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  1. Home
  2. Beyond The Numbers: Exploring Tensions Between Formal Entrustment And Trainee Readiness In Internship Training - A Mixed-methods Study.
  1. Home
  2. Beyond The Numbers: Exploring Tensions Between Formal Entrustment And Trainee Readiness In Internship Training - A Mixed-methods Study.

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Beyond the Numbers: Exploring Tensions Between Formal Entrustment and Trainee Readiness in Internship Training - A

Tarik Al-Diery1, Sally Marotti2,3,4, Yu Ting Sim3

  • 1Clinical Pharmacy and Practice, College of Pharmacy, QU Health, Qatar University, Doha, Qatar.

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View abstract on PubMed

Summary
This summary is machine-generated.

Pharmacy interns

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Area of Science:

  • Pharmacy Education and Practice
  • Professional Development and Training
  • Healthcare Professional Competency

Background:

  • Research on entrustment decision-making has predominantly focused on supervisors.
  • Trainee experiences and internalization of entrustment are less understood.
  • This study addresses the gap by exploring the trainee perspective in pharmacy internships.

Purpose of the Study:

  • To investigate how trainee entrustment develops during a pharmacy internship.
  • To examine the lived experiences influencing progression towards unsupervised practice.
  • To understand the trainee's interpretation and internalization of the entrustable professional activities (EPA) framework.

Main Methods:

  • Convergent mixed-methods design utilizing questionnaires and focus groups with provisionally registered pharmacists in Australia.
  • Quantitative data collected at three time points on EPA utility and self-perceived readiness.
  • Qualitative data from focus groups analyzed using reflexive thematic analysis and triangulated with quantitative findings.
  • Main Results:

    • Self-perceived readiness for entrustment significantly increased, with median ratings reaching independent practice with reactive supervision by internship end.
    • Entrustment, coupled with structured feedback and reflection, boosted trainee confidence.
    • Overemphasis on numerical benchmarks risked superficial learning and diminished feedback post-achievement.

    Conclusions:

    • Entrustable Professional Activities (EPAs) facilitate trainee progression to autonomy through structure, feedback, and self-reflection.
    • Tying entrustment solely to observation numbers can lead to premature conferral and reduced feedback depth.
    • Framing EPAs as assessments *for* learning enhances the transition to confident, autonomous practice.