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Commentary

Speaking up—when doctors navigate medical hierarchy.

Srivastava R. Speaking up--when doctors navigate medical hierarchy. New Engl J Med. 2013;368(4):302-305. doi:10.1056/NEJMp1212410.

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February 20, 2013
Srivastava R. New Engl J Med. 2013;368(4):302-305.
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This commentary relates a compelling account of how, after a patient's death, two physicians realized that each had harbored qualms about his fitness for surgery but neither spoke up. The author explains how their experience offers lessons on the implications of tacit hierarchy, as well as a path to overcoming it.

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Srivastava R. Speaking up--when doctors navigate medical hierarchy. New Engl J Med. 2013;368(4):302-305. doi:10.1056/NEJMp1212410.