SDN Members don't see this ad. (About Ads) I have a question about resident autonomy in the OR. Maybe this is a silly question but I really don't know how it all works. Do residents eventually perform surgery from start to finish without any supervision from attendings? If so, do the attendings check the work done before closure? Or does there always have to be a DPM in the OR? Or is the autonomy based on the confidence of the attending in the resident?