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  • Debbie, I appreciate this generic "leadership" and "team building" advice, but you didn't address "(with)in military health care" culture. We are part of a culture that says "mission before individuals." We DO leave our team members, and patients, behind, when medical errors occur, on the battle field, if you will. LTG Horoho said it very well on her TedMedX Talk a few years ago - "Confront harm and prevent medical casualties" (http://www.tedmed.com/talks/show?id=309104). We hide behind M&M closed door conferences when 'the team' feels threatened. I found Team Identity and Trust were not upheld when the status quo was threatened. You said "Health care, particularly military health care, is not well suited for lone wolves," and indicate behavior needs to be monitored. "Providing constructive support to others on your team fosters improved communication and coordination, plus, it’s impactful to know that someone has your back. The military’s emphasis on having a “battle buddy” or “wingman” to provide backup, monitoring, and support fits well with the benefits of backup behavior in a health care team." When we needed an honest and transparent look at ourselves, this all goes out the window and scapegoats are identified, or at the very least the patient/ family members are injured and we are expected to keep it to ourselves. "Job career protection" and "protect your Commander" are the rule, and this is misconstrued as "Team Work." I submit this issue is one reason our suicide rate stays so high and would like you to write a follow-on to this blog article and address this culture issue regarding establishing teams in military health care.

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