Learner Advancement in Health Professions Training: Making Defensible Decisions

Led by:

H. Carrie Chen, MD, PhD

Dr. Chen is the Associate Dean of Assessment and Educational Scholarship and Professor of Pediatrics at Georgetown University School of Medicine, and Adjunct Professor of Medicine at the Uniformed Services University of the Health Sciences.

Carrie Chen is the keynote speaker for the Academy of Medical Educators Celebration of New Members, taking place on September 25, 2019.

In clinical training, generally and within the framework of Entrustable Professional Activities (EPAs), advancement of learners can be framed as deliberate decisions to entrust learners with increasing responsibilities for patient care. Entrustment includes an evaluation of learner qualities beyond ability (e.g. integrity, reliability, and humility) and of the risk to patients. As with any system of assessment, all advancement decisions need to be valid and defensible. This can be facilitated through a robust program of assessment and use of competency committees for advancement decisions. This workshop focuses on the processes of both arriving at and defending decisions about learner advancement.

During this workshop, participants will:

  • Work in small groups to review a mock learner file
  • Assume different roles within a clinical competency committee and via discussion with committee members, arrive at an advancement decision for the learner
  • Engage in a committee of appeal role play to challenge and defend the advancement decision

At the end of the workshop, participants will be able to:

  • Explain the principles of entrustment as assessment
  • Discuss the general qualities of learners that affect trust and entrustment decisions
  • Discuss the role of clinical competency committees and participate in a team discussion to arrive at a summative entrustment/advancement decision
  • Discuss the validity and defensibility issues related to summative entrustment/advancement decision-making

UCSF is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

UCSF designates this live activity for a maximum of 50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The above credit is inclusive of all UCSF Educational Skills Workshops and the Teaching Scholars Program. Credit available for this event only is 2 AMA PRA Category 1 Credits™.

For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit™ issued by organizations accredited by the ACCME.

The California Board of Pharmacy accepts as continuing professional education those courses that meet the standard of relevance to pharmacy practice and have been approved for AMA PRA Category 1 Credit™.

UCSF Educational Skills Workshops and Med Ed Grand Rounds have been approved by UCSF Rehabilitative Services for up to 7 continuing education hours per year total. Questions regarding this approval should be directed to (415) 514-6779.

Course No. MGR20075.

Tuesday, September 24, 2019 at 9:00am to 11:00am

513 Parnassus Ave, Room N-527, Parnassus

Event Type



School of Medicine


Faculty, Staff





Center for Faculty Educators

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