ReviewThe American journal of bioethics : AJOB2016
The Importance of Fostering Ownership During Medical Training.
Review in The American journal of bioethics : AJOB, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed.
- Decision Ownership and Deference to Healthcare AI.Journal of bioethical inquiry · 2026Article
- Faculty-resident relationships, professional behaviors, and psychological safety: a cross-sectional study.BMC medical education · 2026Article
- Associations between patient care ownership, burnout, and job satisfaction among medical residents: a nationwide cross-sectional study in Japan.Scientific reports · 2026Article
- Impact of inpatient volume on residents' In-training examination scores and burnout in Japanese community hospitals: a nationwide cross-sectional study.BMC medical education · 2026Article
- Article
- Work Style Reform for Pediatric Residents.JMA journal · 2025Article
- Association between residents' work hours and patient care ownership: a nationwide cross-sectional study in Japan.BMC medical education · 2025Article
- Association of clinical knowledge with patient care ownership among resident physicians: a nationwide cross-sectional study in Japan.BMC medical education · 2025Article
- Psychometric Analysis of an Adapted Patient Care Ownership Scale for Medical Students.Perspectives on medical education · 2025Article
- Writing: The Art of Slowing Down Thinking.Neurology. Education · 2024Article
- Postgraduate Year Two Medical Residents' Awareness of Personal Development as a Physician during the Management of Inpatients: A Qualitative Study.Healthcare (Basel, Switzerland) · 2024Article
- Translating, adapting, and validating the medical student version of the patient care ownership scale for use in Japan.BMC medical education · 2024Article
- Patient care ownership in medical students: a validation study.BMC medical education · 2023Article
- Association between patient care ownership and personal or environmental factors among medical trainees: a multicenter cross-sectional study.BMC medical education · 2022Article
- The Patient Care Ownership Scale: External Validation of an Instrument that Measures Patient Care Ownership Among Internal Medicine Trainees-a Multi-Institutional Study.Journal of general internal medicine · 2021Article
- Translating and validating a Japanese version of the Patient Care Ownership Scale: a multicenter cross-sectional study.BMC medical education · 2021Article
- Understanding the complexities of antibiotic prescribing behaviour in acute hospitals: a systematic review and meta-ethnography.Archives of public health = Archives belges de sante publique · 2021Article
- "It is you, me on the team together, and my child": Attending, resident, and patient family perspectives on patient ownership.Perspectives on medical education · 2021Article
- Examining healthcare professionals' beliefs and actions regarding the physical health of people with schizophrenia.BMC health services research · 2020Article
- 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.Perspectives on medical education · 2019Article
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Authors and funding
3 authors.
Funding
Abstract
There is a need to consider the impact of the new resident-hours regulations on the variety of aspects of medical education and patient care. Most existing literature about this subject has focused on the role of fatigue in resident performance, education, and health care delivery. However, there are other possible consequences of these new regulations, including a negative impact on decision ownership. Our main assumption of is that increased shift work in medicine can decrease ownership of treatment decisions and impact negatively on quality of care. We review some potential components of decision ownership in treatment context and suggest possible ways in which the absence of decision ownership may decrease the quality of medical decision making. The article opens with the definition of decision ownership and the overview of some contextual factors that may contribute to the development of ownership in medical residency. The following section discusses decision ownership in medical care from the perspective of "diffusion of responsibility." We question the quality of choices made within narrow decisional frames. We also compare isolated and interrelated choices, assuming that residents make more isolated decisions during their shifts. Lastly, we discuss the consequences of decreased decision ownership impacting the delivery of health care.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.