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Personal Statements -------
Suzanne Escudier, M.D.
Improving interprofessional teamwork is one of my personal goals. In crisis resource
management, we seek to expose the “frame” of reference of the participants, not only
to improve their patient care, but also to enable the participants to better understand
each other, and therefore to work together more harmoniously. The ultimate goal is
to create a culture of safety and to provide quality patient care.
The majority of healthcare students begin with a common dream. They want to make
a positive difference in other people’s lives, and in the world. After a time, obstacles
found in the workplace wear down even the most idealistic healthcare graduate. The
most abrasive of these barriers is often the interaction between healthcare team members.
In some instances healthcare workers may even feel that the actions of other team
members are detrimental to the patient.
In this environment, the solitary beacon that assists the healthcare worker through
each day’s tasks is the persistent desire for patient safety. In my own anesthesia
practice, the daily clash with surgical colleagues over the appropriateness of performing
a specific procedure is only resolved by reaching an agreement about which decision
most positively affects the continuity of life or the quality of life of our patient.
Obtaining this consensus always involves sharing the specific concerns of our different
My experience as a paramedic before, during and after attending medical school has
made me acutely aware of how the lack of communication and common perspective isolate
the various professions. As I grew into the new role of physician, and my frame of
reference broadened, there were moments when I sought to become an interpreter and
peacemaker between various team members. Unfortunately I found that my attempts at
intervention were pointless without a cultural change.
While most of our work is done with healthcare graduates, I look for every opportunity
to work with students. To make any substantial changes in attitudes and beliefs,
one must start work to do so before they are formed.
[a] references for review:
- American Society of Anesthesiologists Simulation Education website
- CME Office Contact information
- also see links page
[b] confidentiality policies:
For course information: firstname.lastname@example.org
Department of Anesthesiology
3601 4th St. MS 8182
Lubbock, TX 79430
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