May 2021 What I’m Thinking About

Rose Hatala

Clinical Supervision and Entrustment of Learners: Considerations for
Non-Procedural Patient Care

Rose Hatala, MD, MSc

Director, Clinical Educator Fellowship
UBC Director, MHPE-Canada
CHES Scholar

Date: Tuesday, May 11, 2021

Time: 12:00pm to 1:30pm

Zoom ID: For connection details, please email


Competency-based education (CBE) is spreading broadly throughout the health professions. As competency-based systems are implemented, there has been increasing attention on front-line clinical supervision, both for assessment and feedback with learners. In-the-moment, workplace-based assessment informed by direct observation and progressive entrustment of the learner are often cornerstones of programmatic assessment systems withing CBE. However, while this approach to work-based assessment may be quite intuitive when supervising a procedural task (i.e., supervising in the operating room), many of our clinical tasks are non-procedural (i.e. caring for a patient during a hospitalization), often learner activity is closely monitored but not directly observed, and the outcome of the learner’s work (i.e., the patient outcome) may take more time to unfold than procedural outcomes. Concepts such as trust, entrustment and competence are frequently invoked and yet our understanding of these concepts is emerging and incomplete.

A specialty such as internal medicine, which is predominantly non-procedural, affords a context in which to more closely examine these emerging concepts. In this session, I will present early findings from a few studies examining clinical supervision and entrustment in internal medicine postgraduate training. This line of inquiry should provide a springboard for a broader discussion among all health professionals as to the nature of our clinical supervision and its intersection with work-based assessment, with a focus on non-procedural patient care tasks.


Dr. Rose Hatala is a general internist and palliative care physician at St. Paul’s Hospital and a Professor in the Department of Medicine. She completed her clinical training, as well as her MSc focused on educational research, at McMaster University and was clerkship director for internal medicine. She came to UBC in 2003 and was the Associate Program Director for the UBC internal medicine residency program from 2005-2015. Since September 2015, she is the Director of CHES’ Clinical Educator Fellowship. She has extensive front-line experience as a clinical educator for undergraduate and postgraduate learners, in addition to her experience with both in-training and high-stakes assessment methods.

Accredited by UBC CPD




The University of British Columbia Division of Continuing Professional Development (UBC CPD) is fully accredited by the Committee on Accreditation of Continuing Medical Education (CACME) to provide study credits for continuing medical education for physicians. This program meets the certification criteria of the College of Family Physicians of Canada and has been certified by UBC CPD for up to 15 Mainpro+ Group Learning credits (1.5 per session). Each physician should claim only those credits accrued through participation in the activity. CFPC Session ID#: 192711-001

RCPSC Accreditation

The CHES Cutting Edge Speaker Series is a self-approved group learning activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada.