Question one: Consider an employee who always performs satisfactorily but

Question one: 

 Consider an employee who always performs satisfactorily but has little or no opportunity to improve and can go no higher in the organization and does not aspire to do so. Why is it considered necessary to continue periodically appraising this employee’s performance? Should the employee be required to continue with professional training? Why or why not? 

Question Two:

 Why is it necessary for a health care institution to have official written policies for addressing issues of medical ethics? Provide an example of how ethical standards can change over a period of time.