300
II. Opportunity to Correct Deficiency
It is ultimately your responsibility to take the steps necessary to meet expectations.
To assist you in meeting the expectations, the following help will be organized:
Dr. Patel will continue as your advisor. Dr. Johnson will be your preceptor in the
clinic.
We have made time available in your schedule for your meetings with our aca-
demic coach.
We will continue to limit the number of patients that you care for. The faculty
does not believe that you are ready to assume a supervisory role.
You have identified EHR fluency as a time management problem. You now have
Dragon access for the terminals both on the ward and in the outpatient clinic.
Jamie, your faculty is very worried about your health and wellness. We are con-
cerned that you may have other issues in your personal life that are interfering with
your ability to perform to your full potential. When you appear anxious and over-
whelmed, your memory, performance, and organization are all markedly below
average. We would once again strongly encourage you to utilize the employee assis-
tance program.
In addition to your monthly evaluation review with Dr. Patel, your performance
will be reviewed quarterly by the CCC with updates provided to you. Your progress
in this letter of deficiency will be reassessed at the end of April. If you have demon-
strated significant improvement at that time, this letter of deficiency may be
rescinded or continued. If you are not achieving standards by then, we will have to
consider either having you repeat all or part of your PGY2 year or termination.
Your faculty stands ready to help you, and we want to see you reach your
potential as a physician. We encourage you to make use of all the resources
available to you.
Sincerely,
Signed by Program Director, Resident, and DIO
Remediation Plan: Sample 3
This is an example of a last chance agreement with a resident who had unprofes-
sional behavior related to substance misuse. It is more of a contract than a tradi-
tional remediation plan and is therefore between the resident and the employing
hospital.
Last Chance Agreement
This agreement is made this day of, 20, by and between [Name of Hospital]
Hospital (“Hospital”) and, M.D. (“Dr.”).
WHEREAS, Dr. __, who is enrolled in Hospital Graduate Medical
Education program and subsequently employed by Hospital, was referred for a full
medical assessment and evaluation of fit for duty following documented substance
abuse on (date). Dr. __ was subsequently referred to (Treatment Center)
for a professional evaluation. Dr. __ has been cleared to return to the
residency program under the conditions set forth in this Last Chance Agreement.
K. Broquet and J.S. Padmore