More extensive examples of narratives can be found in Additional File 1. Finally, the comparative data is presented in section three. Descriptive data The data collected includes 377 narratives from the 404 fourth year medical students rotating at 13 different central Ohio emergency departments recorded from July 2008 through April 2010. Approximately 10% of Inhibitors,research,lifescience,medical the narratives demonstrated two major themes, which resulted in a total

count of 413 thematic elements coded for the 377 narratives. The most frequent participants in the narratives were attending physicians, who appeared in 276 narratives (73.2%). The other individuals involved in the narratives were patients (184 posts; 48.8%) family members (58; 15.4%), residents (25; 6.6%), nurses (28; 7.4%), consultants Inhibitors,research,lifescience,medical (15; 4.0%), “the team” (26; 6.9%), other physicians (8; 2.1%),

other students (1; 0.3%), prehospital personnel (paramedics, etc.) (6; 1.5%) and all other individuals combined (e.g., physical therapists, laboratory technicians) (12; 3.2%) and interns (2; 0.5%). Of the 377 narratives posts, 198 were coded as positive, 128 were coded as negative, and 37 were coded as hybrid. 12 narratives were Epigenetics inhibitor general comments without a specific story Inhibitors,research,lifescience,medical and 2 were coded separately as both positive and negative but in two different thematic categories. Thematic Analysis The established categories used for thematic analysis involved Inhibitors,research,lifescience,medical two major domains. The first was the medical-clinical interactions domain, which included observations of faculty and staff interactions with patients, families, coworkers, and colleagues. The second domain focused on the teaching and learning environment, which included the students’ experiences as learners in the clinical setting [3]. The analysis revealed that 383 thematic elements (92.7%) were categorized under the medical-clinical interactions domain, while 30 thematic elements (7.3%) Inhibitors,research,lifescience,medical fell under the teaching and learning environment domain. Table ​Table11 presents the major themes, sub-themes, and positive, negative, and hybrid stories. Table ​Table22 presents the same data for the teaching and learning unless environment

domain. Table 1 Thematic Content of Professionalism Narratives Within the Medical- Clinical Interaction Domain Table 2 Thematic Content of Professionalism Narratives Within the teaching and learning environment domain The most common theme noted in narrative analysis was manifesting respect or disrespect in clinical interactions with patients, families, colleagues, and coworkers. Often times the content of the narratives that fell under this theme was focused on the appropriate use of the ED. As one student explains: I have been impressed during each one of my shifts how respectful the attendings remain when faced with patients who have made poor choices or who are presenting to the ED when they really should be going to a family physician or staying home.