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Challenges and Opportunities for Ownership in Radiology Residency

2023; Elsevier BV; Volume: 30; Issue: 7 Linguagem: Inglês

10.1016/j.acra.2023.02.037

1878-4046

Peter R. Gunderman, Richard B. Gunderman,

Radiology practices and education

A concept that has received considerable attention in medical education over the last two decades is ownership ( 1 Kiger ME Meyer HS Hammond C et al. Whose patient is this? A scoping review of patient ownership. Acad Med. 2019; 94: S95-S104https://doi.org/10.1097/ACM.0000000000002920 Crossref PubMed Scopus (14) Google Scholar , 2 McLaren K Lord J Murray SB et al. Ownership of patient care: a behavioural definition and stepwise approach to diagnosing problems in trainees. Perspect Med Educ. 2013; 2: 72-86https://doi.org/10.1007/s40037-013-0058-z Crossref PubMed Scopus (25) Google Scholar , 3 Dubov A Fraenkel L Seng E The importance of fostering ownership during medical training. Am J Bioeth. 2016; 16: 3-12https://doi.org/10.1080/15265161.2016.1197338 Crossref PubMed Scopus (27) Google Scholar ). Much of this interest has been generated by the implementation of duty hour restrictions, which in an effort to enhance resident work-life balance and quality of life, have resulted in the transfer of after-hours responsibilities from residents to attending physicians and advanced practice providers ( 4 Van Eaton EG Horvath K Pellegrini C Professionalism and the shift mentality. Arch Surg. 2005; 140: 230https://doi.org/10.1001/archsurg.140.3.230 Crossref PubMed Scopus (104) Google Scholar , 5 Masson V Snell L Dolmans D et al. Exploring the evolving concept of ‘patient ownership’ in the era of resident duty hour regulations—experience of residents and faculty in an internal medicine night float system. Perspect Med Educ. 2019; 8: 353-359https://doi.org/10.1007/s40037-019-00540-9 Crossref PubMed Scopus (7) Google Scholar , 6 Greenzang KA Kesselheim JC Responsibility for patient care in graduate medical education: yours, mine, or ours?. JAMA Pediatr. 2015; 169: 987-988https://doi.org/10.1001/jamapediatrics.2015.1825 Crossref PubMed Scopus (9) Google Scholar ). Some educators have expressed concern that this has also reduced residents’ sense of ownership for the care of their patients ( 7 Conti CR Some thoughts about patient ownership. Clin Cardiol. 2015; 38: 1https://doi.org/10.1002/clc.22348 Crossref PubMed Scopus (7) Google Scholar ). Among the fields in which such concerns have surfaced are surgery, psychiatry, cardiology, family medicine, and pediatrics ( 8 Randle RW Ahle SL Elfenbein DM et al. Surgical trainees’ sense of responsibility for patient outcomes: a multi-institutional appraisal. J Surg Res. 2020; 255: 58-65https://doi.org/10.1016/j.jss.2020.05.035 Abstract Full Text Full Text PDF PubMed Scopus (6) Google Scholar , 9 Kiger ME Meyer HS Varpio L “It is you, me on the team together, and my child”: attending, resident, and patient family perspectives on patient ownership. Perspect Med Educ. 2021; 10: 101-109https://doi.org/10.1007/s40037-020-00635-8 Crossref PubMed Scopus (3) Google Scholar , 10 Soeprono T Markman J Grodesky M et al. Practical interventions to enhance resident ownership of patient care. Acad Psychiatry. 2018; 42: 222-227https://doi.org/10.1007/s40596-017-0731-3 Crossref PubMed Scopus (7) Google Scholar ). So far, the concept of ownership has received little attention in radiology, even though it is no less important for residents in radiology than in any other field.