If you decide to approach your physician directly, you need to communicate respectfully and professionally. Choose an appropriate time and place, preferably in private and when both of you are calm and focused. Start with a positive statement, such as acknowledging their expertise, experience, or contribution. Then, state the facts of the situation without making assumptions, accusations, or judgments. Use "I" statements to express your concerns, feelings, or expectations, rather than "you" statements that may sound blaming or criticizing. For example, say "I noticed that you did not document the patient's vital signs in the chart" instead of "You forgot to document the patient's vital signs in the chart". Explain why following protocol is important for patient care, quality improvement, or regulatory compliance. Avoid using words like "always", "never", or "should", which may trigger defensiveness or resistance. Listen to their perspective and try to understand their reasons, challenges, or barriers. Use open-ended questions, such as "How do you feel about this protocol?" or "What are some of the difficulties you face in following this protocol?" to elicit their feedback and input.