302
- Notice to Management and Human Resources. Dr. __ acknowledges
and agrees that Hospital’s GME Office has the right to provide his management
staff, the Hospital VPMA and Chief Medical Officer, and anyone else with a
need to know with notice that he is working under this mandatory Agreement
and of his compliance or non-compliance with its terms and conditions. - Binding Agreement. The parties acknowledge that the terms of this Agreement
are lawful and binding. Dr. __ further acknowledges and agrees that any
violation of the terms of this Agreement will result in his immediate termination
from employment and dismissal from his fellowship training program and render
him ineligible for employment at any other System Health facility. A violation of
this Agreement will be reported to Dr. __’s immediate supervisor,
GME, and the Hospital VPMA/CMO, as well as the State Board of Medicine. - Term of Agreement. The parties agree that this Agreement will remain in force
during Dr. __’s employment.
I, __, MD, acknowledge that I have read and understand the terms
and conditions of this Agreement. I agree to abide by all terms of this Agreement
without exception. I understand and acknowledge that my employment with
Hospital will be terminated due to my non-compliance with this Agreement and/
or with the policies and procedures of Hospital. I further acknowledge that I had
the opportunity to ask questions and receive appropriate answers to clarify any
portion of this Agreement and that I fully understand the terms and implications
of the Agreement. I enter into this Agreement voluntarily, willingly, and without
duress or coercion.
Signed by Resident and DIO/Hospital Representative
References
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dents”: prevalence, problems and remediation in the era of core competencies. Am J Med.
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cine residency. Can Fam Physician. 2015;61(9):e425–34. - Reamy BV, Harman JH. Residents in trouble: an in-depth assessment of the 25-year experi-
ence of a single family medicine residency. Fam Med. 2006;38(4):252–7. - Tabby DS, Majeed MH, Schwartzman RJ. Problem neurology residents: a national survey.
Neurology. 2011;76(24):2119–23. - Silverberg M, Weizberg M, Murano T, Smith JL, Burkhardt JC, Santen SA. What is the
prevalence and success of remediation of emergency medicine residents? West J Emerg Med.
2015;16(6):839–44. - Williams RG, Roberts NK, Schwind CJ, Dunnington GL. The nature of general surgery resi-
dent performance problems. Surgery. 2009;145(6):651–8. - Yaghoubian A, Galante J, Kaji A, Reeves M, Melcher M, Salim A, et al. General surgery resi-
dent remediation and attrition: a multi-institutional study. Arch Surg. 2012;147(9):829–33. - Resnick AS, Mullen JL, Kaiser LR, Morris JB. Patterns and predictions of resident misbehav-
ior – a 10-year retrospective look. Curr Surg. 2006;63(6):418–25. - Bergen PC, Littlefield JH, O’Keefe GE, Rege RV, Anthony TA, Kim LT, Turnage
RH. Identification of high-risk residents. J Surg Res. 2000;92(2):239–44.
K. Broquet and J.S. Padmore