Qualified but not yet fully competent: Perceptions of recent veterinary graduates on their day-one skills

Background: The goal of veterinary education is to prepare learners to successfully enter the profession. However, the transition from learner to professional can be an intense and stressful phase. In this study, recently graduated veterinarians' perceptions of readiness to work independently and to successfully cope with early career challenges are addressed. Methods: A survey based on five commonly occurring entrustable professional activities (EPAs) in primary care was sent to newly qualified veterinarians (graduated between six months and three-and-a-half years ago and working in primary veterinary clinics). The survey was a combination of open and Likert scale-type questions and contained items on the self-reported need for supervision for these EPAs. One hundred and fifty-six participants (response rate 41.2 per cent) answered the survey. Descriptive statistics were used to analyse and present the quantitative data. Results: The day-one after graduation levels varied per EPA between ? €? with direct, proactive supervision' and ? €? supervision at a distance'. On average after 6.8 months participants felt ready to execute all five tasks with distant supervision. After almost 10 months, participants had the feeling of being fully competent to execute the EPAs unsupervised. Conclusion: This study provides insight into early career challenges faced by recently graduated veterinarians. The results emphasise the importance of adequate preparation of veterinarians during education and the importance of guidance during early career to foster a successful transition from veterinary school to clinical practice

Assessment Tools for Feedback and Entrustment Decisions in the Clinical Workplace: A Systematic Review

BACKGROUND: Entrustable Professional Activities (EPAs) combine feedback and evaluation with a permission to act under a specified level of supervision and the possibility to schedule learners for clinical service. This literature review aims to identify workplace-based assessment tools that indicate progression toward unsupervised practice, suitable for entrustment decisions and feedback to learners. METHODS: A systematic search was performed in the PubMed, Embase, ERIC, and PsycINFO databases. Based on title/abstract and full text, articles were selected using predetermined inclusion and exclusion criteria. Information on workplace-based assessment tools was extracted using data coding sheets. The methodological quality of studies was assessed using the medical education research study quality instrument (MERSQI). RESULTS: The search yielded 6,371 articles (180 were evaluated in full text). In total, 80 articles were included, identifying 67 assessment tools. Only a few studies explicitly mentioned assessment tools used as a resource for entrustment decisions. Validity evidence was frequently reported, and the MERSQI score was 10.0 on average. CONCLUSIONS: Many workplace-based assessment tools were identified that potentially support learners with feedback on their development and support supervisors with providing feedback. As expected, only few articles referred to entrustment decisions. Nevertheless, the exciting tools or the principals could be used for entrustment decisions, supervision level, or autonomy

University students’ achievement goals and help-seeking strategies in an Intelligent Tutoring System

Help seeking behavior in an intelligent tutoring system was analyzed to identify help seeking strategies, and it was investigated whether the use of these strategies could be predicted by achievement goal scores. Discrete Markov Models and a k-means clustering algorithm were used to identify strategies, and logistic regression analyses (n¼45)were used to analyze the relation between achievement goals and strategy use. Five strategies were identified, three of which were predicted by achievement goal scores. These strategies were labeled Little Help, Click Through Help, Direct Solution, Step By Step, and Quick Solution. The Click Through Help strategy was predicted by mastery avoidance goals, the Direct Solution strategy was negatively predicted by mastery avoidance goals and positively predicted by performance avoidance goals, and the Quick Solution strategy was negatively predicted by performance approach goals