James talks to Sarah Dalton about graded assertiveness. A concept that arose from the aviation industry.
Graded assertiveness gives junior members of a team the opportunity to speak up in a medical environment which is traditionally hierarchical.
Dr Sarah Dalton is a Consultant in Paediatric Emergency Medicine at The Children’s Hospital at Westmead as well as Clinical Director at the Clinical Excellence Commission in NSW where she oversees a Clinical Leadership Development program. Sarah is President-Elect for the Division of Paediatrics and Child Health at the Royal Australasian College of Physicians and holds a Masters in Applied Management in Health.
Sarah has a long-standing interest in the translation of evidence into practice, and is a strong advocate for improving Quality and Safety in Healthcare. She has a particular interest in clinicians leading change and recently completed a Fulbright Scholarship to evaluate Clinical Leadership Development Programs in the United States.
With Dr Sarah Dalton, Paediatrician at the Children’s Hospital, Westmead, New South Wales, Australia
Graded assertiveness describes an approach to getting the message across within a team. The concept arises from the aviation industry, where junior crew needed a framework to discuss important issues withtheir senior colleagues. Graded assertiveness gives junior members of a team the opportunity to speak up in a medical environment which is traditionally hierarchical.
Case 1 – You are a junior doctor working on a busy Orthopaedic team. On morning rounds the Registrar marks a patient’s left leg for a hemiarthroplasty. You admitted the patient and believe they have a right neck of femur fracture for operative management.
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