Hidden ethical dilemmas in psychiatric residency training: The psychiatry resident as dual agent

Academic Psychiatry

Volumn 28, Issue 3, 2004, Pages 183-189

  Hoop, Jinger G ^a,b  

^a UNIVERSITY OF CHICAGO   (United States)

^b UNIVERSITY OF CHICAGO   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CONFIDENTIALITY; FATIGUE; FEAR; HUMAN; INFORMED CONSENT; LEARNING; MEDICAL DECISION MAKING; MEDICAL ETHICS; PHYSICIAN; PSYCHIATRY; RESIDENCY EDUCATION; RESIDENT; REVIEW; STRESS;

BIOETHICS AND PROFESSIONAL ETHICS; MENTAL HEALTH THERAPIES;

DECISION MAKING; EDUCATION; HUMANS; INTERNSHIP AND RESIDENCY; PHYSICIAN'S ROLE; PHYSICIAN-PATIENT RELATIONS; PSYCHIATRY;

EID: 6044242152     PISSN: 10429670     EISSN: None     Source Type: Journal    
DOI: 10.1176/appi.ap.28.3.183     Document Type: Review

References (36)

1. Accreditation Council for Graduate Medical Education: ACGME Outcome Project: ACGME General Competencies Version 1.3 (9.28.99), 2000
2. Gartrell N, Herman J, Olarte S, Feldstein M, Localio R: Psychiatrist-patient sexual contact: results of a national survey, I: prevalence. Am J Psychiatry 1986; 143:1126-1131
3. Gartrell N, Herman J, Olarte S, Localio R, Feldstein M: Psychiatric residents' sexual contact with educators and patients: results of a national survey. Am J Psychiatry 1988; 145:690-694
4. Roberts L, McCarty T, Lyketsos C, Hardee J, Jacobson J, Walker R, Hough P, Gramelspacher G, Stidley C, Arambula M, Heebink D, Zornberg G, Siegler M: What and how psychiatry residents at ten training programs wish to learn about ethics. Acad Psychiatry 1996; 20:131-143
5. Rudin E, Edelson R, Servis M: Literature as an introduction to psychiatric ethics. Acad Psychiatry 1998; 22:41-46
6. Schnapp W, Stone S, Van Norman J, Ruiz P: Teaching ethics in psychiatry. Acad Psychiatry 1996; 20:144-149
7. Roberts L, McCarty T, Roberts B, Morrison N, Belitz J, Berenson C, Siegler M: Clinical ethics teaching in psychiatric supervision. Acad Psychiatry 1996; 20:176-188
8. American Psychiatric Association: Ethics Primer of the American Psychiatric Association. Washington, DC, American Psychiatric Association, 2001
9. American Psychiatric Association: Opinions of the Ethics Committee on the Principles of Medical Ethics With Annotations Especially Applicable to Psychiatry. Washington, DC, American Psychiatric Association, 2001
10. Group for the Advancement of Psychiatry: A Casebook in Psychiatric Ethics. New York, Brunner/Mazel, 1990
11. Beauchamp T: The philosophical basis of psychiatric ethics, in Psychiatric Ethics, third ed. Edited by Bloch S, Chodoff P, Green S. Oxford, UK, Oxford University Press, 1999
12. Vinicky J, Connors R, Leader R, Nash J: Patients as "subjects" or "objects" in residency education? J Clin Ethics 1991; 2:35-41
13. Fry S: Is health-care delivery by partially trained professionals ever morally justified? J Clin Ethics 1991; 2:42-14
14. Fann J, Hunt, D Schaad D: A sociological calendar of transitional stages during psychiatry residency training. Acad Psychiatry 2003; 27:31-38
15. Butters J, Strope J: Legal standards of conduct for students and residents: Implications for health professions educators. Acad Med 1996; 71:583-590
16. Collier V, McCue J, Markus A, Smith L: Stress in medical residency: status quo after a decade of reform? Ann Intern Med 2002; 136:384-390
17. Green M: What (if anything) is wrong with residency over-work? Ann Intern Med 1995; 123:512-517
18. Brent D: The residency as a developmental process. J Med Educ 1981; 56:417-122
19. Kozlowska K, Nunn K, Cousens P: Adverse experiences in psychiatric training, part 2. Aust N Z J Psychiatry 1997; 31:641-652
20. Pilkinton P, Etkin M: Encountering suicide: the experience of psychiatric residents. Acad Psychiatry 2003; 27:93-99
21. Rao NR: Recent trends in psychiatry residency workforce with special reference to international medical graduates. Acad Psychiatry 2003; 27:269-276
22. Cole-Kelly K: Cultures engaging cultures: international medical graduates training in the United States. Fam Med 1994; 26:618-624
23. Igartua K: The impact of impaired supervisors on residents. Acad Psychiatry 2000; 24:188-194
24. Hantoot M: Lying in psychotherapy supervision. Acad Psychiatry 2000; 24:179-187
25. Whitman S: Teaching residents to use supervision effectively. Acad Psychiatry 2001; 25:143-147
26. Whitman S, Ryan B, Rubenstein D: Psychotherapy supervisor training. Acad Psychiatry 2001; 25:156-161
27. Egan E: Organizational ethics in residency training: moral conflict with supervising physicians. Camb Q 2003; 12:119-123
28. Council on Ethical and Judicial Affairs, American Medical Association: Disputes between medical supervisors and trainees. JAMA 1994; 272:1861-1865
29. Clarke D: Measuring the quality of supervision and the training experience in psychiatry. Aust N Z J Psychiatry 1999; 33:248-252
30. Green M, Mitchell G, Stocking C, Cassel C, Seigler M: Do actions reported by physicians in training conflict with consensus guidelines on ethics? Arch Intern Med 1996; 156:298-304
31. Eron L: Effect of medical education on medical students' attitudes. J Med Educ 1955;30:559-566
32. Feudtner C, Christakis DA, Christakis NA: Do clinical clerks suffer ethical erosion? students' perceptions of their clinical environment and personal development. Acad Med 1994; 69:670-679
33. Christakis DA, Feudtner C: Ethics in a short white coat: the ethical dilemmas that medical students confront. Acad Med 1993; 68:249-254
34. Baldwin D, Daughtery S, Rowley B: Unethical and unprofessional conduct observed by residents during their first year of training. Acad Med 1998; 73:1195-1200
35. Hafferty F, Franks R: The hidden curriculum, ethics teaching and the structure of medical education. Acad Med 1994; 69:861-871
36. Hundert E: Lessons from an Optical Illusion: On Nature and Nurture, Knowledge and Values. Cambridge, Mass, Harvard University Press, 1995