So far, in the current blog series, I have explained why I have changed my mind about resident progress and evaluation transparency. I have also offered a series of questions programs can utilize to improve the gaps (as I see them) that may exist. Today I want to provide a reminder of why it matters – which boils primarily down to psychological safety.

Psychological safety is a concept that gets more attention than it once did, and rightly so. A psychologically safe environment “encourages, ...

Last week, I gave a few personal case studies on what led me to change my mind about full transparency regarding resident progress. The perspective-taking outcome from that has given me a new lens and a different way of viewing this difficult topic.  This week, I want to unpack it a little more.

The ACGME mandates programs to have a Clinical Competency Committee (CCC) with at least three members, one of which is a core faculty member. They are tasked with reviewing each resident twice a year...

I do like a good milestone. So, while I may or may not make any resolutions for the New Year, I think it’s important to pause, reflect, and refine. This year I used Sahil Bloom’s annual review. The first question was, “What did you change your mind about this year?”

At first glance, I wondered, “Did I actually change my mind about anything?” But, just like anytime we give our brains space to answer and reject the initial “I don’t know.” or “Nothing.” the answers began pouring out. 

One ...