Have you ever you have been in a position As Medical Orthopedic Surgeon where you've had to fire someone? How did you feel about that experience?
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Be very thoughtful about your answer. This is a very serious matter for most companies and requires a very serious answer. You need to express that you will do it when it is the right thing to do but you don't want to give the impression that you're callus to the process. Don't forget that firing is not the same as laying someone off - it typically is for the direct benefit of the company.
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