Understanding and addressing varying perceptions of autonomy.

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.