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Utica College Authority Gradient in Medical Teaching Discussion Questions

 

Instructions:

“Authority gradient” exists within many organizations and groups. An article from the website of the Medical and Dental Defense Union of Scotland discusses this concept. The existence of an authority gradient within the healthcare setting can pose serious safety risks to patients.

Please read the article “Axing the totem pole” and then answer the following questions:

  1. The author writes about the PACE tool, which helps a subordinate speak up regarding an event he or she feels uncomfortable with. What are the steps in this tool?
  2. Do you feel that there is an authority gradient regarding decision making where you work? If so, describe the hierarchy involved.
  3. Have you ever been in a position in a work setting where you or someone you know was reluctant to speak up regarding a clinical matter due to a perceived authority gradient? Was there a negative outcome? Looking back, could the matter have been handled differently?