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) |