Frequent and timely conversations between a learner and observer are important for entrustment assessment. 

Coaching in the moment requires clinicians to establish a rapport and set expectations with the resident prior to observing their daily work. Following the observation of an activity, the clinician should provide the resident with coaching feedback and document the encounter. Coaching provides specific suggestions for the resident to improve performance.

Coaching over time allows assessment of a resident’s progression to competence. These regular face to face discussions with a coaching mentor will allow the resident to plan learning opportunities to address any recognized performance patterns.

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