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August 2001, Vol 155, No. 8 >

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The Pediatric Forum | August 2001

Resident Autonomy in an Era of Managed Care

Philip O. Ozuah, MD, MSEd; Jane Curtis, MD
Arch Pediatr Adolesc Med. 2001;155(8):974. doi:10.1001/archpedi.155.8.972.
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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.

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