The widespread penetration of health care systems by managed care has posed new challenges for graduate medical education.1- 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.
Ozuah PO, Curtis J. Resident Autonomy in an Era of Managed Care. Arch Pediatr Adolesc Med. 2001;155(8):974. doi:10.1001/archpedi.155.8.972