[Skip to Navigation]
January 2019

Framework for Faculty Development in Resident Autonomy and Entrustment in the Operating Room

Author Affiliations
  • 1The Ohio State University, Columbus
  • 2Web and Social Media Editor, JAMA Surgery
  • 3Beth Israel Deaconess Medical Center, Boston, Massachusetts
  • 4Harvard Medical School, Boston, Massachusetts
JAMA Surg. 2019;154(1):5-6. doi:10.1001/jamasurg.2018.3529

The operating room (OR) is an essential learning environment for residents to learn surgical independence. Each surgical faculty’s teaching skill and approach can have a considerable effect on the resident’s training experience in the OR and the successful acquisition of autonomy. As such, surgical residency programs have invested substantial efforts into strengthening faculty OR teaching skills.

It is also known that faculty entrustment of the resident is a prerequisite to acquiring independence and that faculty entrustment behaviors drive resident entrustability.1 Key to establishing trust is developing mutual-trust relationships between the resident and surgical faculty.2,3

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words