1.Recognize and examine the sources of conflict within a palliative care team and a team's relationship with the larger medical institution (eg, stress, uncertainty, patient distress and dissatisfaction, interdepartmental competition, institutional neglect). Foster awareness of the nature and consequences of peer hostility in medical and nursing settings, its impact on the functioning of interdisciplinary team, and its implications for patient care.2.Describe current efforts to confront issues such as bullying, favoritism, and disrespect in healthcare settings.3.Demonstrate how an interdisciplinary council process, resiliency training, and mindfulness- and compassion-based practices build bridges, promote healing, improve relationships, enhance team functioning, and enhance cooperation and collaboration across departmental boundaries. Horizontal hostility among nurses has been widely described and researched, painting a grim picture of health care's future if current trends continue. One recent study found that 91% of RNs experience horizontal violence, 94% witness horizontal violence, and 76% describe horizontal violence in their profession as moderate to severe (Hurley, 2006). Childers (2004) notes that bullying in hospitals is widespread and that 70% of those targeted eventually leave their jobs. Palliative care teams are not exempt from the problem of peer hostility. In fact, a recent study of physicians (Keeley, Waterhouse, & Noble, 2005) found the rate of bullying higher among palliative medicine trainees than among other healthcare workers. The impact of this lateral violence is profound, particularly as providers attempt to meet the needs of patients and families facing significant pain, stress, and disappointment. Effects of horizontal hostility include•reduction of self confidence, self esteem•fear, anxiety, sadness, frustration•mistrust•fatigue, headaches, weight loss, angina•posttraumatic stress•compromised patient safety•disintegration of a caring and empathic identity. Using a variety of experiential exercises, this workshop will introduce clinicians to innovative methods for naming workplace violence, recognizing its impact, and promoting healing—interventions they can put to use in their own work environments. An interdisciplinary team of physician, psychologist, and nurse/chaplain will explore the personal and cultural impact of a system that feeds on fear of vulnerability and deliver practical tools for transforming that vulnerability into strength. Through this workshop, participants will learn•personal practices for recognizing and reducing the physiological effects of horizontal hostility•evidence-based practices for letting go of anger and enhancing empathy•proven protocols for addressing stressful topics in interdisciplinary meetings•leadership strategies that create safety and allow vulnerability•group processes for facing aversive emotions while promoting healing. Structure and Processes of Care