Due process may be initiated when concerns arise regarding a fellow’s clinical performance, professionalism, ethical conduct, documentation, administrative responsibilities, responsiveness to supervision, or other training-related expectations. One trigger for due process is the formal evaluation process. A fellow who receives a rating of 1 (“Needs Improvement”) in one or more competency areas may be placed on a remediation plan. Additional triggers may include failure to make adequate progress following supervisory feedback, repeated concerns regarding professional conduct or performance, ethical or legal concerns, or behaviors that negatively impact client care, the training environment, or program operations.
Due process includes the following three steps:
Step 1: Notice
Within 10 business days of identifying a significant concern or receiving an evaluation rating of 1, the Training Director will provide the fellow with written notice outlining:
The specific area(s) of concern
The basis for the concern
Relevant supporting information
The decision to initiate remediation review
The fellow will be invited to a due process meeting within 10 business days of receiving the written notice.
Step 2: Hearing
Within 10 business days of the written notice, the fellow will meet with the Training Director and/or appropriate supervisory or leadership personnel to discuss the concern. The fellow will have an opportunity to provide information, respond to concerns, and discuss possible corrective actions.
During this meeting, the program will describe the concerns, the expected performance standards, what successful improvement will look like, available supports, and the proposed timeline for remediation.
Within 5 business days following the meeting, the program will provide a written determination that may include:
No further action
Continued monitoring
A formal remediation plan
Probationary status
Temporary suspension of specific clinical responsibilities
Recommendation for dismissal
If a remediation plan is implemented, the plan will specify:
The competencies requiring improvement
Specific behavioral goals and expectations
Resources and supports available to the fellow
Methods for evaluating progress
Review dates
Criteria for successful completion
Consequences if sufficient progress is not demonstrated
Remediation plans will generally be reviewed within 60-90 days, although timelines may vary depending on the nature of the concern. Timelines may be extended by mutual consent of the fellow and the program.
At the conclusion of the remediation period, the Training Director, in consultation with the fellow’s supervisors, will determine whether the fellow has demonstrated satisfactory improvement. Possible outcomes include:
Successful completion of remediation and return to good standing
Continued monitoring without formal remediation
Extension or modification of the remediation plan
Placement on probation
Temporary suspension of some or all clinical responsibilities while concerns are addressed
Recommendation for termination from the fellowship
A temporary suspension of clinical responsibilities may be implemented when necessary to protect client welfare, maintain ethical standards, or allow time for further review of significant concerns. During a suspension, the fellow may continue participating in other training activities as determined by the Training Director, or may be placed on administrative leave pending further review.
If a fellow fails to meet the expectations outlined in the remediation plan, demonstrates insufficient progress despite reasonable opportunities for improvement, or engages in additional behaviors that significantly interfere with safe and competent practice, the program may recommend probation or termination from the fellowship.
Step 3: Appeal
If the fellow disagrees with the due process decision or believes that an error occurred in the process, the fellow may submit a written appeal within 10 business days of receiving the written determination.
The appeal must describe the concern, the basis for disagreement, and the requested resolution. Appeals are reviewed by an individual one level above the Training Director, such as the Director of Human Resources or another appropriate organizational leadership designee who was not directly involved in the original decision.
Within 5 business days of receiving the appeal, the reviewer will acknowledge receipt of the appeal and initiate the review process.
As part of the review, the reviewer may:
The purpose of the appeal review is to determine whether the due process procedures were followed appropriately, whether the original decision was supported by the available information, and whether the proposed action was reasonable given the circumstances.
Following completion of the review, the reviewer may:
A final written decision will generally be issued within 15 business days of receipt of the appeal whenever feasible. The written decision will summarize the findings of the review, the rationale for the decision, and any resulting actions. The decision of the reviewer is final.
If additional time is required to conduct a thorough review, the fellow will be notified of the reason for the delay and provided with an anticipated timeline for completion. Timelines may be extended by mutual consent of the fellow and the program.
The fellowship program is committed to ensuring that fellows are treated fairly, respectfully, and in accordance with established program and organizational policies and procedures.
A grievance is a concern initiated by a fellow regarding a faculty member, supervisor, another trainee, training experience, evaluation process, workplace concern, training-related decision, or the overall quality of the fellowship program. Examples may include concerns related to formal remediation plans, probationary actions, evaluation outcomes, supervision, program quality, or other significant training decisions.
Whenever possible, fellows are encouraged to seek informal resolution by discussing concerns directly with the involved individual, supervisor, or Training Director. If informal resolution is unsuccessful or inappropriate, the fellow may submit a written grievance to Human Resources within 10 business days of the event or decision being disputed.
The written grievance should describe the concern, relevant circumstances, individuals involved if applicable, and the requested resolution.
Within 5 business days of receiving the grievance, Human Resources will acknowledge receipt and initiate a review. The fellow will be given an opportunity to provide additional information and may be invited to meet with Human Resources and/or other relevant leadership personnel within 15 business days to discuss the concern.
A written response outlining findings and any proposed actions will generally be provided within 15 business days following completion of the review. If additional review is warranted, the matter may be escalated to the Clinical Director, Director of Human Resources, or another appropriate leadership designee.
If the fellow disagrees with the outcome, a written appeal may be submitted within 10 business days of receiving the written response. The appeal will be reviewed by a leadership representative not previously involved in the grievance review process, and a final written decision will be issued within 15 business days whenever feasible.
The program will make reasonable efforts to ensure that grievance procedures are handled fairly, respectfully, confidentially, and without retaliation.
Copies of the program’s due process and grievance procedures are maintained in the postdoctoral training manual and are provided to fellows at the start of the training year.
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