TABLE X.

Description of the ABOS Behavioral Tool

Professional Domain	Descriptors
1. The resident adheres to ethical principles	Demonstrates honesty and integrity (i.e., worthy of the trust bestowed on us by the patients and the publics good faith, reports and analyzes medical errors, maintains confidentiality, understands their scope of practice with appropriate use of knowledge and skills, and trustworthy) Exhibits ethical behavior in professional code of conduct (i.e., student recognizes that being an orthopaedic surgeon is a “way of life” that serves the patient and community, advocates in the best interest of the patient, goes “above and beyond,” they “do the right thing,” respects diverse patient populations, including but not limited to diversity in sex, age, culture, race, religion, disabilities, and sexual orientation)
2. The resident communicates effectively with patients and with people who are important to those patients	Shows compassion/empathy (i.e., collaborates with the patient and enhances the relationship) Demonstrates communication and listening skills (i.e., attentive, shows patience, respects patient autonomy and empowers them to make informed decisions, and manages communication challenges with patients and families) Shows respect for patient needs (i.e., respects patients' viewpoints and considers his/her opinions when determining healthcare decisions, regards the patient as a unique individual, treats the patient in the context of his/her family and social environment, and takes time to educate the patient and his/her family)
3. The resident effectively interacts with other people working within the health system	Shows ability to work with faculty, peers, and medical students (i.e., shows respect, supports faculty mission to provide quality patient care, works collaboratively, can work with a team and cares for other members of the team, able to resolve conflicts effectively, adapts to change, and creates effective personal interactions) Students' level of composure (i.e., ability to handle difficult situations with ease, has good coping strategies, and manages stress well) Students' identity formation (i.e., ability to “fit in” with their role as a student learner, shows maturity in their specific role as a student physician learner and socialized to the medical environment)
4. The resident is reliable	Work ethic (i.e., shows interest and available, protects patients' interests, driven, willingness to conduct patient care without prompting, and committed to maintaining quality of care) Punctuality (i.e., shows to clinic, OR, conferences, and call cases on time) Level of responsibility/accountability (i.e., ability of the resident to answer for his/her conduct, timely completion of medical records or other required tasks, acknowledges his/her limitations, strives for excellence, show pride in his/her actions and thoroughness, and level of confidence that a task will be performed)
5. The resident is committed to autonomous maintenance and continuous improvement of competence in self, others, and systems	Students' ability to self-assess (i.e., the resident recognizes his/her limits; ability to self-reflect and hold themselves accountable; commits to life-long learning; identifies strengths, deficiencies, and limits in one's knowledge and expertise; and personal responsibility to maintain emotional, physical, and mental health) Students' receptiveness to critique (i.e., the resident responds to feedback by accepting criticism, looks at self objectively, and changes his/her actions)

ABOS = American Board of Orthopaedic Surgery, and OR = operating room.