Resident autonomy has long been a topic of discussion, especially as it relates to clinical decision-making on nights when in-person faculty supervision is less common. In response to changes in the Accreditation Council for Graduate Medical Education requirements, there has been an increase in the presence of attending oversight.1,2 On one hand, researchers have suggested that having an attending overnight has led to an increase in the education provided for residents during those hours. However, other data have revealed that decreasing resident autonomy with an in-house attending may make residents less prepared for independent practice and does not result in significant changes in patient outcomes.3,4 One way to evaluate resident medical decision-making (MDM) is to evaluate the orders that are being placed, specifically during a period of limited attending oversight. In this issue of Hospital Pediatrics, Freiman et al5 share a study...
Evaluating Medical Decision-Making: Using the EHR to Assess and Structure Resident Autonomy
FINANCIAL DISCLOSURE: The authors have indicated they have no financial relationships relevant to this article to disclose.
POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose.
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Franklin T. Sylvester, Van Don Williams; Evaluating Medical Decision-Making: Using the EHR to Assess and Structure Resident Autonomy. Hosp Pediatr January 2022; 12 (1): e42–e43. https://doi.org/10.1542/hpeds.2021-006416
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