B.C. O'Brien is associate professor, Department of Medicine, and education scientist, Center for Faculty Educators, School of Medicine, University of California, San Francisco, San Francisco, California.
Acad Med. 2019 Jun;94(6):757-759. doi: 10.1097/ACM.0000000000002710.
The prospect of a more transparent society sounds promising. Advocates of transparency envision a future in which public trust in institutions and peoples' trust in one another run high because all information worth viewing is readily available and open to scrutiny. As health professionals, administrators, and educators work to enact this vision, careful consideration must be given to complex processes through which transparency occurs. Using examples from the 2019 Academic Medicine Trainee-Authored Letters to the Editor, this Invited Commentary describes two ways of framing transparency. The first, and most common, characterizes transparency as the transmission of information and focuses primarily on the accuracy, objectivity, and comprehensiveness of this information. The second identifies transparency as a social process comprising communicative acts that involve three components: the content, the viewer, and the medium. By calling attention to the relationships, interactions, and materials involved when information is shared, the latter, more social perspective illuminates potential gaps in the current framing of transparency as an ideal and a valued source of knowledge and feedback for health professionals. Calling attention to the complexities of informational transparency, particularly as part of health professions education, may be an important step in efforts to fulfill the goals that likely lie at the heart of transparency efforts-namely, the desire to develop and nurture healthy relationships grounded in honesty and trust.
一个更加透明的社会的前景听起来很有希望。透明度的倡导者设想，一个公众对机构的信任和人们之间的相互信任度都很高的未来，因为所有值得一看的信息都随时可用，并可以接受审查。作为医疗保健专业人员、管理人员和教育工作者，我们努力实现这一愿景，必须仔细考虑透明度发生的复杂过程。本文通过 2019 年《学术医学》学员撰写的社论信的例子，描述了两种构建透明度的方式。第一种也是最常见的方法，将透明度描述为信息的传递，主要侧重于信息的准确性、客观性和全面性。第二种方法将透明度确定为一个由沟通行为组成的社会过程，其中包括三个组成部分：内容、观察者和媒介。通过关注信息共享时涉及的关系、互动和材料，后一种更具社会性的视角揭示了当前作为理想和有价值的健康专业人员知识和反馈来源的透明度框架中存在的潜在差距。关注信息透明度的复杂性，特别是作为健康专业教育的一部分，可能是实现透明度工作核心目标的重要一步，即渴望在诚实和信任的基础上发展和培养健康的关系。
