Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Email this article to a Colleague Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to My Articles & Searches Download to citation manager Citing Articles via HighWire Citing Articles via Google Scholar Articles by Hoop, J. G. Search for Related Content PubMed Citation Articles by Hoop, J. G. Education, Psychiatrists

Hidden Ethical Dilemmas in Psychiatric Residency Training: The Psychiatry Resident as Dual Agent

Dr. Hoop is with the Department of Psychiatry and the MacLean Center for Clinical Ethics, University of Chicago, Chicago, Illinois. Address correspondence to Dr. Hoop, Department of Psychiatry, University of Chicago, MC 3077, 5841 S. Maryland Ave, Chicago, IL 60637; jhoop{at}yoda.bsd.uchicago.edu (E-mail).

ABSTRACT

In addition to learning about confidentiality, civil commitment, informed consent, and other ethical issues, psychiatry residents must deal with less visible ethical dilemmas that arise from the training process itself. Residents grapple with three inherent conflicting duties between their dual roles as physician and learner, as physician and supervisee, and as physician and employee of a training institution. These conflicts must be negotiated at a time of high stress, when residents are plagued with self-doubt, fear, fatigue, and other vulnerabilities that can lead good doctors to make ethically dubious decisions. While such conflicts and stressors are common to residency training in most specialties, they may be heightened in psychiatric residency. This paper proposes a model for understanding covert elements of ethical decision making during psychiatric residency and recommends strategies training programs can use to help residents navigate an ethical minefield.

This article has been cited by other articles:

				M. Lapid, C. Moutier, L. Dunn, K. G. Hammond, and L. W. Roberts Professionalism and Ethics Education on Relationships and Boundaries: Psychiatric Residents' Training Preferences Acad Psychiatry, November 1, 2009; 33(6): 461 - 469. [Abstract] [Full Text] [PDF]

				J. A. Lehrmann, J. Hoop, K. G. Hammond, and L. W. Roberts Medical Students' Affirmation of Ethics Education Acad Psychiatry, November 1, 2009; 33(6): 470 - 477. [Abstract] [Full Text] [PDF]

				L. W. Roberts, J. G. Hoop, L. B. Dunn, and C. M. A. Geppert Essential Ethical Skills of Mental Health Professionals Focus, July 1, 2009; 7(3): 401 - 405. [Abstract] [Full Text] [PDF]

				R McDougall The junior doctor as ethically unique J. Med. Ethics, April 1, 2008; 34(4): 268 - 270. [Abstract] [Full Text] [PDF]

				S. A. Green The Ethical Commitments of Academic Faculty in Psychiatric Education Acad Psychiatry, February 1, 2006; 30(1): 48 - 54. [Abstract] [Full Text] [PDF]

				P. S. Appelbaum Commentary: Legalism, Postmodernism, and the Vicissitudes of Teaching Ethics Acad Psychiatry, September 1, 2004; 28(3): 164 - 167. [Full Text] [PDF]

				S. Y.H. Kim Commentary: The Dilemma of Hidden Ethical Dilemmas Acad Psychiatry, September 1, 2004; 28(3): 168 - 169. [Full Text] [PDF]

Get information about faster international access.

Privacy Policy

Copyright © 2004 Academic Psychiatry. All rights reserved.

Home | Search | Current Issue | Past Issues | Subscribe | All APPI Journals | Help | Contact Us