Not surprised 2hear that @AmyCEdmondson “stumbled into psychological safety while studying learning organizations.”
Perhaps that’s b/c psychosocial safety is a basic human need that must be satisfied to fully engage w/ learning
But there are numerous barriers to doing so, which are called intrapersonal risks. These risks keep us quiet and disengaged and drive impression management
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In medicine, why do we feel such pressure to protect our egos? B/c they are constantly under duress?
#aamc19
These intrapersonal risks are destructive in the effort to learn and innovate #aamc19
What it is NOT:
Thus, psychological safety is a specific tool through which we can push learners farther WITHOUT pushing them over the edge #aamc19 @AmyCEdmondson
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Brings up the notion of a “lowerarchy.” Can we drop the hierarchy in medicine when it isn’t absolutely needed? I’ve seen this work best within the military special operations community #AAMC19
I take this 2mean that even in a toxic culture, mid-level leaders have⬆️ agency than we believe. Is it possible that local climate can overcome/change institutional culture? #AAMC19
What is the role of #shame in this paradigm? Our research suggests that high degrees of shame exist with low levels of psychological safety and high expectations #aamc19 @LaraVarpio
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If speaking up in our environments requires heroism, we have a lot of work to do. What would patients think if they knew it takes valor & courage 2simply advocate on their behalf?#aamc19
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One way to facilitate this is to actively manage the potential for shame in the feedback exchange #AAMC19 onlinelibrary.wiley.com/doi/10.1111/me…
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Thank you @AmyCEdmondson and @AAMCtoday for bringing this critical topic of #psychologicalsafety to #meded
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