Discover and read the best of Twitter Threads about #AAMC19

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Amazing plenary speech about psychological safety from @AmyCEdmondson this morning at #AAMC19. I’ll share some highlights here—it was too good not to! THREAD

1/
She started off with her discovery of psychological safety as an important factor for performance. Here’s part of why it matters: we are all afraid of looking bad, and the easiest way to avoid that is by not taking any risks. Don’t ask questions, don’t offer ideas, etc.

2/
Psychological safety: “a belief that the context is safe for interpersonal risk-taking—speaking up with ideas, questions, concerns, or mistakes will be welcomed and valued.”

This is like permission to speak with candor.

3/
Read 15 tweets
A thread on #psychological safety at #aamc19

Not surprised 2hear that @AmyCEdmondson “stumbled into psychological safety while studying learning organizations.”

Perhaps that’s b/c psychosocial safety is a basic human need that must be satisfied to fully engage w/ learning
“I found that better teams were making more mistakes. Or maybe they were just better at talking about them” @AmyCEdmondson

But there are numerous barriers to doing so, which are called intrapersonal risks. These risks keep us quiet and disengaged and drive impression management
“We choose self-protection over growth.”

In medicine, why do we feel such pressure to protect our egos? B/c they are constantly under duress?

#aamc19
Read 14 tweets
Excited to hear @D_R_Williams1 talking about race and inequity in healthcare.

Although immigrants are healthier than their non-immigrant counterparts, “The longer immigrants stay in the US, the worse their health becomes.”

#aamc2019 #AAMC19
Individual racism: When black & white men tried to cross the street in Portland, black men had to wait >30% longer as 2x as many cars passed them by compared to white men.

Institutional racism: Black ppl have to wait longer to vote (almost 2x as long as white ppl).

#AAMC19
Racial inequities are not acts of God. They are not random. They are the result of racism—the outcomes are exactly what the system was designed to produce.

#AAMC19
Read 10 tweets

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