GME Confidential Reporting

Please use this form to report any concerns/issues you have to the Houston Methodist GME Office. Examples of such concerns/issues might include duty hour violations, intimidations/harassment/discrimination, patient safety concerns, excessive service obligations, other rule violations, etc.

Houston Methodist and the GME Office take all concerns seriously. The GME Office, if requested below, will investigate any issue/concern that cannot be immediately addressed, or forward to the appropriate Houston Methodist office for investigation.

If you wish to be contacted, please include your name and email

Your Name (optional) Email (optional) I affirm I am a Houston Methodist resident/fellow * Yes No If not a Houston Methodist resident/fellow, please indicate your relationship to the residency program * Description of concern/issue. (Please provide sufficient information for the concern to be investigated.) * Have you taken any steps to address this concern/issue? If so, please describe. * Do you want the concern/issue investigated or do you just want us to be aware of it? * Investigate Aware Please provide any other relevant information

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