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Updated: Oct 31, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Diagnosing conflict: Conflicting data, interpersonal conflict, and conflicts of interest in clinical competency
Teresa Chan1,2,3, Anna Oswald4,5,6, Karen E Hauer7,8
1Faculty Development, Faculty of Health Sciences, McMaster University, Hamilton, Canada.
Abstract:
Clinical competency committees (CCCs) are increasingly used within health professions education as their decisions are thought to be more defensible and fairer than those generated by previous training promotion processes. However, as with most group-based processes, it is inevitable that conflict will arise. In this paper the authors explore three ways conflict may arise within a CCC: (1) conflicting data submissions that are presented to the committee, (2) conflicts between members of the committee, and (3) conflicts of interest between a specific committee member and a trainee. The authors describe each of these conflict situations, dissect out the underlying problems, and explore possible solutions based on the current literature.
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