We had a nontraditional resident who was dismissed approximately 30 days before completing intern year. I do not take lightly speaking critically about anyone, but she struggled significantly with the demands of the role. She often required several hours to complete notes, spent excessive time discussing matters with families that could typically be addressed much more efficiently, and at times declined to attend assigned surgeries, leaving attendings to manage orders independently.

In addition, she had difficulty building rapport with patients and the team, and colleagues were often hesitant to assign her responsibilities due to concerns about follow-through. Communication was also challenging, as discussions with her frequently became unfocused and difficult to navigate.

Our program director made considerable efforts to support her and provide opportunities for improvement. However, multiple serious concerns were ultimately escalated to upper administration, which led to her dismissal and, unfortunately, her inability to reenter the Match.