Table 4.
Factors Limiting Resident Surgical Autonomy
| Resident responses to “Please rank the following in regards to how they limit resident surgical autonomy (1 = most, 8 = least)” | |
|---|---|
| Category | Median (Range) |
| Complexity of the case | 2 (1–8) |
| Attending supervision | 3 (1–7) |
| Lack of familiarity with procedure | 3 (1–8) |
| Time constraint during operation | 4 (1–8) |
| Legal concern/hospital regulations | 5 (1–8) |
| Patient concern with resident participation | 6 (1–8) |
| Reimbursement regulations | 7 (1–8) |
| Work-hour restrictions | 8 (1–8) |
| Attending surgeon responses to “Please rank the following factors based on how they reduce resident surgical autonomy in the operating room (1 = most, 8 = least)” | |
| Category | Median (Range) |
| Concern for patient outcomes | 1 (1–7) |
| Attending supervision | 3 (1–7) |
| Productivity concerns | 3 (1–7) |
| Hospital policy/regulation | 5 (1–7) |
| Legal concern | 5 (1–7) |
| Work-hour restrictions | 5 (1–7) |
| Reimbursement regulations | 6 (1–7) |