Resident Promotion and Dismissal
Reappointment and promotion to the subsequent year of training require satisfactory and cumulative evaluations by faculty which indicate satisfactory progress in scholarship and professional growth. This includes demonstrated proficiency in:
- Incremental increase in clinical competence including performing applicable procedures
- Appropriate increase in fund of knowledge; ability to teach others
- Clinical judgment
- Necessary technical skills
- Humanistic skills; communication with others
- Attendance, punctuality, availability and enthusiasm
- Adherence to institutional standards of conduct, rules and regulations, including program standards and hospital and clinic rules with respect to infection control policies, scheduling, charting, record-keeping, and delegations to medical staff
- Adherence to rules and regulations in effect at each health care entity to which assigned
- Others - e.g. satisfactory scores on examinations if designated for that purpose by specialty, research participation, etc.
When deficiencies are noted in a resident's academic performance, these are discussed with the resident including recommendations for corrections. Depending on the level of the deficiencies, the resident may be placed on Academic Conditional Probation. This is an opportunity for the resident to remediate deficiencies and to develop and demonstrate appropriate levels of proficiency for patient care and advancement in the program.
Being placed on conditional probation is notice to the resident of failure to progress satisfactorily as reflected by evaluations and /or other assessment modalities. It is not discipline and residents in probationary status have continued enrollment at the University.
Forms of remediation may include:
- repeating one or more rotations
- participation in a special program
- continuing in scheduled rotations with or without special conditions
- supplemental reading assignments
- attending undergraduate or graduate courses and/or additional clinics or rounds
extending the period of training. The resident may also be referred to the Resident Assistance Program if indicated.
Determination by the department chair that the resident fails to correct a deficiency or that the deficiency or violation of university rules is of sufficient gravity to warrant dismissal, the resident may be dismissed without being placed on probation.
However, the program director must consult with the Office of Graduate Medical Education prior to instituting a dismissal that is not preceded by a period of probation. In that instance, the resident may obtain review under the Graduate Medical Education policy of Academic Due Process. This policy is delineated in the housestaff manual.