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TOPIC:
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Resident Physician/Attending Physician Clinical Disagreement Policy for Residents
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PURPOSE:
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To provide resident physicians with a procedure for resolution of clinical disagreements with attending physicians in which, in the opinion of the resident, there is a significant potential for serious patient harm.
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Procedure
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Step1
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A disagreement or concern should engender a professional discussion among the individuals immediately involved (for example: between the resident and the ordering attending). This conversation may clarify both positions and result in problem resolution. This should include, when appropriate, consultation with the Senior Resident/Chief Resident (as applicable).
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Step2
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If the resident is not satisfied with the results of Step 1, he/she should bring the issue to the attending physician of record (if different from the ordering attending).
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Step3
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If the resident is not satisfied with the results of Step 2, he/she should bring the issue to the Program Director (of the resident's home program) or directly to the Chairmen of the Department in which the resident is rotating.
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Approved by Education and Research Committee 06/20/01
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