A top psychiatrist at Walter Reed warned Fort Hood about Hasan

Two years ago, a top psychiatrist at Walter Reed Army Medical Center was so concerned about what he saw as Nidal Hasan's incompetence and reckless behavior that he put those concerns in writing. NPR has obtained a copy of the memo, the first evaluation that has surfaced from Hasan's file.

Officials at Walter Reed sent that memo to Fort Hood this year when Hasan was transferred there.

Nevertheless, commanders still assigned Hasan - accused of killing 13 people in a mass shooting at Fort Hood on Nov. 5 - to work with some of the Army's most troubled and vulnerable soldiers.

The Damning Memo

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.

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.