Category | Frequency of code references – n(%)a | Representative examples |
---|---|---|
Patients’ characteristics or emotions | 29 (62) | A patient who was emotional about his/her disease or prognosis. |
A patient who was anxious or uncomfortable about his/her diagnosis or bedside event. | ||
A patient who didn’t seem happy with the whole group coming to the bedside. | ||
A patient who didn’t seem to want to answer any questions in front of the team. | ||
A patient who seemed angry about an issue/event. | ||
A combative/“difficult” patient. | ||
Social aspects of the patient’s case explaining what is going on. | ||
Patient with “excruciating pain” but wearing make-up/eyeliner. | ||
Patient’s understanding of disease process/hospitalization. | ||
Patient’s response to breaking of bad news. | ||
Trainees’ actions or emotions | 12 (26) | Team’s incorrect diagnosis on a newly admitted patient. |
Initial bedside encounters for trainees new to the activity. | ||
Resident or team not acquiring an adequate history, resulting in missed diagnoses. | ||
Resident or team communicating the diagnosis of a new cancer to the patient. | ||
Resident or team communicating “bad news” to a patient. | ||
Resident or team response to a hostile family member. | ||
Resident or team demonstration of patient-centered communication skills. | ||
Team’s feelings regarding consulting specialist’s recommendations. | ||
Team’s feelings regarding event occurring at the bedside (e.g. encountering a difficult patient). | ||
Attending physician Role modeling | 6 (13) | Attending physician “setting limits” and “sticking to his guns” with a patient who acts out. |
Attending physicians clinical reasoning demonstrated at bedside. | ||
Attending physician’s communication skills at bedside, what went well and did not go well. | ||
Attending physician’s bedside demonstration of counseling a patient about his/her disease. |