
Acad Psychiatry 29:368-373, October 2005 2005
doi: 10.1176/appi.ap.29.4.368
© 2005 Academic Psychiatry
Protecting the Residency Training Environment: A Residents Perspective on the Ethical Boundaries in the Faculty-Resident Relationship
Mahmoud Mohamed, M.D.,
Manisha Punwani, M.D.,
Marjorie Clay, Ph.D. and
Paul Appelbaum, M.D.
Received October 13, 2004; revised February 6, 2005; accepted February 15, 2005. Dr. Mohamed is Fellow, Consultation Liaison Psychiatry, Yale University School of Medicine New Haven, Connecticut. Dr. Punwani is Fellow, Child and Adolescent Psychiatry, University of Massachusetts Medical School, North Worcester, Massachusetts. Dr. Clay is Director, Office of Ethics, University of Massachusetts Medical School, North Worcester, Massachusetts. Dr. Appelbaum is A.F. Zeleznik Distinguished Professor and Chair, Department of Psychiatry, University of Massachusetts Medical School, North Worcester, Massachusetts. Address correspondence to Dr. Mohamed, Yale University School of Medicine, Department of Psychiatry, New Haven, CT; mmohamed{at}mailcity.com (E-mail). Copyright © 2005 Academic Psychiatry.
OBJECTIVE: This article explores ethical complexities that underlie resident-faculty relationships. The faculty-resident relationship is as complex as that between a therapist and his or her patient, but it has been far less well studied. METHODS: From data obtained from psychiatry residents and faculty members regarding their experiences in this relationship, the authors present five vignettes that illustrate unethical conduct in the faculty-resident relationship. RESULTS: Ethical lapses described in this article are problematic for two reasons: first, personal and professional harm may come to individual residents who find themselves interacting with an errant faculty member; and second, ethical lapses have the potential to damage the overall training environment itself. Once the terms of the faculty-resident relationship are discussed and accepted by all participants, unintentional or inadvertent ethical problems will be prevented, and residents will be in a position to identify faculty behaviors that do not conform to these agreed-upon expectations. CONCLUSIONS: This article highlights the importance of incorporating education about ethical responsibilities and faculty-resident boundaries into the training curriculum. The authors offer suggestions for understanding faculty members responsibilities to residents in their training programs.
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