Association of Faculty Entrustment With Resident Autonomy in the Operating Room

JAMA Surgery
Gurjit SandhuRebecca M Minter

Abstract

A critical balance is sought between faculty supervision, appropriate resident autonomy, and patient safety in the operating room. Variability in the release of supervision during surgery represents a potential safety hazard to patients. A better understanding of intraoperative faculty-resident interactions is needed to determine what factors influence entrustment. To assess faculty and resident intraoperative entrustment behaviors and to determine whether faculty behaviors drive resident entrustability in the operating room. This observational study was conducted from September 1, 2015, to August 31, 2016, at Michigan Medicine, the University of Michigan's health care system. Two surgical residents, 1 medical student, 2 behavioral research scientists, and 1 surgical faculty member observed surgical intraoperative interactions between faculty and residents in 117 cases involving 28 faculty and 35 residents and rated entrustment behaviors. Without intervening in the interaction, 1 or 2 researchers observed each case and noted behaviors, verbal and nonverbal communication, and interaction processes. Immediately after the case, observers completed an assessment using OpTrust, a validated tool designed to assess progressive entrust...Continue Reading

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Citations

Mar 12, 2020·World Journal of Surgery·Robert K ParkerRobert Riviello
Mar 7, 2020·Academic Medicine : Journal of the Association of American Medical Colleges·Fedde GrootReinier G Hoff
Jan 19, 2021·The Journal of Surgical Research·Xiaodong Phoenix ChenE Christopher Ellison
Jun 22, 2019·American Journal of Surgery·Gurjit SandhuRebecca M Minter
Apr 14, 2021·The Journal of Surgical Research·Mariam F EskanderXiaodong Phoenix Chen
Oct 7, 2020·American Journal of Surgery·Christine NguyenGurjit Sandhu
Dec 29, 2020·Journal of Surgical Education·Xiaodong Phoenix ChenE Christopher Ellison
Jun 30, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·Benjamin KinnearDaniel J Schumacher
Aug 5, 2021·Academic Medicine : Journal of the Association of American Medical Colleges·Milena ForteWarren Rubenstein
Feb 13, 2021·Journal of Neurosurgery·Nathan BeuclerArnaud Dagain

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