Mistreatment Reporting Form

The University of New Mexico School of Medicine is committed to promoting a respectful, inclusive, and positive learning environment, free of mistreatment for medical students, residents, and fellows.

Mistreatment may be either intentional or unintentional and occurs when behavior shows disrespect for the dignity of others and unreasonably interferes with the learning process. Examples of mistreatment include sexual harassment; discrimination or harassment based on race, religion, ethnicity, gender, or sexual orientation; humiliation; psychological or physical punishment; and the use of grading and other forms of assessment in a punitive manner.




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Every report to LEO is confidential within the limits of the law.** This means that we will not share the details of this case with anyone who does not need to know in order to address the mistreatment. All reports made to LEO are kept in a database that SOM faculty and administrators cannot access. The LEO team members with access to this database are not faculty members.

Please remember that UNM has very strong policies and protections against retaliation for reporting, and part of LEO’s role is to protect reporters from retaliation. Anyone who reports suspected misconduct, in good faith, is afforded whistleblower protection from retaliation by the University (see UNM Policy 2200: Reporting Suspected Misconduct and Whistleblower Protection from Retaliation).

**Please note: LEO is required by law to report violations of Title IX or Title VII to the Office of Equal Opportunity, even if reported anonymously.


YOU HAVE A CHOICE: to report anonymously or to give us your contact information:

1. If you report anonymously: We will address your concern to the best of our ability, but we won’t be able to ask you questions or to get more details to help us move forward with the case. We also won’t be able to keep you updated on the status of your case.

2. If you give us your contact information, that does NOT mean that we have to release your information to the person you’re reporting, or to anyone else. You can ask us to keep your identity to ourselves, and we have ways of opening investigations without sharing particular details if you want to keep your identity anonymous outside of LEO.

In this case, our first step will be to reach out to you to learn more about what you’re reporting. At that time, you can tell us if you want us to keep your identity anonymous. We will also be able to be in touch with you about how the case is progressing and we can tell you when the case has been closed, to the extent allowable by policy and law.

We are best able to effectively address mistreatment when we are able to ask clarifying questions directly to the reporters.














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You'll have the opportunity to share the specific incident below


























Please be as specific and explicit as possible. This helps ensure that the incident is handled appropriately.


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Use this space if you wish to attach any documents, screen shots, etc.











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