[Skip to Navigation]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
The Pediatric Forum
August 2001

Resident Autonomy in an Era of Managed Care

Author Affiliations

Not Available

Arch Pediatr Adolesc Med. 2001;155(8):974. doi:10.1001/archpedi.155.8.972

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.