Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, New York, NY.
Division of Vascular Surgery, Department of Surgery, Mount Sinai Hospital, New York, NY.
J Vasc Surg Venous Lymphat Disord. 2024 Mar;12(2):101691. doi: 10.1016/j.jvsv.2023.09.005. Epub 2023 Sep 30.
Recently, there has been a major shift in the concept of resident autonomy in the operating room. As a result, surgical residents' independence has decreased during their training years. This change has been secondary to multiple factors, including fragmented attending resident interactions, hospital demands for productivity, operating room efficiency, and the public's perception of resident participation in surgery. Multiple gender, personality, and racial biases have also influenced the autonomy of surgical residents. In this paper, we have analyzed the impact of all these factors on the current state of resident autonomy after reviewing relevant literature. We have proposed a strategy to increase resident autonomy via increased resident and faculty interactions, case planning, and encouraged recruitment of diverse vascular surgery trainees and faculty.
最近，手术室中住院医师自主权的概念发生了重大转变。因此，外科住院医师在培训期间的独立性有所下降。这种变化是多种因素共同作用的结果，包括主治医生和住院医生之间互动的不连贯、医院对生产效率的要求、手术室的效率以及公众对住院医师参与手术的看法。多种性别、性格和种族偏见也影响了外科住院医师的自主权。在本文中，我们通过回顾相关文献，分析了所有这些因素对住院医师自主权现状的影响。我们提出了通过增加住院医师和教员之间的互动、病例规划以及鼓励招聘不同背景的血管外科住院医师和教员来增加住院医师自主权的策略。
