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Understanding and addressing varying perceptions of autonomy.

Krystina N Choinski1, Ageliki G Vouyouka1

  • 1Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, New York, NY.

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|October 2, 2023
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Summary
This summary is machine-generated.

Surgical resident autonomy has declined due to various factors, including reduced interactions and biases. Strategies proposed include enhanced faculty engagement and diverse recruitment to improve resident independence in surgical training.

Keywords:
EntrustmentSurgical autonomyVascular surgery residency

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Area of Science:

  • Surgical Education
  • Medical Training
  • Resident Autonomy

Background:

  • A significant decrease in surgical resident autonomy has been observed in operating rooms.
  • This decline is attributed to factors like fragmented attending-resident interactions, productivity demands, and public perception.

Purpose of the Study:

  • To analyze the impact of multiple factors on the current state of surgical resident autonomy.
  • To propose strategies for enhancing resident autonomy in surgical training.

Main Methods:

  • Literature review of factors influencing resident autonomy.
  • Analysis of impacts from fragmented interactions, hospital demands, and biases.
  • Development of a strategic approach to increase resident autonomy.

Main Results:

  • Surgical resident independence has diminished during training.
  • Factors such as fragmented interactions, productivity pressures, and biases negatively affect autonomy.
  • Literature review confirms a complex interplay of factors impacting resident autonomy.

Conclusions:

  • Increased resident and faculty interactions are crucial for improving autonomy.
  • Enhanced case planning and recruitment of diverse trainees and faculty can foster greater resident independence.
  • A multi-faceted strategy is needed to restore and enhance surgical resident autonomy.