“…10,15,18,19 A lack of systematic clinical skills assessment during or at the end of many residencies may further contribute to declining clinical skills among physicians in training and those entering practice. 18,19,[21][22][23] In addition, clinical teachers do not adequately observe trainee-patient interactions or provide specific and actionable feedback. 24 Attending physicians may be unaware that residents admit patients without independent review of clinical data, or they may witness this without registering or correcting faulty habits.…”