November 2018 What I’m Thinking About…

To Ask for Help or not to Ask for Help, that is an Important Entrustment Question

Drs. Tristen Gilchrist & Andrea Gingerich

Date: Tuesday, November 6, 2018

Time: 12:00pm to 1:30pm

  • formal presentations and discussion from 12:00pm – 1:00pm, ongoing moderated discussion 1:00pm – 1:30pm
  • feel free to bring a bagged lunch


  • LSC CMR 1312 (host venue)
  • DHCC 2262
  • NHSC 9-374
  • RJH CA 011



Competency assessments for ward-based medicine have some reliance on residents recognizing and disclosing their limitations to attending physicians, who subsequently make additional entrustment decisions. However, residents struggle with deciding if, when, and how to disclose limitations and ask for help. As we quickly move into an era where more emphasis is placed on Entrustable Professional Activities (EPAs) for tracking resident competence, residents’ strategies for disclosing limitations and asking for help, along with how those communications affect attendings’ entrustment decisions and assessment judgements, is unclear. As we launch a field study of senior resident-attending dyads on medical wards we invite your input, predictions, and cautionary tales pertinent to this research.


  1. Discuss literature on clinical supervision and entrustment as it pertains to residents requesting clinical support.
  2. Theorize how disclosure of limitations and requests for help may influence subsequent entrustment decisions.
  3. Critique the use of entrustment decisions as assessment data if requests for clinical support influence entrustment decisions.


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 event is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification Program of the Royal College of Physicians and Surgeons of Canada, and approved by UBC CPD. You may claim a maximum of 1.5 (x 10 sessions) hours (credits are automatically calculated). This Group Learning program meets the certification criteria of the College of Family Physicians of Canada and has been certified by UBC CPD for up to 1.5 (x 10 sessions) Mainpro+ credits. Each physician should claim only those credits he/she actually spent in the activity.

Accredited by UBC CPD