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...

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...

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...