Evidence map›Paper›PMID 41979801›Full record

ReviewIndian pediatrics2026

Handing Over the Wheel to the Residents: Navigating Autonomy and Patient Safety.

Nilima Shah, Piyush Gupta, Tejinder Singh

Abstract readReview
PubMed Publisher
In one paragraph

Review in Indian pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Nilima ShahDepartment of Psychiatry, Smt. NHL Municipal Medical College and SVPIMSR, Ahmedabad, Gujarat, India.
Piyush GuptaUniversity College of Medical Sciences, Delhi, India.
Tejinder SinghCenter for Health Professions Education, Adesh University, Bathinda, Punjab, 151101, India. drtejinder22@gmail.com.ORCID 0000-0002-9384-7010

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Balancing residents' autonomy with patient safety is a delicate and ongoing challenge in clinical education. Too little supervision risks patient harm, while too much supervision stifles growth, confidence, and motivation. The solution lies in graded responsibility-entrusting residents with autonomy in a structured manner, supported by thoughtful supervision, timely feedback, and mentorship. A supportive learning environment that permits small, recoverable failures, models professionalism, and nurtures reflection can shape residents into competent, empathetic, and accountable physicians. Ultimately, this balance safeguards today's patients while preparing tomorrow's doctors to deliver safe and compassionate care.

Indexed as

Clinical CompetenceInternship and ResidencyPatient SafetyPediatricsProfessional AutonomyHumansCompetenceEntrustmentMotivationResidencyTraining

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.