Dysfunctional Momentum Unchallenged concept that events are - - PowerPoint PPT Presentation

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Dysfunctional Momentum and Master Clinicians

Gerard M. Doherty Chair of Surgery Utley Professor of Surgery and Medicine Boston University Surgeon-in-Chief Boston Medical Center

Mom’s Company Rule

Class of 1993

Dysfunctional Momentum Unchallenged concept that events are unfolding as expected

Barton and Sutcliffe 2010

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Situated Humility

Confidence in one’s own skills AND Acceptance that a complex, dynamic or uncertain situation is not fully knowable

Barton and Sutcliffe 2010

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Feet Head Right Left

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Feet

R carotid a. R superior parathyroid

Head Right Left

Non-recurrent laryngeal n.

Firefighters and Clinicians*

Dysfunctional Momentum

• Action Orientation
• Inflexible Planning
• Rationalization
• Unabated Progress
• Deference to Expertise
• Ignore Ripple Effects

Situated Humility

• Rejects Complacency
• Accepts Unknowability
• Invites Interruptions
• Skeptical of Experts
• Deliberate Slowdowns
• Seeks Diverse Perspectives
• Creates Accessibility

* and Coal Miners, Small Business Owners, Corporate Executives

Linear Complicated Systems

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Linear Complicated Systems

Multidimensional Complex Systems

Recovery

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Master Clinician: Effective Team Leadership

Cultivate Humility Encourage Skepticism Seek Bad News Think Out Loud Make Yourself Available

Boston University Medical Campus