Table 2 Proportion of Coded Segments Associated with Seven Primary Themes
Theme: Description | % of Coded Segments by Quarter | |||
|---|---|---|---|---|
Confidence | Barriers | |||
Block 1 ( n = 288) | Block 3 ( n = 205) | Block 1 ( n = 178) | Block 3 ( n = 114) | |
Patient interaction: Refers to interpersonal communication skills and interviewing skills required with patient care such as taking a pertinent history and building rapport. | 37.2 | 43.9 | 11.8 | 3.5 |
Documentation/Reporting: Refers to ability to document and communicate clinical findings through written (notes) and oral (presentations) formats. | 16.7 | 17.6 | 15.2 | 6.1 |
Team/Structure/Workflow: Refers to ability to work within the healthcare team (point of confidence) or trouble with personalities, expectations, or systemic issues as barriers. | 17.0 | 11.7 | 18.5 | 17.5 |
Knowledge and Organization: Refers to medical knowledge broadly as well as rotation-specific knowledge. Also includes study skills and work/life balance associated with studying. | 13.2 | 7.8 | 23.6 | 28.9 |
Physical exam: Refers to physical exam skills that are required during routine clinical encounters. | 5.6 | 9.8 | 11.2 | 10.5 |
Clinical reasoning/information synthesis: Refers to ability to interpret clinical information and synthesize it into a differential diagnosis and management plan. | 5.6 | 6.3 | 0.0 | 8.8 |
Inexperience or Lack of Practice: Refers to expression of lack of confidence in certain skills due to limited experience and/or a need to continue practicing. | 0.0 | 0.0 | 8.4 | 17.5 |