Surgeons as Educators A Guide for Academic Development and Teaching Excellence

(Ben Green) #1

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activities. Once a problem has been identified, the individual must be provided
with a notice of deficiency and an opportunity to improve, with consequences for
failing to address the deficiency. In addition to participation in a remedial pro-
gram, the opportunity for feedback and reflection and post-intervention assess-
ment are necessary to determine the next steps. Whatever final decision is made,
as long as the process is fair and reasonable, that is, the decision was not arbitrary
or capricious, the decision will be upheld by the courts. Finally, legal proceed-
ings and grievance hearings are costly and time-consuming, so prevention is bet-
ter than cure. Therefore, the importance of intervening early is emphasized.

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H. Sanfey
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