Academic Psychiatry

, Volume 36, Issue 6, pp 452–456

Reflective Team Supervision After a Frightening Event on a Psychiatric Crisis Service

  • Joseph Chien
  • Jeffrey Sugar
  • Erica Shoemaker
  • Caroly Pataki
Brief Report



The authors demonstrate the value of reflective team supervision as part of the informal curriculum in an emergency psychiatry setting after a potentially traumatizing adverse event.


The article gives a case presentation of a violent adolescent who eloped from his hospital Emergency Department and provides a description of team supervision sessions that facilitated informal learning for residents and medical students after this event.


Reflective team supervision sessions after this event resulted both in improved resident well-being and learning opportunities, as well as hospital quality improvement designed to prevent future elopements.


Reflective team supervision can be an essential component of trainee education to enhance residents’ well-being and to promote both systems-based practice and practice-based learning. This can be an excellent forum to explore themes of humility, self-reflection, and professional growth.


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Copyright information

© Academic Psychiatry 2012

Authors and Affiliations

  • Joseph Chien
    • 1
  • Jeffrey Sugar
    • 1
  • Erica Shoemaker
    • 1
  • Caroly Pataki
    • 1
  1. 1.Dept. of PsychiatryUniversity of Southern California Keck School of MedicineLos Angeles

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