American Association for Physician Leadership

Operations and Policy

Three Keys to Speaking Up When It Matters

Harvard Business Review

April 15, 2019


Summary:

Learn about 3 keys to speaking up when it matters. It's part of being a compassionate colleague or thoughtful leader.





You’re not really doing your job as a compassionate colleague or thoughtful leader if you don’t join the conversation. So what can you do?

Speaking up is hard to do. Let's say you see something ethically questionable, notice someone not being included, encounter offensive speech or disagree with a consensus opinion. Research suggests that most people tend to not act, and then rationalize their inaction.

You’re not doing your job as a compassionate colleague if you don’t join the conversation. Here’s how:

Realize how difficult and worthwhile speaking up can be: Research on “realistic optimism” shows that when people set out to do personally meaningful things, they’re more likely to follow through if they expect the task will be challenging. Recognize the difference between believing you will succeed and assuming you will do so easily.

Work to lessen the social threat of speaking up: Social motivation comes in five flavors: status, certainty, autonomy, relatedness and fairness. Together they form the common currency of interpersonal interaction: the rewards and threats we face when dealing with other people. When you’re speaking up, any one of these five buttons might be pushed, but most commonly it’s status. So you need to make clear you’re not out to get anyone, nor are you necessarily attributing ill will to the person or people you might be speaking about. Show that you’re providing feedback on impact, without making any assumptions about intent.

Make a plan: Uncertainty breeds inaction. “If-then” planners are about 300% more likely than others to reach their goals. Creating a plan for how to speak up in various situations can significantly increase the likelihood that you’ll do so when the moment presents itself.

Harvard Business Review

Harvard Business Publishing (HBP) was founded in 1994 as a not-for-profit, wholly-owned subsidiary of Harvard University, reporting into Harvard Business School . Our mission is to improve the practice of management in a changing world. This mission influences how we approach what we do here and what we believe is important.

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For over 45 years.

The American Association for Physician Leadership has helped physicians develop their leadership skills through education, career development, thought leadership and community building.

The American Association for Physician Leadership (AAPL) changed its name from the American College of Physician Executives (ACPE) in 2014. We may have changed our name, but we are the same organization that has been serving physician leaders since 1975.

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