AI Article Synopsis
- The study aimed to investigate how autonomy in clinical decision making develops among medical residents and fellows in surgery and obstetrics.
- It involved analyzing interviews with 45 participants from different postgraduate years, focusing on their progression from abstract ideas to practical patient care.
- The findings highlight three stages of learning: initial understanding, applying knowledge in real situations, and chief residents preparing for future practice, which can inform curriculum development for better training.
Article Abstract
Background: The purpose of this study was to explore the trajectory of autonomy in clinical decision making.
Methods: We conducted a qualitative secondary analysis of interviews with 45 residents and fellows from the General Surgery and Obstetrics & Gynecology departments across all clinical postgraduate years (PGY) using convenience sampling. Each interview was recorded, transcribed and iteratively analyzed using a framework method.
Results: A total of 16 junior residents, 22 senior residents and 7 fellows participated in 12 original interviews. Early in training residents take their abstract ideas about disease processes and make them concrete in their applications to patient care. A transitional stage follows in which residents apply concepts to concrete patient care. Chief residents re-abstract their concrete technical and clinical knowledge to prepare for future surgical practice.
Conclusions: Understanding where each learner is on this pathway will assist development of curriculum that fosters resident readiness for practice at each PGY level.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9045150 | PMC |
| http://dx.doi.org/10.1016/j.amjsurg.2021.03.023 | DOI Listing |
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