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Over the past few days I have been thinking a lot about how to improve women physicians' negotiation skills, a main topic of discussion on this thread. I've also been thinking about it because I am taking a negotiations course this semester at business school.

Reflecting on my time on the wards, I think that doctors and residents (men and women) DO negotiate a lot, everyday in fact. They negotiate with their patients, with other services in the hospital, with nurses, etc. We get experience negotiating for others but not for ourselves, which is a key distinction, one that might be even more important for women.

In my current negotiations course, we spend every other class negotiating with our peers. Is this the missing piece for medical trainees? Given the trend to use simulation more in residency training, couldn't we use simulation for negotiation skills as well? What do you think?