You know, I agree with you guys: Good instructors don't scream, and you take somebody aside and work with them in private, and explain what needs to be done, or demonstrate what needs to be done, or come up with a checklist to help somebody remember what needs to be done, or similar actions. I'm accounted a very good teacher in a number of disciplines, but with this particular resident, I got nowhere using every strategy I knew. He was simply lazy and careless, and cut corners and left work undone. He was eventually fired, but I did not have the power to remove him from my service. I screamed at him when his laziness and desire to go home early the night before resulted in the THIRD time a surgical procedure on a patient had to be cancelled because of lack of proper preparation of the patient. This resulted in a THIRD hospital day which would not be paid for by insurance because it wasn't necessary, and a THIRD set of antibiotic doses given to the patient, which have side effects, and a THIRD day of a screwed up operating room schedule because the first case got cancelled. I did lose my temper, but a part of me thought that just maybe, if I used a different and more colorful approach, it MIGHT make a dent in this guys skull. It didn't, and rage is the last refuge of an instructor who's emptied his bag of tricks, to be sure!
I like to have died laughing when I read that. 
