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 |
