By Jonathan Sherbino (@sherbino)
I’ve been thinking about the role of trust in medical education. Last night at midnight, I recorded a KeyLIME podcast on how trust impacts the effectiveness of a team. (Keep an eye out for the podcast; it should be out in about a month.) Today, my RSS reader highlighted that JGME published a study by Teresa Chan on how trust influences the relationship between physicians.
- how an individual perceives the cohesion among members of the team, AND
- how an individual perceives the performance of a team will influence how much they trust the team.
The second paper by Chan et al. (disclaimer – I’m also an author), found that expertise, reputation, reliability, alignment of interests, engagement, and person-ability all influence the degree of trust between physicians. (If you’re interested in reading more about how trust and familiarity interact in this study, check it out here.)
When I read about trust, it typically is from business or organizational scholars. Medical education can learn from these disciplines and others. (Side note: I think that medical education is not a discipline with a discrete and distinct domain of knowledge, rather it spans the social sciences, biological sciences and professions.) However, I worry that we have neglected the specific investigation of the impact of trust within medical education. Teaching, feedback, team-based learning, inter/intra-professional learning, communities of practice etc. all build on a foundation of trust. Perhaps it’s time that medical education scholars return to this theme. Trust me, it’s important.
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