Learning to assume responsibility or "ownership" for patient care is an important aspect of learning what it means to be a physician. To date, most of the research on patient ownership has focused on residents' understanding of what it means to own patients. This exploratory study explored third- and fourth-year students', residents, and attending physicians' understanding of the phrase "taking ownership of a patient." Data included participant observations and interviews that expanded over a five month period. Interviews were transcribed and analyzed using psychological ownership as an analytical lens and latent content analysis as a method. Third-year students primarily understood the phrase to mean communicating with patients and their immediate team. Fourth-year students indicated it was an expectation to contribute to the management of patient care. Residents and faculty thought patient ownership included an emotional investment in patients. The phrase taking ownership of patients is understood differently depending on where participants are in their development, even though it is assumed there is a shared understanding across team members. Given the variability in understanding, educators should have explicit discussions with learners about commonly used concepts to help them develop sophisticated understandings and monitor their own development.

中文翻译：

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探究患者所有权的含义：内科常用短语的探索性研究

学会承担病人护理的责任或“所有权”是了解成为一名医生意味着什么的一个重要方面。迄今为止，大多数关于患者所有权的研究都集中在居民对拥有患者意味着什么的理解上。这项探索性研究探讨了三年级和四年级学生、住院医师和主治医师对“拥有患者的所有权”一词的理解。数据包括在五个月内扩展的参与者观察和访谈。使用心理所有权作为分析镜头和潜在内容分析作为方法对访谈进行转录和分析。三年级学生主要将这个短语理解为与患者及其直接团队沟通的意思。四年级学生表示希望为患者护理管理做出贡献。住院医师和教职员工认为患者所有权包括对患者的情感投资。尽管假设团队成员之间有共同的理解，但根据参与者在他们的发展中所处的位置，对患者的所有权这一短语的理解有所不同。鉴于理解的可变性，教育者应该与学习者就常用概念进行明确的讨论，以帮助他们发展复杂的理解并监控自己的发展。尽管假设团队成员之间有共同的理解，但根据参与者在他们的发展中所处的位置，对患者拥有所有权这一短语的理解有所不同。鉴于理解的可变性，教育者应该与学习者就常用概念进行明确的讨论，以帮助他们发展复杂的理解并监控自己的发展。尽管假设团队成员之间有共同的理解，但根据参与者在他们的发展中所处的位置，对患者的所有权这一短语的理解有所不同。鉴于理解的可变性，教育者应该与学习者就常用概念进行明确的讨论，以帮助他们发展复杂的理解并监控自己的发展。