SPECIAL COMMENTARYThe disruptive physician and impact on the culture of safetyWright, Crystal Author Information Department of Anesthesiology and Perioperative Medicine, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA Correspondence to Crystal Wright, MD, FASA, Department of Anesthesiology, 1515 Holcombe Blvd, Houston, Texas 77030, USA. Tel: +7133068561; e-mail: [email protected] Current Opinion in Anaesthesiology: June 2021 - Volume 34 - Issue 3 - p 387-391 doi: 10.1097/ACO.0000000000000968 Buy Metrics Abstract Purpose of review The disruptive physician is a growing problem in medicine. All too often, physician behavior negatively impacts the delivery of quality patient care. The hostile environment that certain behaviors create makes it difficult for team members advocate for their patients. It is imperative that physician practices develop and an understanding of how to identify the disruptive physician to maintain patient safety. Recent findings Disruptive physicians can damage team morale by creating a psychologically unsafe working environment. Healthcare organizations must be committed to ensuring that all team members can function effectively in their work environments. The leaders of healthcare organizations must be acutely aware of what constitutes disruptive behavior and act proactively to eliminate such behaviors. Disruptive physicians should be made acutely aware that their behavior is deemed unacceptable and efforts at correcting such behavior are imperative. Summary The practice of medicine is multifaceted. It is imperative that the assurance of psychological safety is met to meet the standards of high quality and safe care for patients. Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.