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Letter to the Editor
Published Online: 18 July 2003

Resolving Conflicts

Every year more than 900 new residents enter psychiatry residency programs; about 600 are U.S. graduates from all 50 states, and more than 300 are non-U.S. graduates from all over the world.
These residents work together on a daily basis for four years. For different reasons, they may experience conflicts among each other, and every resident has a way of dealing with such conflicts. However, using several methods of conflict resolution is confusing and time consuming. Thus, I would like to propose to my fellow residents the use of a three-step conflict resolution process that I have found to work very well. I call it the “OCD” guidelines:
First, whenever there is a conflict between two residents, the residents should talk to each Other. If the conflict is not resolved, then they should talk to the Chief resident. If the conflict is still not resolved, talk to the program Director.
Using this approach, my fellow residents and I have found that most conflicts are resolved at step one or two and that the process is time efficient and creates a good working atmosphere.
Reviewing these OCD guidelines with new residents during their program orientation will give them a uniform method to resolve conflicts and spells out the program’s expectations that they will use it.
I think these steps will come naturally to many residents, but clearly describing and reinforcing them are beneficial. Moreover, practicing these guidelines will help the professional growth of the residents and increase the cohesion among them.

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Published online: 18 July 2003
Published in print: July 18, 2003

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Mohamed Ramadan, M.D.

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