Reappointment of Residents
Reappointment of residents will depend upon the resident's academic and clinical performance, professional behavior, the availability of funding and the continuation of the residency program itself. 

Residents must pass USMLE Step 2 or COMLEX Exams to advance to the HO II level and must pass USMLE Step 3 or COMLEX Exams or Part II of the Medical Council of Canada Qualifying Exam to advance to the HO III level. A resident who does not meet these requirements will be placed on unpaid leave for a maximum of 6 months in order to prepare for and pass the exam. Failure to pass the required examination by the end of this leave period will result in dismissal from the program. The resident's program director may apply to the GMEC for a one-time extension of the requirement for a period of 6 months or less. The letter must present compelling reasons for the extension and must be co-signed by the resident. At the end of the extension, if the requirements are not met, the resident will go on unpaid leave and must pass the test within 6 months as above. Until the requirements are met, the resident will not advance in pay level. 

Notification of non-reappointment. Residents will be provided with a written notice of intent not to renew their contract no later than four months before the end of the current contract. If the primary reasons for the non-renewal occur within the four months before the end of the contract, the house officer will be notified of the notice of non-renewal as early as circumstances will allow.

Recommendation for Improvement
If the house officer’s performance is not entirely satisfactory in one or more areas, the program director may send the house officer a letter containing a description of the areas that need improvement and recommendations for how the house officer may improve performance in those areas.  This letter is in addition to the semi-annual evaluation and copies should be sent to the Graduate Medical Education Office and to the house officer’s academic file.  This action does not involve a change in the house officer’s  status. 

On Review
If questions are raised regarding a house officer’s performance, the house officer may be placed “on review”.  “On review” status indicates the house officer’s performance is being more closely scrutinized.  The house officer is placed “on review” through written notification to both the house officer and the Graduate Medical Education Office and the house officer’s academic file.  This status must be reviewed no later than three months after it is initiated. 

Probation
If a house officer’s performance is deemed to be unsatisfactory from academic or professional aspects or as a consequence of a breach of the House Officer Agreement or the Bylaws of the Board of Regents, the house officer may be placed on probation.  If so, the house officer, the Office of Graduate Medical Education, and the Graduate Medical Education Committee shall be notified in writing.  The notice shall include: the specific problems in the house officer’s performance, what will constitute evidence that the problems have been remedied, and the date at which the house officer’s performance will next be reviewed.  Probationary status must be reviewed by the program no later than three months after it is initiated. 

Dismissal
Unsatisfactory academic performance, or breach of the terms of the house officer agreement or of the Bylaws of the Board of Regents shall be sufficient grounds for dismissal. Gross failure to perform duties, or illegal or unethical conduct may result in immediate dismissal. The Office of Graduate Medical Education must be notified and provided with all supporting documentation prior to initiating dismissal action.

 

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