Discordance between resident and faculty perceptions of resident autonomy: can self-determination theory help interpret differences and guide strategies for bridging the divide?

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Published in Acad Med on April 01, 2015

Authors

Eric A Biondi1, William S Varade, Lynn C Garfunkel, Justin F Lynn, Mark S Craig, Melissa M Cellini, Laura P Shone, J Peter Harris, Constance D Baldwin

Author Affiliations

1: Dr. Biondi is assistant professor, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York. Dr. Varade is associate professor and residency program director, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York. Dr. Garfunkel is associate professor and associate program director, Pediatric Residency Program and Medicine-Pediatric Residency Program, Department of Pediatrics, University of Rochester School of Medicine and Dentistry and Rochester General Hospital, Rochester, New York. Dr. Lynn is assistant professor, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York. Dr. Craig is associate program director, Department of Pediatrics, Madigan Army Medical Center, Tacoma, Washington. At the time of the study, he was a general pediatrics fellow, Department of Pediatrics, University of Rochester Medical Center, Rochester, New York. Dr. Cellini is attending clinician, Department of Pediatrics, Bronx-Lebanon Hospital Center, and assistant professor, Department of Pediatrics, Albert Einstein College of Medicine, Bronx, New York. At the time of the study, she was a general pediatrics fellow, Department of Pediatrics, University of Rochester Medical Center, Rochester, New York. Dr. Shone is director, Division of Primary Care Research, Department of Research, American Academy of Pediatrics, Chicago, Illinois. At the time of the study, she was associate professor of pediatrics and clinical nursing, Center for Community Health, University of Rochester Medical Center, Rochester, New York. Dr. Harris is professor emeritus, Department of Pediatrics, University of Rochester School of Medicine and Dentistry, Rochester, New York. Dr. Baldwin is professor, Department of Pediatrics, University of Rochester Medical Center, Rochester, New York.

Associated clinical trials:

The Effect of Intensive Inpatient Attending Supervision on Medical Errors, Patient Safety and Resident Education | NCT03318198

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