Table 3 Salient themes in analysis of resident physicians’ perspectives on Autonomy
Theme | Components |
|---|---|
Defining Resident Physician Autonomy | |
Driving Patient Care | • RP involved in decision making • RP involved in hands-on patient care • RP allowed to complete simple tasks independently |
Taking the Wheel | • RP able to lead communication with family • RP able to handle day-to-day care responsibilities |
Learner’s Permit | • Graduated level of responsibility • RP’s awareness of own limitations and knowing when to ask for help • AP providing safety net |
Factors Promoting Resident Physician Autonomy | |
Handing Over the Wheel | • Communication • Active promotion of RP decision making • Patient ownership • Team dynamics and hierarchy |
Two Way Street | • Challenge RP to think independently • Remain open to RP input |
Roadside Assistance | • Graduated independence • Allowing RP space to work • Providing opportunities for independent activity |
Factors Undermining Resident Physician Autonomy | |
Failing to Yield | • AP has predetermined course of action • Changing care plan without alerting or involving RP |
Backseat Driving | • Micromanagement • Not leaving work area • Imposing personal treatment style |