80. DOES MY TEAM REALLY NEED OUR ATTENDING? PERCEIVED AUTONOMY OF ATTENDING-LESS ROUNDS

Abstract

Background According to accreditation guidelines, residents must demonstrate progressive autonomy over the course of training. Although desired, there is little data showing the impact on the perceived sense of autonomy of housestaff when rounding without an attending on an inpatient service. Objective Determine residents’ and interns’ perception of autonomy with and without the attending present on family centered rounds on a hospitalist general pediatric service in a tertiary children's hospital. Methods Residents and interns who participated in standard family centered rounds and attending-less family centered rounds were given anonymous surveys asking about their ability to complete tasks autonomously on a Likert-type scale. Attendings completed a similar survey assessing their upper level resident. We averaged the standard rounds responses (pre-forms) and compared them to the attending-less rounds responses (post-forms). Comments were allowed for qualitative data. Results We obtained surveys from 15 interns, 10 upper levels and 7 attendings who participated. Compared to the pre-surveys, residents felt more autonomous in 7/11 areas queried (p Conclusions Attending-less rounds appear to improve residents’ and interns’ self-perception of autonomy compared to standard family centered rounds with the attending present. This suggests attending-less rounds offer educational benefits that warrant consideration into future service structure.