Performance Deficiency & Remediation (PDR): Program Director Checklist

Resident: ______

Program: ______

Steps A-E must be completed to satisfy the requirements for Performance Deficiency and Remediation

A.Prior to Placement on PDR:

Action / Comments / Date Completed
  1. Formal PDR notification letter completed including the following required elements:
  1. Deficiency/deficiencies identified and documented
  2. Deficiency/deficiencies linked to ACGME competencies
  3. Methods for remediation documented in writing
  4. Remediation outcome measures identified
  5. Time period (4 months) for remediation documented in writing

2. Schedule formal meeting with resident

B.Notification of PDR:

Action / Comments / Date Completed
  1. Formal meeting with resident

  1. Details of PDR notification letter discussed with resident

  1. Resident and program director sign PDR letter

  1. Copy of signed PDR letter given to resident at conclusion of meeting

  1. Copy of signed PDR letter delivered to GME office (within 3 days of meeting)

  1. Original PDR letter filed in resident training record

C.Monitoring of PDR Progress:

Action / Comments / Date Completed
  1. Schedule all end of month meetings with resident and inform resident in writing

  1. Month 1 meeting and written progress report
a. Resident signature
b. Copy to resident
c. Original to resident training record
  1. Month 2 meeting and written progress report
a. Resident signature
b. Copy to resident
c. Original to resident training record
  1. Month 3 meeting and written progress report
a. Resident signature
b. Copy to resident
c. Original to resident training record

D.Conclusion of PDR period:

Action / Comments / Date Completed
  1. Schedule conclusion of PDR meeting with resident

  1. Conclusion of PDR meeting and written progress report – item 3 or 4 selected based upon outcome

  1. Satisfactory PDR and all requirements completed – formal letter indicating satisfactory performance, removal from PDR status, and return to full duty
  1. Resident & program director signature
  2. Copy of signed letter to resident
  3. Copy of signed letter to GME office (within 3 days)
  4. Original letter placed in resident training record

  1. Unsatisfactory or incomplete PDR – formal letter indicating unsatisfactory performance and one of the following (require prior approval by the DIO):
  1. Placement on a second PDR period
  2. Disciplinary action including but not limited to probation, suspension, or dismissal
  3. Non-reappointment

E.Outcome of PDR:

All of the PDR essentials outlined above have been completed as documented.

Dr. ______is:

(check appropriate action):

□Returned to full duty effective: ______

□Placed on 2ndPDR effective: ______

□Placed on probation or suspension effective: ______

□Notified of non-reappointment effective: ______

□Dismissed effective: ______

____________

Program Director SignatureDate

______

Associate Dean/DIO SignatureDate

Program Director Checklist – PDR

UT GME