Impact of Resident Autonomy Clinics in a Dermatology Residency: Improving Residents’ Perception of Autonomy

Abstract

Over recent years, concerns have been raised by residents within the Harvard Combined Dermatology Residency Program regarding lack of autonomy, including not being viewed by patients as the primary provider and lack of independence when formulating plans under the "apprenticeship" model. Literature from both surgical and medical specialties suggests a gradual decline in resident autonomy over time with ramifications on resident satisfaction and preparedness for future practice. Here we describe the actualization of resident‐run autonomy clinics within our program and compare two years of survey data to assess resident perception of autonomy before and after implementation.

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