Originally Posted by
St Hallett
I'd say that, in the West, we are still ahead of the medics when it comes to very demanding standards with no-one, no matter their rank, excused.
There is still a definite strata of hierarchy in medicine, but also an increased legalisation of both the decision making and reflection / review / serious impact assessment process that is actively at odds with the improvements in aviation.
You only have to look at the Bawa-Garba case in the UK to see both of these things. Her real-time dealings with he consultant in the case, who ultimately threw her under the bus, sounded spookily like some of the (up and down) status issues that CRM is intended to address. Much attention to individual's perceptions of their roles rather than the big picture of the right outcome for the patient.
The subsequent decisions that doctors' reflections on incidents, which they are supposed to use for learning and appraisal purposes, could be entered into evidence in court to prove neglect or negligence has had the immediate effect that doctors will now commit nothing to paper. This is a huge step backwards in the learning and improving process but, ultimately, if you make people afraid for their livelihoods, they will choose that.
From an SLF perspective, this is a fascinating forum, and for the most part resolutely unscary - apart from the occasional sense that there are clearly multiple ways to skin the cat of flying a particular aircraft type, given the pages of opinion about flight modes, switch settings, autopilot / throttle / etc behaviour, that perhaps leave one with the unnerving sense that something a little less complex may, in fact, be better all round.