Autonomy At Im Programs

[entangledphoton]

Hi everyone, I was wondering if people could comment on the degree of autonomy offered to IM residents at the University of Alberta and University of Calgary.  I did an elective at the U of A, and my staff gave me and the PGY1 I was working with no autonomy at all.  Is that the norm or an exception?

[LostLamb]

Probably preceptor dependent...as an offservice pgy1 at one of those schools I found I had a lot of autonomy on my medicine rotation.  I observed the IM residents given as much or more than I did.  From what I hear from my pgy1 colleagues at the other school in IM, they have a significant amount of autonomy.

[entangledphoton]

Good to hear.  

[Intly]

What about at other institutions like Toronto, McGill or Ottawa? Do they compare or does the volume of senior residents/fellows kind of prevent pgy1s from assuming direct responsibility/making decisions for patients?