See what is before me | Take a bird’s-eye view | |||
---|---|---|---|---|
Shut up | Speak up | Shut up | Speak up | |
Intervene | The patient is my first concern I must cultivate those skills and relationships that I need to understand and address their problems | I speak frankly and clearly I must say what needs to be said to effect positive change, even when doing so feels awkward | I apply myself with discretion I must concern myself with and only with the most pressing issues, switching focus if and only if necessary | I demand a better work environment I must refuse to carry out tasks that do not require my skills, and demand to be assisted with those that I struggle with |
Stay my hand | I stand back and observe when there is time I must not rush in or do anything in vain, but listen intently and weigh my words carefully | I refuse to do harm I must object to interventions that would cause disproportionate harm or incur unacceptable risks | I enjoy being good enough I must maintain a self-image that does not depend on the approval of others, celebrate my triumphs and refrain from destructive self-critique | I uphold the integrity of my profession I must protect general practice against undue expansion, rejecting responsibilities that would require me to quack |