PROMOTING AUTONOMY IN CLINICAL MEDICINE Coaching Meeting November 10, 2014 Carrie Rassbach, MD

PROMOTING AUTONOMY IN CLINICAL MEDICINECoaching Meeting

November 10, 2014

Carrie Rassbach, MD

What is autonomy?

“Freedom from external control or influence; independence”

“The need to have a voice, choice, and a sense of initiative in one’s actions

and work”

Techniques for Promoting Autonomy• Set expectations• Positioning• Create a positive learning climate• Stay quiet • Probe for understanding• Get a commitment on the assessment and plan• Help them get to the right answer• Redirect questions to learner• Praise trainees in front of patients/others

Bolster Autonomy

Positive Learning Climate

Promoting Clinical

Reasoning

Opportunity to make decisions and learn from

errors

Self-Determination Theory

Techniques for Residents• Set expectations/goals (for supervisor)• Self-directed learning• Positioning• Make a commitment• Probe the preceptor

Take-home points• Autonomy for learner means:

• Competence• Self-directedness• Reflection/self-assessment

• Autonomy for supervisor means:• Faculty development• Learner-centered• Probing/reinforcing