Dialogue Volume 14 Issue 2 2018 | Page 44

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PRACTICE PARTNER
send doctors to“ charm school”, to decrease their brashness and reinforce how they must set the tone for their residents. This hospital also trains staff to be alert for the fallout of incivility, like people refusing to work with particular doctors, or complaints that go through the grapevine. Doctors there are not only empowered but mandated to report such incidents. A recent Psychology Today column( May 1, 2018, Want Better Conversations in Times of Divisiveness?) argued that civility is too low a bar, that it just says: don’ t be nasty. The piece suggested we focus on a word that should be familiar to doctors, given where many work: hospitality – treating others in a warm and generous way. Yet civility has its own elegance, says Dr. Kaufmann. The term comes from the Latin civilis, and referred to the state of being a citizen.
Society depended on good citizenship and orderly behaviour. Without people cooperating towards a common goal, everything would collapse. So maybe civility is an ideal objective, in health care, other workplaces and life. Think of what it can unlock. There’ s a reason why Lady Mary Wortley Montagu, an 18th century English aristocrat and writer, once said that“ Civility costs nothing and buys everything.” Will we be civil in our discourse 100 % of the time? Of course not. That’ s why people have to be conscious of it and act deliberately and thoughtfully, perhaps especially when tensions are high.“ We see the highest functioning teams where civility is a value,” says Dr. Kaufmann.“ We need to keep the idea of being civil at the forefront of being a professional. That’ s a good thing for all of us, especially patients.” MD

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DIALOGUE ISSUE 2, 2018