Effective communication is the cornerstone of any successful residency program and is vital in our day-to-day interactions as emergency medicine physicians. Not only does this include projecting your own voice as a leader, but also includes lending an attentive ear to the voices of your learners. For those of us in program leadership, we must be able to make decisions and enforce rules while also fostering a culture where each resident feels heard and valued. Establishing a two-way communication stream can help strengthen trust, build relationships, and promote a more productive and harmonious working environment. In this episode, Andy and John are joined by guest Geoff Comp, DO to discuss the importance of being heard, hearing, and ways to approach tough conversations in your life and career.

John employs an effective strategy to address residents’ grievances. He begins by asking: “What do you believe is the solution?” and then follows up with, “How should we implement this solution across everyone it may affect?” This approach encourages problem-solving while ensuring every perspective is acknowledged. It also allows John to communicate any concerns he may have as a leader.

Andy similarly encourages residents to discuss solutions instead of only discussing complaints. This approach makes conversations more useful and reduces extra frustration because everyone feels heard and validated. It moves the focus from problems to solutions, creating a more positive and team-friendly environment. 

Geoff emphasizes that he also encourages his residents to adopt a solutions-oriented approach and cultivate a growth mindset. These are key skills he believes should be nurtured within his residents. He often likes to plant a seed and allow residents time and space to grow even if in the moment they are not ready to make major changes.

Take-Home Points:

• Clear directives from leadership and active listening ensure residents feel valued, fostering trust and a productive work environment.
• Shifting the focus from complaints to solutions promotes constructive discussions that benefit the entire team.
• It is important to foster a solutions-oriented growth mindset among residents to enhance their professional development.

Post by Jordan Palmer, OMS-IV

About Our Guest:

Geoff Comp, DO
Assistant Program Director, Creighton University School of Medicine/Vallwywise Health Medical Center (Phoenix) Emergency Medicine Residency

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