Bridging the gap: The intersection of entrustability and perceived autonomy for surgical residents in the OR - 04/01/19
, Julie Thompson-Burdine a , Niki Matusko a , Danielle C. Sutzko a , Vahagn C. Nikolian a , Anna Boniakowski a , Patrick E. Georgoff a , Kaustubh A. Prabhu a , Rebecca M. Minter b Abstract |
Background |
Faculty entrustment decisions affect resident entrustability behaviors and surgical autonomy. The relationship between entrustability and autonomy is not well understood. This pilot study explores that relationship.
Methods |
108 case observations were completed. Entrustment behaviors were rated using OpTrust. Residents completed a Zwisch self-assessment to measure surgical autonomy. Resident perceived autonomy was collected for 67 cases used for this pilot study.
Results |
Full entrustability was observed in 5 of the 108 observed cases. Residents in our study did not report full autonomy. Spearman's rank correlation coefficient identified that resident entrustability was positively correlated with perceived resident autonomy (ρ = 0.66, p < 0.05). Ordinal logistic regression assessed the relationship between resident entrustability and autonomy. The relationship persisted while controlling for PGY level, gender, and case complexity (OR = 8.42, SEM = 4.54, p < 0.000).
Conclusions |
Resident entrustability is positively associated with perceived autonomy, yet full entrustability is not translating to the perception of full autonomy for residents.
Il testo completo di questo articolo è disponibile in PDF.Highlights |
• | Observed resident entrustability is positively associated with perceived autonomy. |
• | Resident autonomy self-measures align with observed entrustability measurements. |
• | Full entrustability is not translating to resident perception of full autonomy. |
• | An evaluative framework may improve resident progress and bridge the autonomy gap. |
Keywords : Entrustment, Entrustability, OpTrust, Autonomy, Surgical education
Mappa
Vol 217 - N° 2
P. 276-280 - febbraio 2019 Ritorno al numero
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