Disruptive behavior in the workplace: Challenges for gastroenterology fellows

Table 1 Fellows scored an average of 67% well done across all communication domains

Domain	Score	Components
Distracted care team case
Information gathering	86%	Verify identity
		Perform timeout
		Verify patient history
Relationship development	68%	Establish rapport with patient
		Acknowledge patient complaints/discomfort
Commmunication	67%	Asked nurse for assistance with biopsy
		Asked attending for assistance
		Communicated needs during scenario (i.e., need for anesthesia, vitals, etc.)
Team management/professionalism	47%	Did not appear impatient
		Remained neutral during conflict
		Clearly communicated need for assistance
		Effective management of conflict
Frazzled Intern Case
Information gathering	32%	Did not use leading questions
		Allowed the intern to speak without interrupting
Relationship development	68%	Acknowledged the intern's emotions
		Attempted to calm the intern down
		Had an accepting and nonjudgmental attitude
Commmunication	51%	Provided clear explanations and information
		Communicated concern and intention to help
		Successfully elicited the intern's question
Team management/professionalism	73%	Collaborated with the intern in identifying the next possible steps in care
		Focused the discussion on the best interests of the patient