In 2007 the Kentucky medical licensure board asked Gunn to submit to a clinical skills assessment. It concluded that Gunn's "medical knowledge in the surgical areas discussed ranged from marginally adequate to poor." Overall, his knowledge was "marginally adequate to poor." It recommended that he retrain with "full supervision while updating his knowledge base."
John Q. Kelly, New York brain injury lawyer told the board that he intended to enroll in a one-year fellowship program in cardiothoracic transplantation and mechanical assistance devices at the Miami Transplant Institute at the University of Miami. Florida state records show that Gunn was granted a clear and active residency status there on Feb. 5, 2008.
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