A Qualitative Exploration of Pediatric Resident Perceptions of Autonomy in the Era of Pediatric Hospital Medicine Fellowship

Goldstein, Laura H.; Lau, Judith A.; Ford, Hannah; Balmer, Dorene F.; Tenney-Soeiro, Rebecca

doi:10.1016/j.acap.2023.08.003

Academic Pediatrics

2024

DOI: 10.1016/j.acap.2023.08.003

|View full text |Cite

A Qualitative Exploration of Pediatric Resident Perceptions of Autonomy in the Era of Pediatric Hospital Medicine Fellowship

Laura H. Goldstein¹,

Judith A. Lau²,

Hannah Ford³

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article2

Relationship

Self Cite0

Independent2

Authors

Journals

Cited by 2 publications

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

The Conceptual Framework: A Practical Guide

Kulesa,

Induru,

Hubbard

et al. 2024

Hospital Pediatrics

View full text Add to dashboard Cite

There is no single definition of the conceptual framework (CF) or consensus on how it is best applied in the research process. However, in this piece, the authors argue that the CF is a tool used to link the literature review, research methodology, and study design. The CF grounds the study in the previous literature, theories, and models. It helps the researcher articulate their rationale for why the study should be performed, justify their study design, and describe the lens through which they analyze a phenomenon or research question. Researchers may find the variable use of terms such as theory, theoretical framework, and CF to be confusing. The authors address the distinction between these terms and present strategies to develop and use the CF throughout the research process. The authors provide practical examples and resources for additional learning.

show abstract

The Conceptual Framework: A Practical Guide

Kulesa,

Induru,

Hubbard

et al. 2024

Hospital Pediatrics

View full text Add to dashboard Cite

show abstract

Pediatric Hospital Medicine Fellows’ Perspectives on Autonomy Through Time

Jurgens,

Librizzi,

Shah

et al. 2024

Hospital Pediatrics

View full text Add to dashboard Cite

OBJECTIVE: Promoting autonomy is at the core of fellowship education. Pediatric hospital medicine (PHM) fellowship programs are relatively new, and many supervising physicians are not trained on how to promote fellow autonomy. Moreover, no studies have explored fellows’ perception of autonomy throughout training. To fill this gap, we explored PHM fellows’ perceptions of autonomy throughout training. METHODS: PHM fellows starting fellowship in July 2021 were recruited to participate in a longitudinal qualitative study. Using self-determination theory as a sensitizing framework, the authors conducted semistructured interviews with 14 fellows throughout fellowship. Incoming data were iteratively analyzed, and codes were created from patterns in the data. Coded data were clustered into themes. RESULTS: Four themes developed: (1) at the beginning of fellowship, fellows valued direct observation and close supervision from their attending. (2) Initially, fellows felt pressured to make the identical clinical decision as their attending, but over the course of training, they realized their autonomous decisions could coexist with different decisions from their attending physicians. (3) At first, fellows desired attending presence to support and guide their decision making. Over time, fellows desired a coach who could provide valuable formative feedback. (4) Because of the hierarchical nature of medicine, conversations between fellows and attending physicians about autonomy were challenging to initiate. CONCLUSIONS: Fellows’ perceptions of autonomy change throughout fellowship, which should be taken into consideration as provisions of autonomy evolve through training. Our findings can inform PHM fellowship curricula and professional development around the promotion of autonomy in fellowship.

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

A Qualitative Exploration of Pediatric Resident Perceptions of Autonomy in the Era of Pediatric Hospital Medicine Fellowship

Cited by 2 publications

References 28 publications

The Conceptual Framework: A Practical Guide

The Conceptual Framework: A Practical Guide

Pediatric Hospital Medicine Fellows’ Perspectives on Autonomy Through Time

Contact Info

Product

Resources

About