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Managing risks and benefits: key issues in entrustment decisions

After a series of reports that highlight factors that influence decisions to trust trainees with new or critical responsibilities in health care, a more theoretical underpinning of entrustment decision making has recently caught the interest of medical educators. In this issue of Medical Education Damodaran and colleagues present an existing model from organisational psychology that, interestingly enough, was recently also discussed in another medical education journal in the context of entrustment decision making. The interests in the topic of entrustment seem to converge. A key component of trust and entrustment in these papers is the notion of risk. As Damodaran et al. acknowledge, the very concept of trust has been defined as the willingness of the trustor to be vulnerable or take a risk. The exercise in this commentary was aimed at formalising the prediction that entrustment decisions will be taken.