SHM Converge Scientific Abstract ePoster Gallery-Trainee Perspectives on the Learning Environment and Provision of Teaching During Pediatric Bedside Rounds

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This prospective cohort study examined how pediatric residents and observing trainees perceive the learning environment and teaching during family-centered bedside rounds at a tertiary children’s hospital. Across 20 observed rounds led by 16 pediatric hospitalists, 39 observation forms were completed and 44 of 59 resident post-round surveys were returned (74.5%).<br /><br />Using Likert-scale ratings and thematic analysis of free-text responses, the study found six major themes. Both residents and observers most often identified supportive interpersonal behaviors as the key factor promoting comfort during rounds, and supportive supervision as the main factor supporting autonomy. Trainees valued attendings who created a psychologically safe atmosphere, encouraged questions, and allowed residents to make decisions while stepping in only when necessary.<br /><br />Observers noticed a broader range of teaching strategies than participating residents did, especially physical exam teaching, while residents most often highlighted concise clinical pearls and relevant teaching as strengths. Barriers to education included poor timing of teaching and a mismatch between teaching complexity and learner level. Some comments also pointed to ineffective teaching delivery and limited learner engagement.<br /><br />The findings suggest that attending behaviors fostering psychological safety are central to bedside learning. They also show that trainees appreciate a balance between supervision and independence. Because observers recognized teaching methods more readily than participants, residents may not always consciously perceive teaching while simultaneously managing clinical responsibilities.<br /><br />Overall, the study concludes that faculty development should emphasize interpersonal behaviors that support psychological safety, strategies that preserve resident autonomy, and clear, well-timed teaching that is matched to learner level.

Asset Subtitle

Nina Gupta

Meta Tag

Author List Anna Kushnir, Lisa J. Fox, Nehal H. Thakkar, Nina Gupta, Reina Patel, Sandra L. Gage

Category Research

Concept Psychological Safety

Concept Bedside Rounds

Concept Attending Behavior

Concept Supportive Supervision

Concept Bedside Teaching

Distinguished Non-Finalist

Presenter Organization Phoenix Children's Hospital

Presenting Author Nina Gupta

Track Education

Keywords

pediatric residency

bedside rounds

family-centered care

psychological safety

resident autonomy

supportive supervision

teaching strategies

clinical teaching

faculty development

learning environment

Psychological Safety

Bedside Rounds

Attending Behavior

Supportive Supervision

Bedside Teaching