EPISODE · Nov 22, 2025 · 12 MIN
SJT: Clinical Conflict Resolution & Civility Saves Lives (passthemsra.com) - Free MSRA revision
from Pass the MSRA: Free Podcasts · host Pass the MSRA
This episode explains how to resolve clinical conflict safely, privately and professionally using NHS, GMC and “just culture” principles. It shows how civility directly reduces patient harm, why structured frameworks outperform emotion, and how to de-escalate, agree a plan, assign owners and document clearly. A high-yield MSRA SJT guide to managing disagreement without compromising safety. 0:00 Why conflict matters00:18 High-pressure clinical teams00:40 Patient-safety risk of conflict01:05 Civility as a safety mechanism01:38 Impact of rudeness on performance02:10 Just culture principles02:45 Maintaining accountability03:20 Distinguishing error vs recklessness03:58 Structured conversation tools04:25 Conflict-resolution sequence04:58 Relocate to private space05:20 State shared patient-centred goal05:45 Use SBR to explore facts06:10 Agree actions, owners, timelines06:48 Compact-T mnemonic07:20 PEACE mnemonic07:55 SBR as an emotional circuit breaker08:25 Major pitfalls and traps08:55 Avoid public arguments09:18 Avoid blame emails/escalation jumps09:48 Model phrases for de-escalation10:20 How to lock accountability10:55 Documentation essentials11:25 When to escalate proportionately11:55 High-stakes example scenario12:28 Patient-centred unified plan12:50 Final takeaways• Civility is a mandatory safety tool, not politeness• Rudeness reduces cognitive bandwidth and increases errors• Just culture = fair accountability + system learning• Private relocation always outranks public arguments• SBR transforms conflict into problem-solving• Compact-T provides a full structured resolution sequence• PEACE gives a rapid, high-yield shortcut framework• Documentation + proportionate escalation protect patients and cliniciansCompact-T mnemonic:• C – Calm, private space• A – Agree shared patient goal• L – List SBR facts• M – Map options• P – Plan & honour actions• A – Agree review• C – Capture in notes• T – Trigger escalation if neededPEACE mnemonic:• P – Private space• E – Establish SBR facts• A – Agree actions & owners• C – Call for support if required• E – Enter notesLinks:• passthemsra.com – Complete MSRA revision, notes, mocks, flashcards• freemsra.com – Free podcasts, threads and rapid-learning guides• msra.io – Smart MSRA Qbank with analytics#MSRA #SJT #MedicalRevision #UKDoctors #MedEd #ConflictResolution #CivilitySavesLives #JustCulture #PatientSafety #passthemsra #freemsra #msraio
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SJT: Clinical Conflict Resolution & Civility Saves Lives (passthemsra.com) - Free MSRA revision
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