In the interests of the service, the duties of the head of the department may be terminated by a joint decision of the director and the chairman of the hospital medical committee, after consulting, in the case of university hospitals, the director of the medical training and research unit and the chairman of the medical education coordination committee.
When the head of the department is an army practitioner, the decision to terminate his duties is taken under the conditions set out in the first paragraph jointly by the Minister for Defence, the director and the chairman of the establishment medical committee. However, in the interests of the public hospital service or to meet the specific needs of defence, the Minister for Defence alone, or the Director and the Chairman of the Establishment Medical Commission jointly, may terminate the appointment directly. The agreement provided for in article L. 6147-9 shall be terminated or amended as soon as possible.