Surgical autonomy: A resident perspective and the balance of teacher development with operative independence.

Surgical autonomy: A resident perspective and the balance of teacher development with operative independence.

Cassidy DJ;McKinley SK;Ogunmuyiwa J;Mullen JT;Phitayakorn R;Petrusa Emil;Kim MJ

American Journal of Surgery

2020

2020-10-22

BACKGROUND: This study aims to understand the perspectives of operative autonomy of surgical residents at various postgraduate levels. METHODS: Categorical general surgery residents at a single academic residency were invited to participate in focus groups to discuss their opinions and definitions of operative autonomy. Employing constructivist thematic analysis, focus groups were audio recorded, transcribed, and inductively analyzed using a constant comparative technique. RESULTS: Twenty clinical surgical residents participated in 6 focus groups. Overarching themes identified include autonomy as a dynamic, progressive path to operative independence and the complex interaction of resident-as-teacher development and operative autonomy. Four within operative case themes were intrinsic factors, extrinsic factors, autonomy promoting or inhibiting behaviors, and the relationship between residents and attendings. CONCLUSION: Residents define operative autonomy as a progressive and dynamic pathway to operative independence. Teacher development is viewed as both an extension beyond operative independence and potentially in conflict with their colleagues' development.

Teaching; Autonomy; Operative independence; Resident education; Resident training

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1879-1883 0002-9610

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