Residency Policies & Procedures
VIII. CONFLICT & PRINCIPLES OF CONFLICT RESOLUTION
A. Housestaff Agreement; Grievance Procedure
- Grievance: a controversy of claim having to do with the specific
provisions of the housestaff agreement.
- Procedure: (see Housestaff Policy Agreement)
B. Other Conflict Resolution Procedures
- Conflict: Controversy or claim not having to do with the provisions
of the housestaff agreement (e.g., with regard to rotation assignments,
program changes, interpersonal conflicts, etc.). Note: In
case of controversy about performance evaluations please see performance
a. Conflict with Residency Training Director:
Present the conflict to the Departmental Chair within 30 days.
The Chair will arrange a meeting with the Resident. The Department
Chair may seek advice of the Clinical Service Chiefs, and will make
final decision within 30 days of presentation.
b. Conflict with an Attending or Supervisor
- Step 1: Present the conflict to the Assistant Training Director,
who may decide to mediate or refer the issue to the Clinical Service
- Step 2: Notify the Clinical Service Chief who will respond
within 30 days.
- Step 3: If no satisfactory solution is reached, notify the
Residency Training Director, who may set up meetings with the
involved parties. A decision will be formulated within 30
- Step 4: Either party can appeal the decision made in step 3
to the Department Chair.
c. Conflicts with nursing staff, support staff, other disciplines:
Immediately notify the supervisor (i.e., attending, on-call attending,
or the Psychiatric Service Chief of the involved program) of the issue.
The supervisor may contact the other party’s supervisor before giving
advice. Then Resident is expected to follow the advice of his/her
supervisor. In case of disagreement, follow the procedures outlined
under b, above.
d. Administrative/organizational/safety issues:
Problems of an administrative nature (e.g., space, equipment, clinical
or education support, safety, etc.) experienced at a particular program
should be signaled to the attending, who has administrative responsibilities
for that program (e.g., Chief of Psychiatry, Unit Director, Medical
Director, Residency Training Director).
“Guide” your conflicts through the appropriate channels.
Going over people’s heads is always resented. Conflicts need to
be brought to the next level of authority before both parties are locked
into stubborn and/or escalated positions.
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Psychiatry Residency Training Program
1959 NE Pacific Street, Box 356560
Seattle, WA 98195-6560