One decision, many voices: stakeholder perspectives in dental education, leading to entrustment decisions (for EPAs)

Thursday, 27th August 2026 - 14:00 to 15:30

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Timezone:

Budapest (UTC+1 winter / UTC+2 summer)

Duration:

90 Minute

Venue:

HALL A

Session type:

Type 1: Organised, planned and delivered by the ADEE

Freestage

Session synopsis:

Clinical assessments and entrustment decisions in dental education are traditionally based on the judgements of supervisors, yet students’ readiness for independent practice is observed by many others in the educational and clinical environment.

This workshop explores how input from different perspectives (such as peers, patients, support staff, and assessment committees) can be meaningfully incorporated into entrustment and assessment processes, within and beyond the context of working with Entrustable Professional Activities (EPAs).

After a brief introduction including examples, participants work together to identify relevant contributors in their own contexts, explore tensions and added value, and design feasible strategies to integrate diverse feedback informing entrustment decisions. Plenary discussion focusses on practical implications for curriculum design, faculty roles, and the organisation of assessment and decision‑making processes.

The workshop emphasises designing workplace‑based assessment processes that bring together input from multiple observers to generate meaningful evidence for entrustment decisions in clinical learning environments.

Programme:

14:00	Welcome & Brief introduction to the workshop Dr. W.A. Fokkinga
14:10	Brief theoretical introduction, Theory of entrustment decision making (within and beyond working with EPAs) Dr. W.A. Fokkinga Input of multiple stakeholders in (entrustment) decision making Drs. E. Hissink
14:20	Some Swedish and Dutch case studies are presented Dr. W.A. Fokkinga, Dr. C. Gummesson & Dr. N. Ludegren
14:35	Group work (interactive): Explore different stakeholders - Explore and weigh tensions, risks, and benefits - Design a context-specific approach to integrating multi-stakeholder feedback
15:10	Plenary discussion
15:25	Wrap up Dr. W. A. Fokkinga & Drs. E. Hissink

Chair:

Wietske Fokkinga

Program leader of revision of the Bachelor curriculum

Radboud University Nijmegen Medical Centre, Department of Dentistry

Dr. Wietske Fokkinga is Associate Professor, Leader in Education, course director, and lecturer in undergraduate dental education at Radboud University Medical Center. She has been involved in the development, implementation, and evaluation of Entrustable Professional Activities (EPAs) since 2017. She was co-promotor of the PhD project of Dr. Elske Hissínk on EPAs and adaptive expertise.

Further, she led the revision of the Bachelor of Dentistry curriculum and served for twelve years as Chair of the Educational Committee. Alongside her academic and educational responsibilities, she practices restorative dentistry at the Centre for Complex Dentistry, providing referral-based patient care.

Wietske is faculty member of the international online EPA course and has been involved in national and international initiatives on EPA implementation in dental education, including workshops and lectures on working with entrustment and EPAs in dental education.

Christina Gummesson

Associate Professor

Malmö University

She completed her PhD in Physiotherapy 2003 and Master in Medical Education 2013. She was appointed “excellent teaching practitioner” 2008 and has extensive experience on curriculum design and course development for undergraduate-, graduate- and research education.

She has worked with faculty development since 2008 and was the Director of the Centre for Teaching and Learning at the Medical Faculty, Lund University Sweden, 2015-20. Since 2020, she has been working at the Department of Odontology Malmö University, Sweden as a Senior Lecturer in Medical Education, where one of the main areas of her work involves development of professionalism, professional autonomy and independence.

Apart from teaching and own research, she also serves as a Senior Editor in Physical Therapy Reviews, is a Member of the Editorial Board in BMC Medical Education and act as reviewer in various journals in medical education.

Elske Hissink

PhD candidate “Development of adaptive expertise in an EPA based curriculum”

Radboud University Nijmegen Medical Centre, Department of Dentistry

Dr. Elske Hissink is an educationalist and researcher in dental education at Radboudumc, Nijmegen, the Netherlands.

She has a background in educational sciences and extensive experience in curriculum development, assessment, and innovation in health professions education. Her research focuses on the implementation of Entrustable Professional Activities (EPAs), entrustment decision-making, and the development of clinical learning environments that support students’ transition towards professional autonomy.

Elske completed her PhD research on adaptive expertise and EPA-based education in 2026 and has been involved in national and international initiatives on EPA implementation in dental education. She is faculty member of the international online EPA course. In addition to her research activities, she contributes to faculty development, educational innovation, and workshops on EPAs and competency-based education.

Nina Lundegren

Senior Lecturer

Malmö University, Malmö, Sweden.

Nina Lundegren is a senior lecturer at Malmö University, Malmö, Sweden. With a two-year master's degree in teaching and learning in higher education and an interest in Challenge-Based Learning, she works with educational and curricular development as program director for the dentistry program at Malmö University. She has been implementing learning activities on sustainability in dentistry into the new curricula.

Learning Outcomes:

After participating in this workshop, participants are able to:

Analyse which stakeholders offer relevant and complementary perspectives on student performance in (clinical) dental education.
Explore and weigh tensions, risks, and benefits associated with incorporating multiple stakeholder inputs into entrustment decisions.
Design a context‑specific approach to integrating multi‑stakeholder feedback into learning, assessment, and entrustment processes, within or beyond an EPA framework.

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