title: Behind closed doors.
abstract: This Personal View about feedback culture is based on our personal experiences as internal medicine chief residents with attendings, residents, and interns who came into our office to discuss concerns about team members. Our unique perspective as chief residents revealed a tendency amongst physicians at all levels of training to first raise these concerns behind closed doors, instead of with the learner directly. We highlight the need to shift feedback culture in medical training away from this practice towards a clinical "micro-coaching" approach.
authors.affiliation: a Department of Medicine , University of California San Francisco , San Francisco , CA , USA.
authors.forename: Kevin
authors.initials: K
authors.lastname: Duan
authors.affiliation: a Department of Medicine , University of California San Francisco , San Francisco , CA , USA.
authors.forename: Leslie
authors.initials: L
authors.lastname: Sheu
mesh_terms: D002983:Clinical Competence; D005246:Feedback; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency