Pediatric Resident Clinical Performance Audio Coding Analysis

A pediatric residency program study used covert audio recordings of 38 pre-feedback and 13 post-feedback patient visits to assess clinical performance. The analysis identified 50 contextual red flags, with residents probing six and patients revealing eight contextual factors. The dataset contains findings from the Content Coding for Contextualization of Care (4C) analysis.

Use Cases

• Analyze the frequency of identified contextual red flags across pre-feedback and post-feedback audio visits.
• Examine the relationship between resident probes and patient-revealed contextual factors from the coded audio.
• Assess changes in resident attempts to formulate contextualized care plans before and after feedback.

Strengths

• Data derived from 51 total audio-recorded clinical visits (38 pre-feedback, 13 post-feedback).
• Coding employed the structured Content Coding for Contextualization of Care (4C) instrument.
• Explicitly identifies 50 contextual red flags and 8 patient-revealed contextual factors.

Limitations

• Very small sample size of 51 visits limits statistical power and generalizability.
• Study concluded there was no significant change in resident performance with feedback.
• Dataset is tiny (5.5 KB), indicating limited scope and likely summary-level data only.

Provenance

Source

Justin Salehi via figshare.

Collection Method

Covert audio recordings of pediatric resident patient visits, coded using the 4C instrument supplemented by expert opinion.

Time Range

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Freshness

Last updated March 2026.

Geography

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