Learning to drive: resident physicians' perceptions of how attending physicians promote and undermine autonomy

BMC Medical Education
Cameron CrockettManish Suneja

Abstract

Providing appropriate levels of autonomy to resident physicians is an important facet of graduate medical education, allowing learners to progress toward the ultimate goal of independent practice. While studies have identified the importance of autonomy to the development of resident physicians, less is known about resident perspectives on their "lived experiences" with autonomy and ways in which clinical educators either promote or undermine it. The current study aims to provide an empirically based practical framework based on resident perspectives through which supervising physicians can attempt to more adequately foster resident physician autonomy. Residents completed open ended surveys followed by facilitated group discussions of their perspectives on autonomy. Qualitative thematic analysis identified key themes in resident definitions of autonomy and how clinical educators either promote or undermine resident autonomy during supervision. Fifty-nine resident physicians representing six different specialties from two institutions participated. Learners felt that autonomy was critical to their development as independent physicians. Leading the approach to care, a sense of ownership for patients, and receiving appropriate lev...Continue Reading

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Citations

Apr 1, 2021·Southern Medical Journal·Doris Lin
Jun 7, 2021·Medical Education·Adam P SawatskyFrederic W Hafferty
Oct 20, 2021·Hospital Pediatrics·Alexandra KilinskyNicole Leone

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