KevinMD October 4, 2024
Ashten Duncan, MD, MPH and Isabel Diaz Morfin, MD

We saw the smile vanish from her face instantly. Our colleague, a zestful individual with a passion for obstetrical care, fell silent after our superiors met her ideas for improving her training experience with defensiveness and deflection. After the meeting, she confessed she was losing hope about getting robust enough exposure to delivering babies and managing laboring mothers prior to completing residency. For her, this was essential to her securing a job she desired after graduating. When we asked what caused her to become disconsolate immediately, she said it was the unwillingness to explore ideas and understand her concerns.

What our colleague experienced was a lack of psychological safety, which is defined as the perception of being safe from negative...

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