Take a listen as Dr Street, an MFM in FT practice and contract negotiation coach, discuss graduates' opportunities for negotiations.

To finish out this blog series on trainee review, confidentiality, and psychological safety, reviewing a framework to help all aspects of academic medicine mitigate bias in our work seemed fitting. Whether it be patient care or candidate selection, Dr. Quinn Capers, IV, Interventional Cardiologist, Professor at UT Southwestern, Vice Chair of Diversity and Equity, and previous transformational leader at the Ohio State University, has given us a robust framework to utilize that I...

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...

This week we are concluding the coaching vs. mentoring blog series in academic medicine. So far, I've offered the impetus for this series and my reflections on it, the difference between coaching and mentoring, strictly speaking, and the approach for core faculty, as I see it. Now, I'm coming full circle to mentoring and coaching related to residents, fellows, and external coaches. 

I am often the first professional coach with whom a resident has ever worked. Many...

We are finally in the last chapter of autonomy as one of three key underpinnings of psychological fitness for physicians – autonomy, relatedness, and competence. This week, I will attempt to tackle – imperfectly so – the unique situation of autonomy for residents and fellows. After all, trainees are not different in what supports their psychological health than attendings.

Autonomy of task/technique (i.e., supervision): Most discussions about autonomy for trainees...