Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational silence.
Approach to Improving Safety
Setting of Care
This commentary highlights cultural factors that contribute to organizational silence in academic health centers, such as rigid professional structures, time pressures, and hierarchy. The authors offer recommendations to address this issue, including developing faculty members as leaders committed to change and training mentors to teach colleagues conversation skills to enable them speak up and discuss concerns.