During morning rounds in an intensive care
During morning rounds in an intensive care unit, the senior medical resident of the team, Dr. Ivy Wong, presents on an intubated patient with active lupus. Due to concern for lupus flare causing organ damage, the resident paged the Rheumatology fellow. She also contacted the Nephrology team due to worsening renal function. Dr. Wong proceeded to present the case to the team. Her attending had a reputation of having a temper and harshly criticizing residents. When Dr. Wong mentioned the referrals, the attending questioned why she had done so, asking “So you called them because you did not know what to do to take care of this patient yourself?” Dr. Wong felt humiliated in front of the team of residents, fellows, pharmacists, nurses, students, and a family member who were all present. She felt that the attending insinuated that she did not have the knowledge base to manage the patient on her own. Although most of the team members knew the harsh criticism was unwarranted, no one said anything for fear of retaliation. Which of the following 7 C’s of teamwork did the attending violate and therefore reduce team orientation, collective efficiency, psychological safety, and mutual trust? A. Coaching B. Capability C. Cooperation D. Cognition
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