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Table 1 Assessor self-reported levels of discomfort in feedback giving situations across all respondents

From: Assessor discomfort and failure to fail in clinical performance assessments

Description of situation

Mean PADS

score

Range

Conducting a feedback session with a trainee who is performing well

1.21

1–4

Letting a trainee talk during a feedback session

1.28

1–3

Letting a trainee give his or her point of view regarding a problem with performance

1.52

1–4

Giving a satisfactory rating to a trainee who has done a satisfactory (but not exceptional) job

1.52

1–4

Encouraging a trainee to evaluate his or her own performance

1.57

1–3

Telling a trainee that he or she must stop taking long breaks

2.10

1–4

Asking a trainee if he or she has any comments about your ratings of his or her performance

2.13

1–4

Telling a trainee that he or she must stop coming to work late

2.15

1–4

Talking to a trainee about his or her performance on the job

2.29

1–5

Telling a trainee that his or her performance can be improved

2.38

1–5

Telling a male trainee that his performance needs to improve

2.51

1–5

Telling a female trainee that her performance must improve

2.63

1–5

 A trainee’s challenging you to justify your evaluation in the middle of a feedback session

2.84

1–5

Telling a trainee that his or her work is only satisfactory, when you know that he or she expects an above satisfactory rating

2.85

1–5

Telling a trainee who has problems in dealing with others that he or she should do something about it

2.94

1–5

Responding to a trainee who is upset over your rating of his or her performance

3.08

1–5

Conducting a feedback session with a poorly performing trainee

3.30

1–5

 A trainee’s accusing you of playing favourites in the rating of trainees

3.37

1–5

Supporting a recommendation that a trainee be removed from the training program

3.54

1–5

Warning a poorly performing trainee that unless performance improves, you will support a recommendation for his or her removal from the training program

3.71

1–5

  1. 1 = ‘no discomfort’, through to 5 = ‘high discomfort’ and range of scores reported by respondents, Performance Appraisal Discomfort Scale (PADS) [10]