Department of Surgery, University of Tennessee College of Medicine Chattanooga, Chattanooga, Tennessee.
Department of Surgery, Tulane University School of Medicine, New Orleans, Louisiana.
J Surg Educ. 2022 Jul-Aug;79(4):909-917. doi: 10.1016/j.jsurg.2022.03.009. Epub 2022 Apr 28.
Surgical resident autonomy is an essential element of the transition from supervised training to independent practice. However, in an age of duty hour restrictions, legislative constraints, increased litigation, and heightened societal expectations, training an autonomous resident proves increasingly difficult. To tackle these barriers to training successful surgeons, the American College of Surgeons Committee on Resident Education initiated the Resident Mentored Autonomy Project. As a subdivision of this project, the Empowered Learner research team here presents a framework for training the self-directed and empowered surgical resident learner. There are many strategies by which surgical faculty, program directors and chairs, and residents themselves may engage to improve resident operative autonomy.
外科住院医师的自主性是从监督培训过渡到独立实践的一个重要因素。然而,在工时限制、立法限制、诉讼增加和社会期望提高的时代,培养一个自主的住院医师变得越来越困难。为了解决这些培训成功外科医生的障碍,美国外科医师学院住院医师教育委员会发起了住院医师导师自主项目。作为该项目的一个分支,这里的有能力的学习者研究团队提出了一个培训自主和有能力的外科住院医师学习者的框架。外科教师、项目主任和主席以及住院医师本身可以采用许多策略来提高住院医师的手术自主性。