We are finally in the last chapter of autonomy as one of three key underpinnings of psychological fitness for physicians – autonomy, relatedness, and competence. This week, I will attempt to tackle – imperfectly so – the unique situation of autonomy for residents and fellows. After all, trainees are not different in what supports their psychological health than attendings.

Autonomy of task/technique (i.e., supervision): Most discussions about autonomy for trainees...

Continuing our series on psychological foundations for physician mental fitness (autonomy, connectedness, and competence) via self-determination theory (SDT), we are rounding out the final domain of physician autonomy this week – Team. Interestingly, over the past two weeks, many of my examples demonstrated ideas for autonomy of time, task, and technique actually involved team. Teamwork is interwoven into medicine, so it makes sense that it would impact the other three arenas.

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We continue to explore the foundational needs for psychological fitness – autonomy, connectedness, and competence. Autonomy has four important domains: time, tasks, techniques, and team. We covered time last week. This week, we will reflect on the tasks and techniques.

Tasks/Techniques. Depending on the setting practiced in (academic, hospital, rural full-spectrum, community outpatient, etc.), there are numerous tasks we each perform. I'm sure there are places where the...

We are in a series exploring the three foundational needs for physicians to optimize their psychological fitness – autonomy, connectedness, and competence (SDT). This week, we will reflect on time, the first of four domains within autonomy for physicians - Time, Tasks, Team, and Techniques. I'll also highlight a fifth "T" – Thoughts/Mindset within each facet as we unpack them each week.

Time. There is great variety in the amount of autonomy given to physicians. Many...

This month, we focus on the three basics of psychological well-being that improve vitality, motivation, and performance – Autonomy, Relatedness, and Competence.

Last week, I gave an overview of my perspective and experiences of autonomy in medicine. Today we will take a deeper look.

The psychological definition of autonomy is the capacity to make an "informed, uncoerced decision." It involves the individual's ability to participate in an aligning manner willingly. From a social...

In the past, we have talked about getting back to the self-care basics. Specifically, we focused on three foundational physical needs and implementing those as busy healthcare professionals. This month, we will focus on three foundational psychological needs for mental and emotional fitness. These are based on Self-Determination Theory (SDT) and include autonomy, connectedness, and competence. 

Psychological Fitness.
Psychological Fitness can be defined as...