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Resident Autonomy in an Era of Managed Care
Arch Pediatr Adolesc Med. 2001;155:974.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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The widespread penetration of health care systems by managed care has
posed new challenges for graduate medical education.1, 2, 3
Our institution has been no exception. For example, as a direct result of
managed care, nearly all hospitalized patients at our institution currently
have a private attending physician of record. This was not the case in the
past. We were concerned about the effects of this change; specifically, we
wondered if the influx of private generalist attending physicians had adversely
affected residents' autonomy in the hospital setting. We report on a study
of residents' perceptions of autonomy in the care of hospitalized patients
in a managed care environment.
We conducted a prospective study at an urban, not-for-profit, academic
medical center. Twenty-eight pediatric residents (16 postgraduate year 1,
12 postgraduate year 2/3) were each asked to maintain a log on 10 consecutive
admissions. The survey instrument asked residents to record several pieces
of . . . [Full Text of this Article]
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