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Related Concept Videos

Standards of Care II01:19

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Nurses bear specific legal responsibilities under several federal statutes, including:
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Related Experiment Video

Updated: Dec 25, 2025

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Residents' method for gaining operative autonomy.

Ingrid Woelfel1, Brentley Q Smith2, David Strosberg1

  • 1Department of Surgery, USA.

American Journal of Surgery
|April 7, 2020
PubMed
Summary
This summary is machine-generated.

Residents develop operative autonomy in the operating room (OR) through a 3-stage method. Key strategies include smart communication and understanding attending preferences for surgical training success.

Keywords:
AutonomyEntrustabilitySurgical residency

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Area of Science:

  • Medical Education
  • Surgical Training
  • Resident Education

Background:

  • Achieving operative autonomy is crucial for resident development.
  • Understanding resident-driven strategies can enhance surgical training.

Purpose of the Study:

  • To explore resident perceptions of successful methods for gaining operative autonomy.
  • To identify strategies residents use to achieve autonomy in the operating room.

Main Methods:

  • Focus group interviews were conducted with General Surgery and Obstetrics & Gynecology residents.
  • A framework method was used to analyze transcribed interviews and identify emergent themes.

Main Results:

  • A 3-stage method for gaining operative autonomy was identified: rapport building, mutual entrustment, and autonomy.
  • Four key strategies emerged: smart communication, attending preference awareness, utilizing allies, and demonstrating visible attributes.

Conclusions:

  • Resident strategies provide insights into achieving progressive operative autonomy.
  • Findings can inform programs to enhance resident learning efficiency and surgical skill development.