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Trainee Autonomy is Associated with Well-Being.

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Summary
This summary is machine-generated.

Vascular surgery trainees reporting dissatisfaction with autonomy experienced higher rates of burnout and thoughts of attrition. Monitoring trainee autonomy and operative time is crucial for mitigating risks in surgical education.

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Area of Science:

  • Medical Education
  • Surgical Training
  • Vascular Surgery

Background:

  • Progressive entrustment is essential for independent practice in surgical training.
  • Concerns about trainee autonomy have increased, especially within the vascular surgery pipeline.
  • Understanding trainee perceptions of autonomy is vital for well-being and learning.

Purpose of the Study:

  • To evaluate vascular surgery trainee perceptions of autonomy.
  • To assess the association between trainee autonomy and their well-being.
  • To examine the relationship between autonomy and the learning environment.

Main Methods:

  • A confidential survey was administered to vascular surgery trainees post-exam (2020-2024).
  • Autonomy was assessed via operative autonomy, clinical autonomy, and operative time.
  • Logistic regression analyzed associations between autonomy, well-being, and learning environment factors.

Main Results:

  • A small percentage of trainees reported dissatisfaction with operative (3.9%), clinical (2.0%), and operative time (4.2%) autonomy.
  • Dissatisfaction with autonomy was significantly linked to perceptions of faculty engagement and program resources.
  • Trainees dissatisfied with autonomy reported higher rates of burnout, attrition ideation, and suicidal ideation.

Conclusions:

  • While most vascular trainees are satisfied with autonomy, a minority experience dissatisfaction.
  • This dissatisfaction correlates with adverse training outcomes, including burnout and mental health concerns.
  • Monitoring trainee autonomy and operative time can help mitigate risks in surgical training programs.