Table 2.
Entrustment and Supervision Scales: Original Form and Expanded Form
| Five-level entrustment and supervision scale | Expanded entrustment and supervision scale for undergraduate and postgraduate medical education | |
|---|---|---|
| 1. Not allowed to practice EPA | 1. Not allowed to practice EPA | |
| a. Inadequate knowledge/skill (e.g., does not know how to preserve sterile field); not allowed to observe | ||
| b. Adequate knowledge, some skill; allowed to observe | ||
| 2. Allowed to practice EPA only under proactive, full supervision | 2. Allowed to practice EPA only under proactive, full supervision | |
| a. As co-activity with supervisor | ||
| b. With supervisor in room ready to step in as needed | ||
| 3. Allowed to practice EPA only under reactive/on-demand supervision | 3. Allowed to practice EPA only under reactive/on-demand supervision | |
| a. With supervisor immediately available, all findings and decisions double checked | ||
| b. With supervisor immediately available, key findings and decisions double checked | ||
| c. With supervisor distantly available (e.g., by phone), findings and decisions promptly reviewed | ||
| 4. Allowed to practice EPA unsupervised | 4. Allowed to practice EPA unsupervised | |
| a. With remote monitoring (e.g., next day check-in for learner questions) | ||
| b. Without monitoring | ||
| 5. Allowed to supervise others in practice of EPA | 5. Allowed to supervise others in practice of EPA | |
EPA: Entrustable professional activity.