Surgeons as Educators A Guide for Academic Development and Teaching Excellence

(Ben Green) #1
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In addition, Dr. __ has admitted to several instances of unprofessional
conduct that will not be tolerated.
WHEREAS, Dr. __ desires to enter into this agreement with Hospital,
allowing Hospital to provide continued monitoring and oversight, and WHEREAS,
Dr. __ understands and agrees that he would not be allowed to re-enroll in
the residency program, but for his agreement to and compliance with these terms,
and further understands and agrees that this is his last chance to demonstrate that he
is capable of meeting all professional expectations and curricular requirements and
completing his residency training program at Hospital.
THEREFORE, IN CONSIDERATION of the mutual covenants and promises
contained in this Agreement, the Parties do hereby agree as follows:



  1. Professional Conduct. Dr. __ affirms his understanding that his strict
    compliance with the terms of this Agreement is necessary as a condition of his
    enrollment in the residency and his employment at Hospital. He further affirms
    his understanding that non-compliance with this Agreement and non-compliance
    with the Hospital GME House Staff Manual Policies, and Hospital Policies, will
    lead to immediate dismissal from the residency training program and termina-
    tion of his employment.

  2. Conditions of Employment and Training:
    (a) Dr. __ shall submit to ongoing compliance with therapy as recom-
    mended by his provider and the Hospital Physician Health and Wellness
    Committee.
    (b) Dr. __ agrees to be monitored by the Hospital Physician Health
    and Wellness Committee for the remainder of his residency training and will
    submit to any required activities or treatment as directed by the Committee.
    (c) Dr. __ agrees to random drug and alcohol monitoring by Hospital
    Occupational Health for the duration of his employment.
    (d) Dr. __ agrees to be an active participant in various Hospital pro-
    grams, as requested by the institution, to share his personal experiences with
    other residents to assist with their learning and professional development.
    (e) Dr. __ agrees to meet with faculty mentor, Dr., at least monthly, to
    discuss and receive direction on his performance.

  3. Abstinence from Improper Behavior. Dr. __ agrees to maintain total
    abstinence from any outbursts, improper behavior, improper or poor communi-
    cations, or other behavioral issues that are not supportive of a Just Culture, and
    Hospital’s commitment to clinical quality and patient safety.

  4. Job Performance Standards. Dr. __ agrees and understands that he is
    expected to comply with all residency and job performance standards and
    requirements and with Hospital/department policies, practices, and procedures.
    He is expected to report on time for all work shifts, meetings, appointments,
    patient procedures/consultations, and other work-related requirements.
    Dr. __ acknowledges that he will be subject to the appropriate disci-
    plinary action for his non-compliance with this Paragraph 4, including dismissal
    from the residency program.


17 Optimizing Success for the Underperforming Resident

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