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Resolving Conflicts

Nashville, Tenn.

Dr. Mohamed Ramadan described his conflict resolution system for psychiatry residents—which he calls OCD (first, talk to each Other, then the Chief resident, and finally the program Director)—in a letter in the July 18 issue. This system is a good start in conflict resolution.

I have observed two types of psychiatry residents. The first type comprises residents who are unable to use their therapy skills when in conflict with colleagues and staff. They are quick to go on the offensive. Residents of the other type are able to observe the conflict form a neutral position and are able to be self-critical if at fault. They use their skills as a therapist in resolving their issues.

Conflicts may also be used to explore the dynamics between residents, if possible as a group activity. If the conflict is a cry for help, the faculty should identify it and encourage the resident to seek treatment.

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