Local Culture – Friend or Foe
Pierre F. Saldinger, MD, FACS
What is Culture?
Culture is defined as the set of shared
attitudes, values, goals, and practices that
characterize an institution or organization.
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What is Culture really?
“Culture is what people do
when no one is looking.”
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Friend
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Friend
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Foe
Ann Surg 2016;263:9–11
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Foe
Ann Surg 2016;263:9–11
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Foe
“Barriers to readiness include a resistance
to change, a cynical attitude toward
change, and a lack of faith in the
organization’s ability to change”
Weidman DA, Ann Surg 2016;263:9–11
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Beware of the established culture – the “FOE”
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Changing Culture
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How to turn Foe into Friend. . .
. . . Or how to neutralize the cynic.
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Culture intervention
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Culture intervention
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Culture post-intervention
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Using CUSP to change the culture
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Bottom line
Its tough
Its painful
Its worth it and so rewarding
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