I have become increasingly concerned over several years about patterns of behavior and leadership dynamics that, in my experience, create fear, suppress open communication, discourage innovation, and appear to selectively disadvantage individuals those in protected groups and otherwise.

I would like to convey ongoing concerns about the Department of Psychiatry at the University of California San Diego.

I want to emphasize at the outset that I am not writing because of one isolated disagreement, nor am I seeking punitive action against any one individual at this stage. Rather, I am reaching out because I have become increasingly concerned over several years about patterns of behavior and leadership dynamics that, in my experience, create fear, suppress open communication, discourage innovation, and appear to selectively disadvantage individuals those in protected groups and otherwise.

In addition to my own experiences, I have observed broader patterns within the department that contribute to concerns about organizational climate. Specifically, I have observed what appear to be facially neutral policy changes that, in practice, disproportionately affect a small number of targeted faculty and staff. I have also repeatedly observed significant discrepancies between how individuals speak privately versus publicly regarding departmental leadership dynamics, with many faculty expressing concern about speaking openly.

I want to be careful not to overstate claims that I cannot definitively prove. But my concern is that the cumulative pattern of indirect communication, selective enforcement, political favoritism, and implied retaliation has created a culture in which many feel psychologically unsafe, fearful of speaking openly, and uncertain whether opportunities and policies are applied equitably.

I have not previously experienced such a culture in any other department or healthcare setting.

Today what is at stake is our cherished clinicians, team members, patients, and the integrity of our programs across vital specialties. Our clinical spaces for mothers, caregivers, children, those receiving higher education, and patients of all backgrounds should be protected.

At a time when we should stand united in conviction and shared purpose for UC’s greater mission-to our communities, patients, learners, and providers-we find ourselves fractured and at a cross roads.

The time is NOW to unite as one team for what really matters and create policies that are fair and equitable for all.

— Anonymous

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