. 2020 Sep 20;26(2):417–435. doi: 10.1007/s10459-020-09993-8

Table 2.

Trainee’s displays of being a capable team member

Domains of capability	Making impressions	Indications of social goals
Cognitive (Anticipation/trajectory recognition example)	[Demonstrating anticipatory capability] It’s about trying to figure out what else might need to be done that hasn’t been asked for yet, like enquire about the patient’s social status, or to anticipate if they are going to need a consult down the line. SHO Interview IM H2	Displays of anticipation helped to secure greater recognition and autonomy within the team as well as opportunities for practice. If you arrived on the job and just sat back; held the camera or delayed cutting stitches during operations you would never be allowed to do anything. It’s about being engaged…being interested. That’s the only way that you’ll get trained; you can’t just turn up. Surgical Registrar Interview S H1
Narrative (Case framing example)	[A good presentation] shows that you are assertive and you know that you’ve got a management plan in your head and you are sure about what’s good for the patient. To get the consultant on your side, it’s important to have a bit of confidence... Intern Interview S H2	Displays of narrative capability represented opportunities to frame the team’s conceptualisation of patient cases as well as readiness for independent practice. They know what the consultant wants to hear. They know what the consultant is going to ask them for. They have it in their minds that there is something going on here. They want to convey this to the consultant and get them onto the same thought process. Intern Interview IM H2
Interpersonal (Being “in the know” and “knowing one’s place” example)	[The “in the know “assumption] The consultant requested a nephrology consult prior to discharging the patient. There was no explanation as to why the consult was necessary. I wonder to myself how the SHO and intern know what it is that they are seeking in terms of opinion or recommendations from the nephrology team. It is as if they are implicitly expected to understand the consultant’s thinking and to interpret his requests accurately without checking and reviewing his meaning. Ward Round Field Note IM H1	Displays of being “in the know” indicated currency of knowledge and awareness. Displays of “knowing one’s place” indicated awareness of hierarchy and self-reliance. Sometimes you mightn’t be fully clear on why you are getting a consult. You have to read the whole chart trying to figure out why. You can go back to them [the senior team members]; they can be quite angry that you are asking. Usually they wouldn’t say anything, but they would be somewhat disgusted... Intern interview S H2

Domains of capability

Making impressions

Indications of social goals

Cognitive (Anticipation/trajectory recognition example)

[Demonstrating anticipatory capability] It’s about trying to figure out what else might need to be done that hasn’t been asked for yet, like enquire about the patient’s social status, or to anticipate if they are going to need a consult down the line. SHO Interview IM H2

Displays of anticipation helped to secure greater recognition and autonomy within the team as well as opportunities for practice.

If you arrived on the job and just sat back; held the camera or delayed cutting stitches during operations you would never be allowed to do anything. It’s about being engaged…being interested. That’s the only way that you’ll get trained; you can’t just turn up. Surgical Registrar Interview S H1

Narrative

(Case framing example)

[A good presentation] shows that you are assertive and you know that you’ve got a management plan in your head and you are sure about what’s good for the patient. To get the consultant on your side, it’s important to have a bit of confidence... Intern Interview S H2

Displays of narrative capability represented opportunities to frame the team’s conceptualisation of patient cases as well as readiness for independent practice.

They know what the consultant wants to hear. They know what the consultant is going to ask them for. They have it in their minds that there is something going on here. They want to convey this to the consultant and get them onto the same thought process. Intern Interview IM H2

Interpersonal

(Being “in the know” and “knowing one’s place” example)

[The “in the know “assumption] The consultant requested a nephrology consult prior to discharging the patient. There was no explanation as to why the consult was necessary. I wonder to myself how the SHO and intern know what it is that they are seeking in terms of opinion or recommendations from the nephrology team. It is as if they are implicitly expected to understand the consultant’s thinking and to interpret his requests accurately without checking and reviewing his meaning. Ward Round Field Note IM H1

Displays of being “in the know” indicated currency of knowledge and awareness. Displays of “knowing one’s place” indicated awareness of hierarchy and self-reliance.

Sometimes you mightn’t be fully clear on why you are getting a consult. You have to read the whole chart trying to figure out why. You can go back to them [the senior team members]; they can be quite angry that you are asking. Usually they wouldn’t say anything, but they would be somewhat disgusted... Intern interview S H2