CHAPTER 15
Communicating Across Hierarchy
Take a look at the following true stories, described in brief:
A male surgeon swears at a female clinician over the phone. When he later apologizes, he says, “I never would have spoken to you that way if I had known you were a physician.”
A physician remarks one day, “We’re now being dictated to by administrators, the people who weren’t smart enough to get into medical school.”
When a nurse disagrees with a doctor’s plan of care, he offers to give her $50 to pay for her application to medical school so that she can gain decision-making authority.
A nurse manager reports that a senior physician who rounds with residents and fellows on her floor fails to acknowledge or make eye contact with the bedside ...
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