Confessions of Physicians: What Systemic Reporting Does Not Uncover.

I t’s ?1 July, and the newest group of anesthesiology residents is sitting around the conference table. With clear memories of previous failed efforts to get them to ‘‘open up,’’ the program director is trying something new. Sixteen pieces of folded paper are arranged in a pile, one for each resident in the room. Each paper contains a typed statement, and there are no names attached to these ‘‘confessions.’’ The papers are shuffled and dealt, poker-style, to the group. Participants are reminded, ‘‘Even if you get your own statement, do not reveal the authorship, as anonymity is critical to the session.’’ The first statement is read: