The University's Board of Visitors received a letter of no confidence for Craig Kent, chief executive officer of U.Va. Health, and Melina Kibbe, dean of the School of Medicine, Medicine professor and chief health affairs officer, demanding both of their removals. The letter, signed by 128 U.Va. Physicians Group-employed faculty, alleges that the two leaders have fostered an environment that compromises patient safety and creates a culture of fear among faculty. The letter accuses Kent and Kibbe of allowing "egregious acts" to occur at U.Va. Health and the School of Medicine, including hiring doctors with questionable quality of work, subjecting residents to harassment, excessive spending on executives instead of addressing staffing shortages, a lack of transparency on financial matters and violations of the Board of Visitors-approved code of ethics.