Hey there, Dr Anthony Llewellyn, the career doctor here. Today.
I want to talk to you about the concept of entrustability and how you
can use this really effective concept to market yourself
much more effectively in the doctor job application and interview process.
So firstly, what is entrustability?
Well, entrustability,
according to the Oxford Dictionary, is an act where we assign responsibility
for doing something or put that something under someone else's care or protection.
So in medicine, the way this normally.
Plays out is that a senior doctor who has the capability and the competency.
In a certain area of medicine or procedure or other sort of action or.
Activity assigned to a senior junior doctor.
So typically a consultant, to,
say a Registrar, assigns responsibility for performing a significant.
Activity in terms of medical care, and.
They only do that when they have.
Determined that more junior doctor is capable.
Of doing it, I. E.
They trust them to do this now.
So another way to think about this.
Is what are the key important things.
That you are trusted to do by your seniors?
So if you're a resident, what does.
The register let you do independently?
If you're a register, what does your consultant let you do independently?
And even if you're a consultant,
what other activities in the hospital, the health.
Service are you being given to do that are requiring more capability or creativity.
Et cetera, in terms of some
of the problems and challenges that you're facing in your hospital health service,
that more senior management or heads of Department are.
Allocating to you to do, and these are there for your entrustability.
So an example from a surgical trainee.
We'Ve got here, surgical trainees are obviously.
Learning to become surgeons, and so some.
Of the tasks that they need to be able to accomplish are demonstrating that.
They can perform the various activities related to surgery.
So he tasks that a surgical Registrar.
Might be entrusted to do by a.
Consultant is put together an operating list.
Think about that. The consultant is not going to let.
You do that on their behalf unless they know that you can do that well.
And that involves a lot of things like
knowing which patient to put 1st, 2nd, 3rd.
What do you do with a patient has
diabetes, for example, what are the times for operations?
How much operating time have you got available?
What are the particular consultant
preferences, equipment, that sort of stuff?
Secondly, as a surgical trainer, you're obviously learning to perform operations.
So what are the key most difficult
operations you can currently perform independently, and.
How many times have you done them now?
Finally, a key role that most trainee
doctors have to do in the hospital.
Is perform what's called a consult,
which is where another specialty team asks you to review a patient under the care.
And provide advice from your Specialty's
perspective into improving the care for that patient.
So typically you'll take that referral, go.
And see the patient, assess them, provide some initial advice, and then bring your.
Consultant back later to review what you've done.
So again, consultants are not going to.
Let you do that if they don't.
Think you're capable of it, because that.
Is affecting their reputation as well.
So they want to know that you're able
to do that and that they can trust you to do that activity well.
So think about these peak activities in.
Your current work experience that show that.
You'Re on an upward trajectory, if you like.
The way I often describe this with my coaching clients is the mountain concept.
So at the top of the mountain.
Here is our entrust abilities,
the most significant, serious, risky, complicated things that we're.
Currently entrusted to do by someone more.
Senior in a hospital or healthcare setting.
So talk about them.
Don't talk about the things that sort
of sit underneath them, because that's wasting time.
And the panel will actually assume that.
If, for example, you can do a.
Consult, that you can also admit a patient.
Okay, so they don't need to know.
That stuff, all the stuff underneath.
They will assume you're capable of doing.
By virtue of the fact that you're talking
about a high level entrustability or capability.
So final example here from a resident medical officer.
Now, resident medical officers are often trying.
To progress to specialty trainees.
I register a role.
So think about what competencies as an RMO.
If that's you that you're demonstrating that show high and trustability.
This might be the fact that you've had
some opportunities already to perform consults.
Which is a key role of a Registrar.
Or maybe you've done some of the.
Procedures that the registrars are required to do.
Then talk about them.
If you're trusted to do those, think about the activities you do in the.
Hospital that require the most from you
in terms of independence and responsibility, that.
Might be the night shift.
So how many have you done of them successfully?
And what key activities have you done.
On those night shifts, such as attending medical emergency team calls?
And then finally think about your
professional development as well in terms of your entrust ability.
What courses have you done recently that.
Again.
Showing your peak in terms of your ability and capability.
Okay, so in this example, I've elicited a couple of emergency type courses, and.
Clearly this RMO is thinking about
progressing towards a critical care role and say, emergency ICU or Anaesthesia.
So finally, where should you use this concept of entrustability?
Well, use it pretty much in every.
Stage of the job application and interview process.
Use it in your cover letter when you
introduce yourself to the job panel, talk about the biggest attributes that you
bring to the post, and then insert some of these entrust abilities.
Use it in your resume.
Plenty of opportunity in your personal
summary to talk about your key entrust abilities.
Currently in medicine,
and then finally when you get that typical opening question which.
Is what are your strengths or tell us about you as a candidate, talk.
About some of the clinical and other.
Capabilities that you want to outline
to the panel that again show that you're at the peak of your performance and.
Can provide the best value to them.
As a job candidate.
So that is the concept of entrustability.
And how you can use it successfully.
To smartly market yourself in the job
with the doctor job application and interview process.
Plenty of help on my blog, AdvanceMed.
Comu as well as services, courses,
coaching, document support, et cetera, et cetera and.
I will see you in the next. Video bye for now.