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Disagreeing respectfully: embracing complexity facilitates civil discourse.

Ariel Lefkowitz1,2, Jerry M Maniate3,4, Ayelet Kuper1,2,5

  • 1Division of General Internal Medicine, Sunnybrook Health Sciences Centre, Ontario, Canada.

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Rising polarization impacts workplaces. Embracing complexity in civil discourse is crucial for physicians to navigate disagreements respectfully, ensuring patient safety and professional conduct.

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Area of Science:

  • Medical Ethics
  • Professional Communication
  • Healthcare Management

Background:

  • Increasing polarization and incivility negatively affect workplace dynamics, collegiality, and performance.
  • There is a growing need for improved communication and understanding within the medical profession.

Purpose of the Study:

  • To advocate for civil discourse in medicine.
  • To highlight the importance of embracing complexity in professional interactions.
  • To define the boundaries of professional conduct in healthcare settings.

Main Methods:

  • Conceptual analysis of civil discourse in medicine.
  • Examination of physicians' professional responsibilities and patient advocacy.
  • Distinguishing civil discourse from moral relativism and its misuse.

Main Results:

  • Embracing complexity fosters nuanced thinking and respectful dialogue among physicians.
  • Civil discourse principles clarify professional conduct, enabling advocacy while maintaining collegiality.
  • Physicians' professional rights are balanced by responsibilities to patients and colleagues.

Conclusions:

  • Civil discourse, grounded in complexity, is essential for effective physician communication and collaboration.
  • Physicians can advocate for patients and communities while upholding professional standards.
  • Respectful dialogue and nuanced understanding are key to safe and effective patient care.