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Mutual Expectation Compacts A Means to Link Practice Culture and Vision

Mutual Expectation Compacts A Means to Link Practice Culture and Vision


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We describe the development of a mutual expectation compact in an academic department of surgery as a means of reinforcing the department’s vision document and promoting cultural change. The compact makes explicit those implicit agreements that exist between a physician and his or her practice. It strengthens the relationship by avoiding the misunderstandings that can arise when agreements are implicit.