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LeeAnn's avatar

Great read. If I was younger I’d go back to school and earn a degree in Industrial/Organizational psychology. So many unrecognized systems failures are winning in anesthesia right now.

Mark J Haffey CRNA's avatar

This is spot on! The term Cultural Debt is precisely why we have long term failure. The entire culture of the healthcare system has to be evaluated and leadership ALL working in concert together.

Ryan McDonald's avatar

The most difficult calculus is ascribing a "value" to the "Cultural Debt" and placing that as a line-item on the P&L to demonstrate the potential/actual risk for toxicity. It is a fair ask that anyone looking to join a group should be making...

I will always caution anyone to understand the length and depth of that chasm between earnings and ambition, and avoid becoming the footbridge...