The Importance of Fostering Ownership During Medical Training

American Journal of Bioethics 16 (9):3-12 (2016)

Abstract
There is a need to consider the impact of the new resident-hours regulations on the variety of aspects of medical education and patient care. Most existing literature about this subject has focused on the role of fatigue in resident performance, education, and health care delivery. However, there are other possible consequences of these new regulations, including a negative impact on decision ownership. Our main assumption of is that increased shift work in medicine can decrease ownership of treatment decisions and impact negatively on quality of care. We review some potential components of decision ownership in treatment context and suggest possible ways in which the absence of decision ownership may decrease the quality of medical decision making. The article opens with the definition of decision ownership and the overview of some contextual factors that may contribute to the development of ownership in medical residency. The following section discusses decision ownership in medical care from the perspe...
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DOI 10.1080/15265161.2016.1197338
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References found in this work BETA

Pragmatic Regimes Governing the Engagement with the World.Laurent Thévenot - 2001 - In Theodore R. Schatzki, K. Knorr-Cetina & Eike von Savigny (eds.), The Practice Turn in Contemporary Theory. Routledge. pp. 56--73.
Preferences for Sequences of Outcomes.George F. Loewenstein & Dražen Prelec - 1993 - Psychological Review 100 (1):91-108.

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Citations of this work BETA

‘Medical Necessity’ and Domination.Allison Massof - 2018 - American Journal of Bioethics 18 (12):31-32.
Owning Medical Professionalism.Jon C. Tilburt & Richard R. Sharp - 2016 - American Journal of Bioethics 16 (9):1-2.

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