About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices.

Ramani S, Könings KD, Mann KV, Pisarski EE, van der Vleuten CPM. Acad Med. 2018;93:1348-1358.

Constructive feedback is a pillar of strong safety culture. Through resident and attending physicians focus groups at a single institution, investigators found that cultural emphasis on politeness and excellence hindered all parties' ability to provide honest feedback. The authors advocate for transitioning to a culture of growth, which would shift their institution toward a more just culture.

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