The following is a transcript of the evaluation of Fort Hood shooter Nidal Hasan by the director of his Psychiatry Residency Program. It was obtained by NPR. The director notes some obvious and troubling deficiencies about Hasan, but then approves his receiving his credentials. He notes he should be all right with proper supervision, but admitted he shouldn't need supervision at this point.
Frankly, after reading this I am troubled by Hasan being credentialed. I certainly would be worried about being treated by a doctor (psychiatric or otherwise) who had this much trouble with his residency and was still deemed to be in need of supervision. Is the Army in such dire need of psychiatrists that they need to take borderline cases like Hasan?
When you consider other things like Hasan arguing with his peers about religion and justifying suicide bombers and contacting an Imam with dubious ties, I am starting to believe the U.S. Army dropped the ball on this one (and possibly the FBI and others also). Hasan has been sending out troubling signals for years. Someone should have acted.
National Capital Consortium
Psychiatry Residency Program
Borden Pavilion, Walter Reed Army Medical Center
Bldg.6, Rm. 2059, 6900 Georgia Ave, NW
Washington DC, 20307-5001
XXXXXXX
Consortium Participating Instructions: Uniformed Services University of Health Sciences, Walter Reed Army Medical Center, National Naval Medical Center, Malcolm Grow USAF Medical Center
May 17, 2007
Memorandum for: Credentials Committee
Subject: CPT Nidal Hasan
1. I am the program director for NCC Psychiatry Residency Training Program. I took over as PD in MAR 2007 and was Assistant PD from July 2006. I have been a faculty member of the residency since July 2004.
2. This memo is based on my personal knowledge of and the documented incidences in CPT Hasan’s Resident Training File.
3. The Faculty has serious concerns about CPT Hasan’s professionalism and work ethic. Clinically he is competent to deliver safe patient care. But he demonstrates a pattern of poor judgment and a lack of professionalism. In his PGY-2 year, he was counseled for inappropriately discussing religious topics with his assigned patients. He also required a period of in-program remediation when he was discovered to have not documented appropriately an ER encounter with a homicidal patient who subsequently eloped from the ER. He did successfully remediate this problem. At the end of his PGY-2 year, he was placed on administrative probation by the NCC GMEC for failure to take and pass USMLE Step 3 and to obtain an unrestricted state medical license by the end of his PGY-2 year; as a result he was not promoted to PGY-3 on time. He did eventually complete step 3 and get a license and was promoted to PGY-3. He was counseled for having a poor record of attendance at didactics and lower than expected PRITE scores. One year he failed to show for his PRITE examination at all. During his PGY-3 year, he was counseled for being consistently late to NNMC morning report. During his PGY-4 year, he was discovered to have only seen 30 outpatients in 38 week of outpatient continuity clinic. He was required to make this missed clinic time up using his elective. He failed his HGT/WGT screening and was found to be out of standards with body fat % and was counseled on that.Lastly, he missed a night of call for MGMC ER and then did not respond to numerous pages by my office the next day.
4. Take together; these issues demonstrate a lack of professionalism and work ethics.
He is able to self-correct with supervision. However, at this point he should not need so much supervision. In spite of all of this, I am not able to say he is not competent to graduate nor do I think a period of academic probation now at the end of his training will be beneficial. He would be able to contain his behavior enough to complete any period of probation successfully. My purpose in writing this letter is to give the credentials committee the benefit of full disclosure and the opportunity to modify CPT Hasan’s plan of supervision following initial privileging.
5. I did discuss this memo with CPT Hasan and informed him I would be adding it to his initial credentialing paperwork.
6. POC is the undersigned and may be reached at 202-XXX-XXXX or email at XXX/
Sincerely,
Scott Moran, MAJ, MC
Program Director
NCC Psychiatry Residency Training
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