Table 1 Performance Theories: Major (sub) Themes derived from interviews, including positive and negative examples of behavioral descriptors
Major themes and subthemes | Definitions | Positive and negative examples of resident behavior / performance | |
|---|---|---|---|
Positive descriptors | Negative descriptors | ||
Communication Skills | |||
 Communication skills towards patients & families | The act of exchange of information through interaction between residents and patients | Effective communicator Interactive | Ambiguous, rude and bad mannered in verbal and non-verbal communication Intolerant, impatient & aggravated under work stress |
 Counseling skills towards patients & families | Advice or guidance from a doctor to patients & their families with respect to illness of the patient | Empathetic, maintains confidentiality, confident, explains, listens, available, Educates his/her patients | Poor patient educator and counsellor |
 Communication skills towards nurses & staff | The act of exchange of information through interaction between residents and nurses | Respect for nurses as healthcare professionals, effective communicator | not available, ineffective direction to nurses, argues, belligerent |
 Communication skills towards fellow residents (resident) | The act of exchange of information through interaction with residents | Collegial, good interpersonal skills (resident) | aggravated, frustrated & reactive (resident) |
Accessibility | |||
 Pager response & Availability (nurses) | Response and presence when needed | Prompt response; always available (nurses) | Late response despite multiple pager attempts; not accessible (nurses) |
Patient Care | |||
 Patient satisfaction | Satisfaction of patients with the healthcare team regarding care of patient | Physician’s presence; timely updates; addresses patient and family concerns Well prepared Grasp on patient issues | upsets and frustrates patient and family Ill informed. Incompetent Poor patient communicator |
 Decision making & Managing Patients | Treatment & care; Right decision at the right time & competency | confident; competent physician; holistic approach; (nurse) independent assessment. Effective clinical supervision, problem solver, fortitude (resident) | hesitant; lack of confidence; incompetent irresponsible patient care, apprehensive, nervous (resident) |
 Compassionate (nurse) | Feeling or showing sympathy and concern for others. | Empathetic physician | Insensitive |
 Safe Practice (resident) | Patient safety taken care of | Gathers thorough information & systemic approach towards patient safety (resident) | negligent, careless casual approach (resident) |
Teamwork Skills | |||
 Team involvement & Working together | Support & involve the team members in patient care. | collaborative; respect opinions; trust team builder |  |
 Leadership & Team Guidance | Supervision, teaching and managing the team | team leader; mentor; appropriate task delegator |  |
Responsibility | Â | Â | Â |
 Trustworthy | Able to be relied on as honest, truthful and dependable | Reliable, credible & dependable authentic (resident) |  |
 Responsible | Having an obligation & commitment for patient care as part of one’s job or role. | responsible & committed | indifferent, unconcerned & uncaring |
 Vigilant | Keeping careful watch for possible patient deterioration or emergencies | observant, attentive, thorough & cautious | slacker & disinterested |
Professional Attitude | |||
 Misbehaving | Bad attitude |  | scolding, stubborn, disrespectful & rude domineering belligerent |
Medical Knowledge (resident) | Academics, knowledge gain | professional / clinical competence | Â |