Civil discourse as a survival skill in health care

Critical care physician Jess Bunin, co-founder of All Levels Leadership, discusses the article, "Civil discourse as a leadership competency: the case for curiosity in medicine." They challenge a core tenet of medical culture: the pressure to project certainty and always have the right answer. Jess argues that this fixation on "knowing" makes clinicians fragile and sabotages the ability to navigate difficult conversations on topics like racial equity and systems of power. The solution she proposes is civil discourse, which requires shifting one's identity from being "correct" to being "curious." She emphasizes that providing psychological safety is a leader's primary responsibility in making this shift possible. The conversation provides actionable skills like active listening and perspective-taking, reframing them not as "soft skills" but as essential survival skills for a health care system strained by polarization and burnout.

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