Sanctions without Evidence of Policy Violation?

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DishonestAnonymous

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If a medical school administration or dean decides that a student should be dismissed/expelled/mandatory leave/etc, is there an absolute/universal requirement that the school present proof/evidence for whatever policies the student is understood to be in violation of? (the policies regarding discipline at our school are vaguely outlined in our rulebook, and there's a lot of "we reserve the right" peppered into the protocols for discipline and investigations, which seems more subjective than objective.

Here's my situation: Our school has an anonymous reporting channel that students/faculty may report someone for things like academic dishonest, violation of policy, reporting an incident (harassment, intoxication in class/clinic, general professionalism issues, etc.) There is a universal ID/password that everyone may use, and the person writing the report is not required to provide their name - complete anonymity to the deans and to the person they are reporting. Okay, so moving on from here...

A classmate has been sending in these reports about me, on two separate occasions now, lying to the administration about my behavior in school. They have been sending these reports anonymously, so they cannot be followed up with by the administration. I have been accused of: Harassment (false), Bigotry/Racism (false) towards other students, creating a hostile work environment (false), loud and disruptive before/during exams (false), not allowing others to participate in small group sessions (I'm pretty quiet), openly badmouthing professors and classmates (I might complain about a crappy lecture from time to time, but nothing more than any other average med student), threatening/victimizing classmates (false), being unreceptive to feedback (false, I actually welcome it and make sure the person feels heard), substance use issues (had too much to drink at a party after a final and some people had to step in and make sure I wasn't going to die or anything, and that I got drunk at a happy hour informally organized by a large group of our class) inappropriate use of Facebook (I have a rare disease and I use social media to promote awareness/educate.)

So, our medical school administration really likes this system, and they place a lot of emphasis on it being a tool for feedback and improving ones self professionally. Sure, I get that, but much of this is all documented in black and white, so if I'm accused of something I did not do or do not agree with, I'm going to make sure the record shows that I did not admit to being guilty of something I did not do - and obviously, some of the things this person has accused me of would be grounds for dismissal if not true.

Anyway, the first report came and went and I explained things away and I made sure the deans knew I was not some alcoholic bigoted misogynist who can't handle feedback or responds to it with violence. The report stays in some data-base and doesn't go on the permanent record, fine, who cares. If you get enough of these reports sent in against you though, they make note of it in your MSPE and it does go on your permanent record and does need to be reported to liscencing agencies - and every student is acutely aware of that little detail.

So, a few months ago, a second report came in, and I was called in to meet with a dean and to submit a written response to the report; and again, I vehemently denied everything that was not true, this time offering up irrefutable lines of evidence to support points of innocence to what this person was saying about me - loud and disruptive, threatens people, victimizes people, loud/disruptive during exams, hostile work environment in small group sessions, etc. Now a big thing that has been emphasized by our deans is that "Perceptions vary" - and I get that if you have a different sense of humor or what is an appropriate thing to talk about with your classmates in small group or before a test, then some people might not get along, and thats not great I guess but the fact of the matter here is that nothing that this person has described of my behavior at school even remotely reflects the truth, and if it is really a matter of perception there is nothing that I have done that even mildly aligns with what this person has said about me that a reasonable person of objective mind would say "wow, thats a pretty hostile guy" or "he really talks a lot of trash".

Anyway, this person has sent in these reports, the language is vague, needlessly harsh, and where the comments aren't vague, they are just making up things to make me look bad and maybe get me in trouble? They even went so far as to write something to the effect of "this student can defend the things they do on an individual basis, but if you look at the bigger picture he is overall a malicious and unprofessional person" - so when I defend my position that I have not violated the policies that this person implies I have violated, or crossed the ethical lines that they suggest I have crossed - my being defensive just plays right into their report. Indeed, a conundrum.

Anyway, faculty and deans met to review this report and my written reply to the report, and the have handed down a recommendation that I attend counseling/therapy (with a 3rd party service the school pays for), and based on what other students who also had to enroll in this counseling program, it's pretty much until you graduate.

Step I is on the horizon. I shouldn't have to sacrifice my time because another classmate lied to the deans about my behavior, and did so anonymously so they couldn't be held accountable.

So, I'm appealing the recommendation to a a promotions committee. They may uphold, reverse, modify, or completely change the recommendation - including probation, dismissal, expulsion, mandatory leave, etc.

No proof has been given to support the policies that this person has alleged me to be in violation of, but there are also "grey areas" regarding professionalism, which, while there is no evidence for that either, it is a matter of hearsay and even if my side of the story is not lent credence, since it is a "grey" area, it seems that this appeal committee could be like "well we think you're full of it, we buy this persons story, you're massively unprofessional, and instead of upholding the recommendation that you enroll in therapy, we're opting to dismiss you/some other adverse sanction"

So, can a medical school really take adverse action, when there is no proof of anything? Can I really be forced to attend "therapy" when I'm not responsible for the things that have been alleged of me, with no evidence to support those allegations whatsoever?

Someone please chime in here. I know its my only/first post on SDN, but I'm really worried about this. Please no trolling.
 
Why would someone report all of these things about you if there was nothing to report? What is the motive?
 
Why would someone report all of these things about you if there was nothing to report? What is the motive?
The same reason that someone can fill out a peer evaluation on a rotation and click the choice to where they think it is severe enough to meet with a dean. It's easy to do. In OP's case, its easy to fill out, anonymous, and no repercussions at all for a false charge. It's a gunner's dream come true. Ours was different in that they were not anonymous. Anyone filling it out on paper has to sign their name as to the specific incident that occurred. What I don't understand is why @DishonestAnonymous waited so long knowing one classmate was doing this.
 
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The same reason that someone can fill out a peer evaluation on a rotation and click the choice to where they think it is severe enough to meet with a dean. It's easy to do. In OP's case, its easy to fill out, anonymous, and no repercussions at all for a false charge. It's a gunner's dream come true. Ours was different in that they were not anonymous. Anyone filling it out on paper has to sign their name as to the specific incident that occurred. What I don't understand is why @DishonestAnonymous waited so long knowing one classmate was doing this.

I mean, what's the motive? There's no backstory.
 
More like medical school in North Korea.

I would have done the counseling, waited a few months, then started sending multiple, differently-worded reports about the other student, from different IP addresses (certainly those are logged).
I would have done it after the first time. OP is backed into a corner now with no choice but to do therapy because he waited. Can you imagine if colleges had this in place, like at Yale, Dartmouth, and Princeton? Oh wait, that is what Yale med students wanted in their letter.
 
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I do not know which student is sending in the reports. I sincerely have no idea.

@Psai , @Tired the backstory is at some point or another I probably p***ed off a classmate and instead of approaching me about it like a mature, adult - let alone like a professional - they're taking things way too far. I do not know who this person is, or what I did to invoke such hatred of me. Sure, I've butted heads with a few people here or there, but nothing so remarkable that it should reasonably precipitate this kind of response (retaliation).

TL;DR? If no policies were violated, and no proof is given to support what this person has said about me, and they are sending in these reports anonymously and cannot be followed up with - can the school still impose some kind of sanction like mandatory leave / dismissal / etc? Apparently the recommendation can be changed to anything, "reserve the right to...."
 
If I was in OP's position, I'd be lawyering up right now. Might be overkill, but I'd rather get them involved early before this goes further than just nonsense "counseling." If this has the potential to lead to a bad MSPE or worse, I think it warrants real action.

What the school is doing basically amounts to being a negligent accomplice to harassment and libel.
 
It almost doesn't matter. Anonymous reporting of your peers is ridiculous and slimy. It lends itself to any number of abuses for any reason. Gunning, bad breakup, personality disorders (and who are we kidding, we have a ton of those in our med schools), adolescent catastrophization. True or not, I find the whole thing dirty.
Right, you hit it on the head. These bs annonymous reporting systems are becoming quite common.

No right to face your accuser
No evidence necessary
School admin basically decides ifthey believe it is true

I would hire a lawyer before i even tried to defend myself.
 
The school is a school, not a government entity. It has much more latitude in what it can do than you seem to think. Additionally, it has not actually sanctioned you. It has insisted you do get counseling (at no expense) "out of concern for your well-being."

Med schools train doctors. They have the right to determine fitness for the profession. Right now they are telling you that you are on the fence. I think your decision to appeal (where you can actually get a worse punishment than what you started with) was probably a poor one.

You need to learn to play the game. Duck and cover. Say the right things. Do counseling. Avoid all interaction with your classmates until you get to your clinical years. And remember these same things (and worse) can happen in residency.

SDN is littered with the corpses of people just like you who insisted that the world should be fair, and an equal number of trying-to-be-helpful posters who scream, "Get a lawyer!" Let me know how many of those threads end with, "My lawyer won and now everything is great!"
Right I agree. Play the game. If they are going to kick you out though, get a lawyer. If nothing official has been placed on your record then you should be ok.

Seriously, an annonymous system to report "professionalism" violations... of your peers.

That is the one of the most disgustingly oppressive abominations to come out of the mind of an administrator.
 
The school is a school, not a government entity. It has much more latitude in what it can do than you seem to think. Additionally, it has not actually sanctioned you. It has insisted you do get counseling (at no expense) "out of concern for your well-being."

Med schools train doctors. They have the right to determine fitness for the profession. Right now they are telling you that you are on the fence. I think your decision to appeal (where you can actually get a worse punishment than what you started with) was probably a poor one.

You need to learn to play the game. Duck and cover. Say the right things. Do counseling. Avoid all interaction with your classmates until you get to your clinical years. And remember these same things (and worse) can happen in residency.

SDN is littered with the corpses of people just like you who insisted that the world should be fair, and an equal number of trying-to-be-helpful posters who scream, "Get a lawyer!" Let me know how many of those threads end with, "My lawyer won and now everything is great!"

If the situation has gotten to the point where he is appealing a decision to the promotions committee, I maintain that a lawyer is appropriate.

There are many things that schools cannot do to their students. It is not as if they can take tens of thousands of dollars of tuition money and then dismiss students on frivolous accusations . . .
 
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How common ?
I have never heard of this. What school use this ?

Also, this was an interesting read:

http://www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Conlon_50.pdf

This is something different from what the OP is describing. Our hospital (and I assume most academic centers) have a risk management department which maintains a web-based reporting system of medical errors and near misses. As I understand it these systems operate to increase patient safety and minimize hospital error → hospital liability. Generally they focus on not placing blame on individuals but rather finding the systemic problem.

What the OP describes seems to be a reporting system within the medical school which exists to allow individuals to be anonymously called out for 'bad behavior'. That sounds horrifying to me.
 
I do not know which student is sending in the reports. I sincerely have no idea.

@Psai , @Tired the backstory is at some point or another I probably p***ed off a classmate and instead of approaching me about it like a mature, adult - let alone like a professional - they're taking things way too far. I do not know who this person is, or what I did to invoke such hatred of me. Sure, I've butted heads with a few people here or there, but nothing so remarkable that it should reasonably precipitate this kind of response (retaliation).

TL;DR? If no policies were violated, and no proof is given to support what this person has said about me, and they are sending in these reports anonymously and cannot be followed up with - can the school still impose some kind of sanction like mandatory leave / dismissal / etc? Apparently the recommendation can be changed to anything, "reserve the right to...."
Then why did you say, "A classmate has been sending in these reports about me"? I guess I thought you meant it was 1 classmate doing this.

Schools can absolutely make judgement calls on whether you are fit to receive their degree even if you have met all academic requirements. See the recent news story involving Case Western's med school and a student who matched. Courts don't usually overturn academic decisions, so a lawyer won't work.
 
This is something different from what the OP is describing. Our hospital (and I assume most academic centers) have a risk management department which maintains a web-based reporting system of medical errors and near misses. As I understand it these systems operate to increase patient safety and minimize hospital error → hospital liability. Generally they focus on not placing blame on individuals but rather finding the systemic problem.

What the OP describes seems to be a reporting system within the medical school which exists to allow individuals to be anonymously called out for 'bad behavior'. That sounds horrifying to me.
It's most likely a school made form website accessible on any computer by administration, basic science faculty, attendings, residents, nurses, anyone who works on the hospital side. It will have every med student on the drop-down menu along with their roster photo to confirm. Then select, click, and type away filling out the form, then submit.
 
Why would someone report all of these things about you if there was nothing to report? What is the motive?
I know you're child abuser. Why would I make this up? I don't even know you. I'm not even anonymous.
 
The school is a school, not a government entity.
Depends on the school. Plenty of medical schools are governmental entities.

You need to learn to play the game. Duck and cover. Say the right things. Do counseling. Avoid all interaction with your classmates until you get to your clinical years. And remember these same things (and worse) can happen in residency.

SDN is littered with the corpses of people just like you who insisted that the world should be fair, and an equal number of trying-to-be-helpful posters who scream, "Get a lawyer!" Let me know how many of those threads end with, "My lawyer won and now everything is great!"

Sadly this is the truth about surviving situations like this in medical education. The school can make relatively arbitrary decisions regarding professionalism. Really what matters more than anything is your reaction to your medical school. Actively challenging their decisions is not going to win you any support or good will from the administration even if you are right. If you have to get a lawyer involved, you've already lost. This is doubly true as sizable number of medical schools explicitly forbid any sort of legal representation / legal counsel in internal committees including promotions committees.

If you are an outstanding student with no other marks against and you have clout-carrying faculty members are willing to go to bat for you before the promotions committee/administration to defend you against baseless allegations, that's probably your best bet. Failing being awesome and well-liked by heavy hitters, your best bet is to suck it up, play the game, keep your head down, and try to avoid being put under the microscope.

In either case, having the future of your education/career threatened like this over nonsense is extremely unpleasant and can lead to high levels of stress and/or depression. Definitely take care of yourself and reach out to your support system(s)/close friends. Stay strong. This too shall pass.
 
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Man you pissed the wrong person off. I would ghost on out of that social scene and find myself a new circle if I were you.
 
I concur with my learned colleague on this one. My school does not have an anonymous reporting system, but as I have pointed out in similar threads, once you get accepted to med school, it's harder to get out than in, meaning, we do everything in our power to get you to graduation.

Schools have very specific policies and it would be arbitrary and capricious to expel you, or sanction you over anonymous complaints. I suspect that the Deans have been digging and found a whiff of something.

I have also learned, being a parent of two young kids, there is always two sides to every story.

So do as your Deans suggest, and be more circumspect in who you talk to. Sometimes how you say something can me more important than what you said.

My institutional experience with anonymous reports is that they are the proverbial canaries in the coal mine, meaning they are not valuable unless they expose a larger, verifiable pattern of misbehavior.
 
Wow, this is total BS. You should post the name of the school and call them out.
I wouldn't want to go to a school where students can snitch on other students for behavior that offends people. Nor to a school where administrators actually care if a student gets drunk at a party and makes an ass of himself.
 
Seriously, an annonymous system to report "professionalism" violations... of your peers.

Those in the ivory tower have perverted their favorite buzzword so much that they literally have no idea what it means anymore. Now it can refer to not only anything they don't like (not the definition), but to anything that even seems like it might be something that somebody might not like (definitely not the definition).

For reference:
pro·fes·sion·al·ism
prəˈfeSHənlˌizəm/
noun
noun: professionalism
the competence or skill expected of a professional.
 
Haven't read all the comments so my reply has not been shaped by anyone else's suggestions, but a few points:

- One possibility is that you really pissed someone off and now that person is now out to get you - so the allegations are malicious and groundless.

- Another possibility is that you do have some behavior issues that one or more people have found problematic and that the allegations are sincerely meant.

- You could reasonably ask the administration to ask a selected group of your classmates their opinions on whether or not the allegations have merit.

- Counseling is not a bad thing. Agreeing to go shows a willingness to listen, improve and grow. (And you might learn and grow if you're open to it.) Resisting and insisting that you are not at fault shows defensiveness and (as you acknowledge) does tend to support some of the allegations made against you.

- I know that you don't want to take away your STEP studying time, so asking to postpone the start of counseling until after you take your exam seems like a reasonable compromise.
 
After having read the other suggestions --

Please don't lawyer up now!

The allegations against you are in the realm of 'professionalism' and general character, which are, by nature subjective. Your school's administration has the right and the responsibility to make sure that the students they train have the appropriate character and behavior traits to be a physician, and that they have not demonstrated levels of unprofessionalism sufficient to cause concern. If your schools administration sincerely concludes you are 'unprofessional', they can, will, and should dismiss you from the program. They won't do this lightly, however, and will almost certainly not do this based on anonymous reports alone. They know as well as you do that it could just be one malicious student.

@asdf123g is really going out on a limb with the speculation. Don't go there. Don't dig, investigate, play what-if games, ask around, or even discuss these allegations with anyone. The more people know, and the more they know about your situation, the more the grapevine will work against you.

Instead, just demonstrate a desire and willingness to improve. SHOW your classmates that you are not a belligerent, misogynistic drunk, malcontent, whatever... Go to counseling and really work on the issues you do uncover. Listen to @Tired and @Goro. They know what they're talking about.
 
I'm personally leaning toward the likely possibility that these reports were from different people and may actually reflect how you come across to others. If this were really so counter to your true demeanor, it would be laughed off by the administration. The fact that this is given any credence at all suggests that your baseline behavior day to day is not too far removed from the reports.

I would strongly encourage you to accept any sanctions and participate fully in whatever counseling they ask you to do.
 
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