ask for, receive and react to, feedback. While it may seem obvious that trust underlies all educational and medical decision making, trust is difficult to access and even more difficult to remediate if it is lacking or lost. There is evidence that physician-learners are poor at accessing their own capabilities, making feedback a critical part of their education, and yet, honest, constructive feedback is both difficult to give and difficult to receive. EPAs may help educators give this feedback by breaking down Entrustable Professional Activities into individual competencies which can be evaluated and discussed. Using a series of case examples this webinar is designed to help the educator develop an emotional intelligence based strategy to help provide better communication and remediate trust based decision making.

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Presenter Bios

Dr. Bryan Martin is the Immediate Past President of the American College of Allergy, Asthma and Immunology (ACAAI). He is currently an Emeritus Professor of Medicine at The Ohio State University where he previously served as the Associate Dean for Graduate Medical Education, the Designated Institutional Official, the Associate Medical Director of University Hospital and until 2015 as the Founding Director of the Allergy and Immunology Fellowship.

Dr. Martin did his Internal Medicine Residency at William Beaumont Army Medical Center in El Paso, TX, where he was selected to be the Chief Resident, and his Allergy Immunology Fellowship at Fitzsimmons Army Medical Center, in Denver, CO. He has served as the Chair of the Accreditation Council for Graduate Medical Education (ACGME) Allergy and Immunology Residency Review Committee, and has served the ACGME as a Volunteer CLER Site Visitor and as an ACGME-International Site Visitor.

A Distinguished Fellow of the ACAAI, Dr. Martin is the author of over 50 peer-reviewed publications and book chapters, and is the recipient of a number of awards, to include the ACGME Parker Palmer Courage to Teach Award, the Lewis Aspey Mologne Award for Military Academic Excellence, the Order of Military Medical Merit and the Legion of Merit. He is a Fellow of the American College of Physicians, the American College of Osteopathic Internists, and the American Academy of Allergy, Asthma and Immunology.

Dr. Martin retired from the United States Army in 2008 after a 28 year career. His last assignment was at Walter Reed Army Medical Center where he served in such capacities as the Chair of the Department of Allergy and Immunology, Director of the National Capital Consortium Allergy Immunology Fellowship, Specialty Consultant for Allergy, Immunology and Immunizations to the Army Surgeon General and Founding Associate Director of the National Vaccine Healthcare Centers Network.