A couple actions I have taken working with an interdisciplinary teamare focusing on shared goals and use Evidence-Based practice. If there are disagreements within the team, you could redirect the conversation to focus on how the decision will impact the patient’s care. If power imbalances are affecting patient care, the clinician may want to leverage their leader to help mediate the situation.

One thing that has helped me is to always remember the main goal of interdisciplinary meetings—open communication and keeping the patient at the center of everything we do. Focusing on patient-centered care ensures that our interventions are aligned with their best interests.

These strategies could be of help: 1. Define Roles and Responsibilities 2. Set Shared Goals and Priorities 3. Foster a Collaborative Environment 4. Acknowledge and address Power Imbalances with the team 5. Establish a process for resolving conflicts in a constructive and respectful manner. 6. Keep the patient's needs and well-being at the forefront of all decision-making. 7. Provide Training and Education 8. Encourage Active Listening 9. Lead by Example 10. Conduct Regular Team Meetings

Flattening the hierarchy is a goal Actions can be : - leader receive constructive feedback in front of the team - leader talking the last in a round discussion ( ++ in high stakes discussions) - developing a culture of speaking up ( technically not psychologically speaking) —> workshop all together - make this action mandatory for the leader to grow in the institution This point can change the environnement by a large factor We just have to implement them now