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MUSC GME Resident Handbook

Home > Graduate Medical Education > Policies > Academic Deficiencies and Corrective Action
Graduate Medical Education  2017-2018

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Resident Handbook Introduction

Letter of Commitment/
Accreditation Status Disclaimer

Administration & Governance - Graduate Medical Education Programs

Policies & Procedures

Salaries & Benefits

MUSC Policies

Appendix 1 - Resident Agreements (Medical and Dental)

Appendix 2 - Evaluation Forms

Appendix 3 - Forms

Appendix 4 - Scopes of Practice

Appendix 5 - Program Resources




Each Residency Program Director is responsible for assessing and monitoring each resident’s academic and professional progress including knowledge, skills and professional behavior as well as adherence to departmental policies and procedures concerning resident education and the hospital’s graduate medical education policies. If a Residency Program Director determines that a resident should undergo a mental health assessment as part of an educational consultation, the cost for this will be split evenly between the Department and the Office of GME. Failure to meet the established academic standards will result in corrective action(s) up to and including dismissal from the program.


  1. Each Residency Program Director will devise written guidelines concerning resident accountability, monitoring and disciplinary actions, all of which are subject to the initial approval and annual review of the GMEC.
  2. Policies regarding academic deficiencies will be generally uniform throughout all residency programs and will include the following categories of corrective actions:

    2.1 Oral Reprimands or Written Warnings may occur for deficiencies for which some corrective action is necessary. The resident will have the opportunity to correct the deficiency.  If the deficiency is corrected, no further action will be taken. If  the deficiency is not corrected, the resident may be placed on "formal academic remediation", suspended or dismissed from the program.

    2.2 Formal Academic Remediation (FAR) will be imposed for more serious and/or prolonged deficiencies. The resident will have the opportunity to remediate the deficiency within a defined period of time, as set forth in a remediation plan established by the Residency Program Director. The resident will receive the plan describing remediation measures to be corrected, the specific time period in which improvement must be demonstrated, and the possible consequences if no improvement is made. The resident, the Residency Program Director and the Designated Institutional Official will be required to sign this plan.

    2.3 Suspension may be imposed. During suspension, the resident will be removed from his/her clinical rotations and will not receive credit for training during this time period. Suspension will be for a specified period of time and specific corrective measures will be required. Following successful completion of the terms of the suspension, the resident will be placed on FAR upon reinstatement into the residency program as outlined in 2.2.

    2.4 Dismissal of a resident may occur for academic reasons, disciplinary reasons, or if s/he is deemed to be an immediate threat to patient safety. (See Resident Dismissal Policy)
  3. Prior to the imposition of any action that may result in formal academic remediation, suspension or dismissal, the Residency Program Director must submit the recommendation to the Designated Institutional Official.
  4. A resident who does not report to work for three (3) consecutively scheduled work days, without speaking directly to his/her Residency Program Director, will be dismissed from the residency program and his/her Resident Agreement will be terminated.  The resident will have five (5) business days from the date of dismissal to contact the Designated Institutional Official for GME and explain the reason(s) for the failure to contact the Residency Program Director.  If the Designated Institutional Official accepts the explanation, the resident will be reinstated.  If the Designated Institutional Official does not accept the explanation, the dismissal will be upheld.