As a clinician at the VA, have you felt constrained in the past about speaking up about patient care cases?

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  1. Joan says:

    Providers’ concerns often fall on deaf ears.

  2. doug says:

    worse than not being heard: punishments meted for “not being a team player”

    motto at our VA: keep your head low…and your voice lower

  3. mike says:

    I’m not even confident this e-mail will be protected. In the seven years I have been at the VA no one has ever asked for an opinion about the quality of health care we provide. There is a “learned helplessness” as we are constantly told to change the way we practice to meet some new bureaucratic mandate.

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