Thursday, November 19, 2009

NPR: Walter Reed Psychiatrists Didn't Miss Hasan Warning Signs

With NPR's release of this memo from his personnel file (ht Huffington Post), the Nidal Malik Hasan case begins to come into focus:
On May 17, 2007, Hasan's supervisor at Walter Reed sent the memo to the Walter Reed credentials committee. It reads, "Memorandum for: Credentials Committee. Subject: CPT Nidal Hasan." More than a page long, the document warns that: "The Faculty has serious concerns about CPT Hasan's professionalism and work ethic. ... He demonstrates a pattern of poor judgment and a lack of professionalism." It is signed by the chief of psychiatric residents at Walter Reed, Maj. Scott Moran.

When shown the memo, two leading psychiatrists said it was so damning, it might have sunk Hasan's career if he had applied for a job outside the Army.

"Even if we were desperate for a psychiatrist, we would not even get him to the point where we would invite him for an interview," says Dr. Steven Sharfstein, who runs Sheppard Pratt's psychiatric medical center, based just outside Baltimore.

Sharfstein says it's a little hard to read the evaluation now and pretend that he doesn't know that Hasan is accused of shooting dozens of people. But he says if he had seen a memo like this about an applicant, Sharfstein would have avoided him like the plague.

The memo ticks off numerous problems over the course of Hasan's training, including proselytizing to his patients. It says he mistreated a homicidal patient and allowed her to escape from the emergency room, and that he blew off an important exam.

According to the memo, Hasan hardly did any work: He saw only 30 patients in 38 weeks. Sources at Walter Reed say most psychiatrists see at least 10 times that many patients. When Hasan was supposed to be on call for emergencies, he didn't even answer the phone.

Sharfstein says the memo doesn't suggest that Hasan would end up shooting people, but it warns that Hasan was "somebody who could potentially put patients in danger."
Link to PDF facsimile of memo on NPR website, here. One interesting item:
He failed his HGT/WGT screening and was found to be out of standards with body fat % and was counseled on that.