… train men­tors

Modern Healthcare - - Opinions Letters -

Ihave spent the past 10 years eval­u­at­ing the fre­quency and ef­fect of dis­rup­tive physi­cian (and nurse) be­hav­iors and their neg­a­tive ef­fect on com­mu­ni­ca­tion, staff re­la­tion­ships and clin­i­cal (qual­ity and safety) out­comes of care.

In looking at the causes of why peo­ple be­have the way they do, I looked at the con­tri­bu­tions of age, gen­der, cul­ture and eth­nic­ity, fam­ily up­bring­ing, life ex­pe­ri­ences and per­son­al­ity. But the big­gest con­tribut­ing fac­tor to dis­rup­tive be­hav­iors and poor com­mu­ni­ca­tion skills is med­i­cal school train­ing.

On day one, stu­dents are hazed and ridiculed about what they don’t know, which leads to low self-con­fi­dence and es­teem. They be­come iso­lated and learn to func­tion in­de­pen­dently and later on be­come very dom­i­nant, au­thor­i­ta­tive and al­most bul­ly­ing as they take charge of pa­tient care. The fo­cus of learn­ing is on tech­ni­cal and knowl­edge com­pe­tency.

Their men­tors per­pet­u­ate the sit­u­a­tion. All th­ese un­der­ly­ing fac­tors are the an­tithe­sis of good com­mu­ni­ca­tion and col­lab­o­ra­tion skills.

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