• Medical Knowledge
• Clinical Competence in Patient Care
• Interpersonal and Communication Skills
• Professionalism (includes absence of impairment)
• Attitudes
• Practice-Based Learning and Improvement
• Systems-Based Practice
• Adherence to departmental and institutional policies and procedures

Failure to perform adequately in any of these areas may result in corrective actions up to and including termination.

Residents may be subject to the following corrective action procedures for academic deficiencies. The program director in consultation with the faculty is responsible for selecting the most appropriate action among those listed below, based on the severity of the problem. The action order does not have to be sequential. Decisions to place a resident on probation or to suspend or terminate a resident will be made in consultation with the Chair of the Department and GMEC.

VERBAL WARNING may be imposed for deficiencies for which some degree of remediation is necessary. The resident will have a reasonable opportunity to remediate the deficiency. All remediation requirements shall be specified and monitored. The program director will place a written note in the residents file specifying the deficiency and the outcome of the remediation. If the deficiency is corrected, no further action will be taken. If the deficiency is not corrected, the resident may receive a written warning or may be placed on probation, suspended, or terminated.

WRITTEN WARNING may be imposed for more serious deficiencies than described in VERBAL WARNING. A written warning will include the following items:

1. The required standard
2. The observed deficiency
3. The required remediation
4. A timeline for achieving remediation
5. What will be done to assist the resident in meeting expectations?
6. Mechanism of evaluation used to determine improvement
7. Consequences of achieving the remediation
8. Consequences of not achieving the remediation

PROBATION may be imposed for substantial, continuing, or multiple deficiencies. The conditions of probation shall be specified by the program director in writing delivered to the resident, signed by the program director and the Chair of the GMEC, and shall include the eight items listed in conditions of probation with the resident and require the resident to sign the conditions to acknowledge their receipt and the resident’s commitment to achieve remediation.

SUSPENSION may be imposed for more serous deficiencies than described in the previous three paragraphs, including, but not limited to, those which may involve the safety of patients, the resident, or others. The conditions of suspension shall be specified by the program director in writing delivered to the resident, signed by the program director and the Chair of the GMEC, and shall include the eight items listed in WRITTEN WARNING. The program director shall discuss the conditions of suspension with the resident and require the resident to sign the conditions to acknowledge their receipt and the resident’s commitment to achieve remediation. During suspension the resident will be removed from his/her clinical rotations and will not receive credit for training. Upon completion of suspension, the resident may be placed on probation.

TERMINATION may be imposed for academic reasons, professionalism reasons, or if the resident is deemed to threaten the safety of patients, the resident, or others. Notice of termination in writing signed by the program director and the Chair of the GMEC shall be delivered to the resident.

A resident may challenge any actions hereunder in accordance with the Grievance Procedure of Residents.