Table 2.

Potential Implications of Suggested Actions as Illustrated by Students' Quotes Obtained During Interviews

Implications for:	Examples from Interviews
Patient	“I'm thinking, is the patient going to be comfortable? They may agree to let me do it, but are they going to sit there and are their muscles going to be tense and…I'm not going to be able to do the procedure well and I may harm the patient.” (V5, S10)
	“Well if I go in as a clerk and say ‘You have a tumor,' and the staff hasn't told her…, then that's going to be detrimental to her trust in that relationship. She's going to be: ‘Oh, he sent in his clerk to tell me I have cancer,' like how horrible is that?” (V1, S11)
Other	“I wouldn't want to do that first, because that might get my staff person in trouble….” (V1, S16)
	“[You might] destroy a doctor's relationship with a patient, a family, another physician, God knows what else!” (V1, S19)
	“…to avoid conflict or discordance among members of the team. Because that…can diminish the group dynamics of the team.” (V2, S15)
Self
External	“It doesn't matter what the faculty says, you're the person who's going to get burned when it comes down to your final evaluation.” (V4, S3)
	“You want to get good marks in clerkship so you can get the residency of your choice.” (V1, S10)
	“…it's a power thing…cause they're the resident,…you're going to have to work with him for another 3 weeks…[he] can make your life like heaven or can make your life hell.” (V3, S13)
	“I don't know if you want to get labeled a ‘professionalism watchdog' so early in your career.” (V1, S19)
Internal	“I think I would have trouble sleeping if I told him a lie for the specific reason of me getting out of there faster.” (V3, S14)
	“…cause if anything went wrong…I would not be able to completely absolve myself of the guilt.” (V2, S14)

V, video number; S, student number.