| Barriers to seeking attending physican’s advice (7) | Conflict with decision making autonomy (2) | | “it was a pain to kind of run by things with [the attending] … because it would kind of influence things too much and then you wouldn’t get a chance to make up your own mind and figure it out.” [R#21] |
| Fund of knowledge expectations (2) | | “I would turn to [the attending] for advice unless it’s something, I would if it was difficult or pressing, but I mean if it’s a question just something that I didn’t know the answer to …” [R#27] |
| Existence of defined hierarchy (2) | | “… between [the MICU resident or the MROC] or the other residents, I usually talk to them before I would make a decision to go up the chain” [R#38] |
| Fear of repercussion (1) | | ‘I mean [the attending] said I could call him in the middle of the night if I needed anything but I am not going to do that … I am not going to wake him up …” [R#35] |
| Facilitators to seeking the attending physician’s advice (6) | Need for escalation of care (4) | | “it wasn’t anything that critical it needed to be addressed that night, if I had been I would have been totally comfortable calling my attending because she made it a point to know that that was fine in calling” [R#39] |
| Options in decision making (1) | | “I feel like I can call the attendings if I have questions above my head or especially if there are a couple of options of what to do on the question I always run it by the attending to make sure, even if its with a text page” [R#37] |
| Clinical experience (1) | | “but if it were more like a clinical judgment thing and I hadn’t had that situation then I would ask [the attending] …”[R#22] |