Friday, November 20, 2009

The Warning Signs Were Out There.

By Findalis of Monkey in the Middle


As far back as 2007 officials at Walter Reed knew that there were problems with Nidal Hasan, yet they did nothing. They chose to ignore the signs for whatever reason they had.
Two years ago, a top psychiatrist at Walter Reed Army Medical Center was so concerned about what he saw as Nidal Hasan's incompetence and reckless behavior that he put those concerns in writing. NPR has obtained a copy of the memo, the first evaluation that has surfaced from Hasan's file.

Officials at Walter Reed sent that memo to Fort Hood this year when Hasan was transferred there.

Nevertheless, commanders still assigned Hasan — accused of killing 13 people in a mass shooting at Fort Hood on Nov. 5 — to work with some of the Army's most troubled and vulnerable soldiers.

Read the full story here.
I wonder if Hasan was a Christian or Jewish would he have gotten the same easy pass that he did.

Just read the memo and wonder what the US Army considers to be good psychiatric care?

The Memo:
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
A memo like that by a civilian hospital would destroy anyone's career, regardless of race or religion. But not in the military. What the US Army only wants is diversity for the sake of diversity. Not competency. Thus Hasan's passing grade and promotion.

In the old US Army, Hasan not only would have been investigate for his anti-American, treasonous (it is treason to side with the enemy during war-time) views, but would have failed in his quest to become a psychiatrist, been given a discharge (or asked to resign) and forced to pay the taxpayers back for his medical school.

No one would have died at Ft. Hood, and Hasan could have emigrated to one of the 57 Islamic countries that could have used his talents.

Oh for the good old days!

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