Why Not Everyone Gets Honest Feedback

Most organizations don't have a feedback culture. They have an annual review process and call it one. The two are not the same. This post, the first in a three-part series, looks at why honest feedback is so rare in physician-led teams. It explores three quiet factors that decide who gets the truth and who gets a polite smile: hierarchy, responsibility, and setting. Drawing on my experience in Toastmasters, where structured feedback is part of every meeting, the post argues that feedback culture is a structure you build, not a process you visit occasionally. It offers healthcare leaders a place to start.