1. Direct observation of trainees is important for assessing clinical skills, providing feedback to help them improve, and reinforcing that their work is meaningful. 2. When observing trainees, the observer should minimize distractions, avoid intrusions, and be prepared with specific behaviors to focus on, such as communication skills and patient interactions. 3. Effective applications of direct observation include distinguishing parts of clinical encounters, observing hallway interactions, and focusing on behaviors rather than judgments to provide structured feedback afterwards.