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	<title>Katrina Karkazis &#187; medicine</title>
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	<link>http://www.katrinakarkazis.com</link>
	<description>notes on medicine, mostly</description>
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		<title>New Piece in The Lancet</title>
		<link>http://www.katrinakarkazis.com/new-piece-in-the-lancet/ </link>
		<comments>http://www.katrinakarkazis.com/new-piece-in-the-lancet/ #comments</comments>
		<pubDate>Fri, 12 Dec 2008 18:02:01 +0000</pubDate>
		<dc:creator>Katrina</dc:creator>
				<category><![CDATA[intersex]]></category>
		<category><![CDATA[medicine]]></category>
		<category><![CDATA[DSD nomenclature]]></category>
		<category><![CDATA[The Lancet]]></category>

		<guid isPermaLink="false">http://www.katrinakarkazis.com/?p=322</guid>
		<description><![CDATA[Ellen Feder and I have a new piece out in The Lancet tomorrow called &#8220;Naming the Problem: Disorders and their Meanings,&#8221; in which we talk a bit more about the harms that can result from the medical naming of conditions. You can read it here.
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			<content:encoded><![CDATA[<p>Ellen Feder and I have a new piece out in <em>The Lancet</em> tomorrow called &#8220;Naming the Problem: Disorders and their Meanings,&#8221; in which we talk a bit more about the harms that can result from the medical naming of conditions. You can read it <a href="http://74.220.219.62/~katrinak/wp-content/uploads/2008/08/Karkazis_Feder_Lancet_2008.pdf" onclick="javascript:pageTracker._trackPageview('/outbound/article/74.220.219.62');" target="_blank">here</a>.</p>
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		<title>The Importance of Psychological Safety in Teams</title>
		<link>http://www.katrinakarkazis.com/the-importance-of-psychological-safety-in-teams/ </link>
		<comments>http://www.katrinakarkazis.com/the-importance-of-psychological-safety-in-teams/ #comments</comments>
		<pubDate>Mon, 16 Jun 2008 00:34:47 +0000</pubDate>
		<dc:creator>Katrina</dc:creator>
				<category><![CDATA[intersex]]></category>
		<category><![CDATA[medicine]]></category>
		<category><![CDATA[Bo Laurent]]></category>
		<category><![CDATA[medical care]]></category>
		<category><![CDATA[teams]]></category>

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		<description><![CDATA[I have been talking a lot with Bo Laurent of late about how health care teams function. I find it fascinating and it&#8217;s about a close as I can get to understanding organizational development without going back to school. Bo recently did a study of the craniofacial team at University of Washington—a team that from [...]]]></description>
			<content:encoded><![CDATA[<p>I have been talking a lot with <a href="http://www.bolaurent.com" onclick="javascript:pageTracker._trackPageview('/outbound/article/www.bolaurent.com');" target="_blank">Bo Laurent</a> of late about how health care teams function. I find it fascinating and it&#8217;s about a close as I can get to understanding organizational development without going back to school. Bo recently did a study of the craniofacial team at University of Washington—a team that from what I can tell does a pretty marvelous job of being a team. One of the reasons Bo felt that team worked is that it had a high degree of what people in OD have come to call psychological safety. This concept was introduced in a 1999 <a href="http://74.220.219.62/~katrinak/wp-content/uploads/2008/08/psych_safety.pdf" onclick="javascript:pageTracker._trackPageview('/outbound/article/74.220.219.62');">article</a> and basically it argues that for teams to function well and learn from mistakes, members need to believe the team is a safe environment for interpersonal risk taking.</p>
<p>What does this mean? That irrespective of status or position on the team (i.e., whether nurse, social worker, or surgeon), all members feel safe to raise concerns, offer opinions, challenge views, and disagree even about a patient that isn&#8217;t &#8220;theirs.&#8221; Not only should team members be encouraged to voice their views and feel safe about doing so, but that they will not suffer professionally for their views by not getting raises or promotions and the like. Psychological safety doesn&#8217;t just emerge in a team; it has to be  learned and built upon so that it becomes part of the team&#8217;s culture and way of being. Seems to me that without this in place, it would be really hard for doctors and teams to learn from mistakes. With all of the focus on clinician-patient interaction in medical education, how to be part of a team may be even more important and would likely improve clinician-patient interactions as well.</p>
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