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Table 1 Timing, location, and content of bedside teachers’ feedback to trainees in the context of bedside rounds (n= 111 coding references)

From: Content and timing of feedback and reflection: a multi-center qualitative study of experienced bedside teachers

Timing (Location)

Frequency of code references – n (%)a

Representative content discussed

Content categoryb

During bedside encounter (bedside)

14 (13)

Insufficient physical examination performed during admission.

HCP

  

Physical examination instruction or correction.

HCP

  

Positive feedback on history obtained.

HCP

  

Positive feedback on superior case presentation.

HCP

  

Clinical reasoning or care delivered.

CDM

Immediately following bedside encounter (hallway)

48 (43)

Lengthy and wordy case presentations, with suggestions for improvement.

HCP

  

Review success of bedside case presentations.

HCP

  

Trainee struggling with summary statement, suggestions for improvement.

HCP

  

Clinical reasoning and decision-making, with suggestions for improvement.

CDM

  

Trainees not informing patient about what they are doing, e.g. physical exam.

PCC

  

Trainee not speaking to comfort level of patient.

PCC

  

Trainee using (in)appropriate terminology at patient level.

PCC

  

Trainee hovering over patient during encounter.

PCC

  

Successful patient-centered communication demonstrated by team member(s).

PCC

  

Residents’ demonstration of a great teaching point at bedside.

LT

After bedside rounding sessions (private)

30 (27)

Deficiencies in note writing and history obtained.

HCP

  

Missed important aspect of a patient’s past medical history.

CDM

  

Medical jargon used inappropriately in front of patient.

PCC

  

Trainee’s ability/deficiency to ask a patient a very sensitive question.

PCC

  

Trainee’s response and way of “dealing with” an angry patient.

PCC

  

Deficiencies/absence of providing student/intern feedback about presentations.

LT

  

Educational skills with student/intern.

LT

  

Efficiency skills in coordinating team bedside rounds.

LT

  

Lack of leadership role in bedside encounter(s).

LT

  

A concerning interaction or unprofessional behavior/event with a patient.

P

Mid/end-of- rotation (private)

19 (17)

Case presentations performed at bedside.

HCP

  

Leadership skills in leading rounds and bedside encounters.

LT

  

Assessment of core competencies on formal evaluations.

(all)

  1. aCode references indicate the number of times the code was “referenced” in the analysis. For example, if feedback during the bedside encounter was discussed in detail, the code may have been referenced more than once.
  2. bContent category: HCP - history-taking, case-presentation, physical-examination skills, CDM – clinical decision-making and care delivery, PCC - patient-centered communication, LT - leadership and teaching skills, P – professionalism.