What makes a good surgical leader—and what happens when people are afraid to speak up?
Dr. Paula Ferrada returns to Trauma ICU Rounds for a conversation about leadership in surgery, psychological safety, mentorship, and building teams that put patients first.
We begin with hemorrhage-first trauma resuscitation and the difficulty of challenging established practice, then explore how surgeons earn trust, respond to mistakes, support colleagues, and develop the next generation of leaders.
Topics include: • Moving beyond blame and shame in surgical training and quality improvement • Why leadership requires more than a title • Finding mentors and supporting others as they advance • Managing your own emotions under pressure • Addressing gender bias and creating leadership opportunities • Balancing decisive trauma team leadership with a culture of speaking up • Approaching a struggling colleague with empathy • Practical steps to become a better leader tomorrow
A conversation for surgeons, trainees, and anyone leading a team in trauma or critical care.
Resources: The 5 Levels of Leadership — John C. Maxwell
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