What weighs most is what we do not say.

Abstract

To our knowledge, formally established and systematically evaluated second-victim support programmes are not widely implemented or reported in Spanish endoscopy units. Collegiality and goodwill may exist, but identifiable and measurable programmes remain uncommon. Recognising and sharing existing initiatives would be an essential first step, not as "soft psychology," but as patient safety, talent retention, and serious medicine. What we carry that is visible has weight. But what we do not say weighs far more.