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In this brief monologue, Clay Linkous highlights a critical blind spot in physician engagement surveys: the physicians who do not respond. He explains that research on survey non‑response bias shows disengaged clinicians often stop answering rather than providing negative feedback, meaning that declining response rates can mask quiet burnout. Clay warns that high engagement scores may simply reflect apathy among the remaining respondents, not genuine satisfaction. He urges leaders to find ways to reconnect with clinicians who have stopped completing surveys and asks viewers to share their experiences and advice.

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