Bridging the gap: The intersection of entrustability and perceived autonomy for surgical residents in the OR

Gurjit Sandhu, Julie Thompson-Burdine, Niki Matusko, Danielle C. Sutzko, Vahagn C. Nikolian, Anna Boniakowski, Patrick E. Georgoff, Kaustubh A. Prabhu, Rebecca M Minter

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Faculty entrustment decisions affect resident entrustability behaviors and surgical autonomy. The relationship between entrustability and autonomy is not well understood. This pilot study explores that relationship. METHODS: 108 case observations were completed. Entrustment behaviors were rated using OpTrust. Residents completed a Zwisch self-assessment to measure surgical autonomy. Resident perceived autonomy was collected for 67 cases used for this pilot study. RESULTS: Full entrustability was observed in 5 of the 108 observed cases. Residents in our study did not report full autonomy. Spearman's rank correlation coefficient identified that resident entrustability was positively correlated with perceived resident autonomy (ρ = 0.66, p < 0.05). Ordinal logistic regression assessed the relationship between resident entrustability and autonomy. The relationship persisted while controlling for PGY level, gender, and case complexity (OR = 8.42, SEM = 4.54, p < 0.000). CONCLUSIONS: Resident entrustability is positively associated with perceived autonomy, yet full entrustability is not translating to the perception of full autonomy for residents.

Original languageEnglish (US)
Pages (from-to)276-280
Number of pages5
JournalAmerican Journal of Surgery
Volume217
Issue number2
DOIs
StatePublished - Feb 1 2019

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Nonparametric Statistics
Logistic Models
Self-Assessment

Keywords

  • Autonomy
  • Entrustability
  • Entrustment
  • OpTrust
  • Surgical education

ASJC Scopus subject areas

  • Surgery

Cite this

Bridging the gap : The intersection of entrustability and perceived autonomy for surgical residents in the OR. / Sandhu, Gurjit; Thompson-Burdine, Julie; Matusko, Niki; Sutzko, Danielle C.; Nikolian, Vahagn C.; Boniakowski, Anna; Georgoff, Patrick E.; Prabhu, Kaustubh A.; Minter, Rebecca M.

In: American Journal of Surgery, Vol. 217, No. 2, 01.02.2019, p. 276-280.

Research output: Contribution to journalArticle

Sandhu, G, Thompson-Burdine, J, Matusko, N, Sutzko, DC, Nikolian, VC, Boniakowski, A, Georgoff, PE, Prabhu, KA & Minter, RM 2019, 'Bridging the gap: The intersection of entrustability and perceived autonomy for surgical residents in the OR' American Journal of Surgery, vol. 217, no. 2, pp. 276-280. https://doi.org/10.1016/j.amjsurg.2018.07.057
Sandhu, Gurjit ; Thompson-Burdine, Julie ; Matusko, Niki ; Sutzko, Danielle C. ; Nikolian, Vahagn C. ; Boniakowski, Anna ; Georgoff, Patrick E. ; Prabhu, Kaustubh A. ; Minter, Rebecca M. / Bridging the gap : The intersection of entrustability and perceived autonomy for surgical residents in the OR. In: American Journal of Surgery. 2019 ; Vol. 217, No. 2. pp. 276-280.
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