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Psychiatry Residency Training Program
 
  Applicants Department GME Office Home School of Medicine UW UWHA

Residency Policies & Procedures
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VII.  RESIDENT AND PATIENT RIGHTS

A. Resident Rights

Psychological and sexual abuse; Complaints

Sex discrimination in the form of sexual harassment, defined as the use of one’s authority or power, either explicitly or implicitly, to coerce another into unwanted sexual relations to punish another for his or her refusal, or as the creation by a member of the University community of an intimidating, hostile, or offensive working or educational environment through verbal or physical conduct of a sexual nature, is a violation of the University’s human rights policy.  (University Handbook, vol. IV, p. 44).

Sexual harassment and exploitation (a) abuse the rights and the trust of those who are subjected to such conduct; (b) may influence the academic and professional advancement of medical trainees in a manner that is unrelated to their scholastic or clinical performance; (c) may harm professional working relationships; and (d) are likely to jeopardize patient care.  Sexual harassment and exploitation in medical training programs are therefore highly unethical.

Consensual sexual relationships between a medical trainee and a supervisor, when the supervisor has professional responsibility for the trainee, are objectionable because of the potential for exploitation and the potential impact on patient care.  Consensual sexual relationships between a medical trainee and a supervisor when no professional relationship exists may also be a cause for concern.

Anybody who experiences sexual harassment should contact the Residency Training Director or any faculty member who can discuss the formal and informal actions that are available.

Psychological abuse is defined as any communication or interaction with a Resident that is patently anti-educational or dehumanizing (examples: insults, name calling, harassment, inappropriate shouting at the resident, withholding clinical guidance or supervision, etc.).

Residents who experience psychological abuse will follow the procedures outlined in the conflict resolution policy, or will directly contact the Residency Training Director to discuss alternative action plans. Residents who have a complaint, or who wish to notify the Residency Training Director of an incident, may wish to contact the Director personally, or may use the “Faculty/Resident Incident Report” (see Appendix C).

The filing of this report is a first step and only documents the Resident’s side of the incident.  In further discussions with the Residency Training Director, or your Preceptor, or the Site Coordinator, you may wish to plan further action along the procedural lines outlined above.  The Residency Training Director is especially responsible for assuring the rights of both trainees and supervisors to due process and for protecting the confidentiality of those involved to the greatest extent possible.

B. Patient Rights
Psychological and Sexual Abuse
The Statues of the State of Washington (RCW 70.124) mandate the protection of patient rights.

Psychological abuse, in this context, is defined as any communication or interaction with a patient that is patently anti-therapeutic, dehumanizing, or that places the patient under excessive duress for non-therapeutic reasons (examples: name calling, use of derogatory nicknames, social slurs, demeaning remarks, inappropriate shouting at patient, inappropriately supporting a patient’s delusional system, anti-therapeutic social involvement with patients, etc.)

Sexual abuse is defined as any sexual contact between Resident and patient, physical or psychological (e.g., suggestive remarks, sexual jokes, inappropriate sharing of sexual stories), solicited or unsolicited.

Any person hearing of psychological or sexual abuse is required to immediately notify the site coordinator or Residency Training Director, who will initiate the formal procedures set forth in the residency performance evaluation policy.

Child and Elderly Abuse
Washington State laws require health professionals to report child abuse and elderly abuse.  When you suspect abuse, immediately contact you rotation Attending to discuss reporting.

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©1998 - 2013, Psychiatry Residency Training Program. All rights reserved.

Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560
206-543-6577
email: psychres@u.washington.edu