Background: Each working environment has its own culture. Sometimes the culture is very difficult to deal
with - it is toxic. Signs of toxic environments are for example: high turnover in people, lack of
communication or negative communication, high rate of employee sickness, or little or no enthusiasm
among employees. Causes of a toxic environment are for example narcissistic leadership, lack of integrity
among colleagues, or extreme pressure to perform. Working in a toxic environment can affect your
performance: it can lead to less productivity, stress, loose of trust, low self-esteem, and negatively affect
well-being. Although surviving in a toxic work environment can be a good learning experience, in general,
as a Young Medical Educator it is not the place where you would like to be. In this workshop we would like
to discuss strategies to cope with a toxic environment based on evidence from the literature and inputs
from the facilitators and participants experience on what works.
Who Should Attend: Those who are relatively new to medical education.
Structure of Workshop: After the introduction (10’) we will:
• Analyze what experiences people have with toxic working or learning environments in their own context
including cultural challenges. (20’)
• We will present a very short summary of the literature on the causes of a toxic environment and how it
affects your performance. (5’)
• Group work with examples of strategies dealing with of toxic environments (30’), including large group
discussion (20’). Sharing take home message will close the session. (10)
Intended Outcomes:
• Recognize signs of and your reactions to a toxic environment.
• Be aware of several strategies to cope with toxic environments,
• Share what you learn with others inside and outside of your organization.
Level: Novice/Intermediat