Domain 1: Clinical Teaching & Feedback
Prompt: “The attending provided timely, actionable feedback and adapted teaching to individual learner needs.”
• Explores learner thought processes and reasoning during debriefs, helping trainees self-identify decision-making gaps without delaying team workflow.
• Coaches senior residents on how to effectively teach, supervise, and provide actionable feedback to junior learners.
• Fosters a team culture where near-misses and clinical challenges are routinely deconstructed as shared, high-yield learning opportunities.
Domain 2: Clinical Reasoning & Diagnostic Stewardship
Prompt: “The attending explicitly demonstrated diagnostic reasoning and guided the team in high-value diagnostic stewardship.”
• Expertly guides the team through profound diagnostic ambiguity, atypical presentations, and complex multimorbid trade-offs.
• Challenges senior residents to articulate and defend their clinical rationale while helping them identify their own decision-making blind spots.
• Role-models decisive, sound clinical judgment in high-stakes or evolving clinical scenarios.
Domain 3: Knowledge Translation & Efficiency
Prompt: “The attending delivered concise, high-yield clinical pearls without disrupting rounding efficiency or clinical care.”
• Facilitates learner-led teaching by encouraging and supporting senior residents to deliver bedside teaching to junior learners.
• Identifies core clinical knowledge gaps across the team and tailors discussions to bridge those specific gaps during patient care.
• Masterfully connects bedside physical examination findings with modern diagnostic data to enrich clinical learning while maintaining workflow efficiency.
Domain 4: Professionalism, Team Leadership & Well-Being
Prompt: “The attending modeled professional composure and mutual respect, while actively supporting team well-being and workload balance.”
• Serves as an institutional role model for navigating complex ethical dilemmas (e.g., surrogate decision impasses, goals-of-care conflicts, non-beneficial care).
• Coaches and mentors trainees through moral distress, professional burnout, and developing sustainable clinical practice habits.
• Fosters an exceptional team environment of equity, mutual respect, and psychological resilience, actively protecting the team’s educational and clinical well-being.
Domain 5: Clinical Supervision & Progressive Autonomy
Prompt: “The attending calibrated supervision and progressive autonomy to trainee readiness, utilizing direct observation and maintaining an effective safety net.”
• Calibrates entrustment based on continuous, rigorous assessment of trainee readiness and clinical judgment across variable patient acuity.
• Allows senior residents who have demonstrated readiness to manage team flow, direct clinical care, and lead resuscitations, while serving as an active consultative safety net.
• Coaches senior residents on how to evaluate readiness in junior learners, teaching them how to avoid granting premature autonomy to interns and students.
Domain 6: Systems-Based Practice & Care Coordination
Prompt: “The attending actively guided the team in interprofessional care coordination, discharge planning, and navigating hospital system barriers.”
• Role-models master-level navigation of complex socioeconomic barriers, guiding residents in crafting durable, patient-centered care transitions.
• Mentors trainees in recognizing latent safety threats and engaging constructively with institutional safety and quality improvement channels.
• Fosters a team culture where trainees feel empowered to advocate for system improvements and high-value care delivery.
Domain 7: Practice-Based Learning & Evidence-Based Practice
Prompt: “The attending modeled point-of-care evidence appraisal, intellectual humility, and thoughtful reflection on clinical outcomes.”
• Models efficient, sustainable strategies for point-of-care inquiry and evidence appraisal for unsupervised clinical practice.
• Guides senior residents in resolving clinical gray areas where guidelines conflict or evidence is sparse, balancing patient goals with best available data.
• Cultivates a team culture of continuous inquiry, outcome tracking, and practice reflection that inspires lifelong learning.
