VANDERBILT UNIVERSITY MEDICAL CENTER Michael J. Regier JD. General Counsel Corporate Secretary May 17, 2018 Eugene Gu, M.D. Dear Dr. Gu: This letter is being delivered at the request and direction of Jeffrey Balser, President and CEO of Vanderbilt University Medical Center (“VUMC”), and as contemplated by the process for reviewing a program’s decision of non-renewal (2017-2018 VUMC House Staff Manual Section IV.C.1.g, (p.63)) and the House Staff ComplainyGrievance Procedure (2017-2018 VUMC House Staff Manual Section V (p. 65)). The Graduate Medical Education Review Committee (the “Review Committee”) has completed the review of your placement on the Corrective Action of Non-Renewal and the continuation of your placement on the Corrective Action of Probation through June 30, 2018 (letter dated February 28, 2018) which outlined a number of areas of concern about your performance and professionalism related to your surgery residency. The concerns leading to these actions, as detailed in the February 28, 2018 letter noted lack of sufficient improvement in performance and conduct in key areas over the preceding several months, with the most significant areas of concem in patient care, communication, and medical knowledge. That letter included a detailed summative assessment that your performance had not shown sufficient progress to continue as a resident in the Surgery residency program and to function at the level of proficiency and independence appropriate for a PGY3 or PGY4 resident. Dr. Balser has received and reviewed the recommendation of the Review Committee to uphold your placement on the Corrective Action of Non-Renewal and to uphold the continuation of your placement on the Corrective Action of Probation. He has also considered the review by VUMC Employee Relations of your allegation that VUMC has created a hostile work environment and engaged in disparate treatment of you compared to your peers which review concluded that your allegation was not substantiated, and which allegation and review conclusions were reported to the Review Committee before it reached its decision. Tam writing to inform you that Dr. Balser concurs with the Review Committee's recommendation and has decided to uphold your placement on the Corrective Action of Non-Renewal and the continuation of your placement on the Corrective Action of Probation jst Avenue South tel 615.875.7234 00 Medical Center Novth fax 615.343.7286 Nashville, TN 37232-2104 smichaclj.egier@vanderbiltedyShould you have any questions about this process, please feel free to contact Dr. Donald Brady, Senior Vice Pr lent for Educational Affairs, NRMP/ACGME Designated Institutional Official. Sincerely yours, General Counsel and Secretary Vanderbilt University Medical Center Ce: Jeffrey R. Balser, M.D., Ph.D. President and CE Vanderbilt University Medical Center Donald W. Brady, M.D. Senior Vice President for Educational Affairs NRMP/ACGME Designated Institutional Official Kyla P. Terhune, M.D. Director, Surgery Residency Training Program R. Daniel Beauchamp, M.D. Professor and Chair, Section of Surgical Sciences Rebecca R. Swan, M.D. Chair, Graduate Medical Education Committee