Dr. Hadiya should discuss the implementation of the new surgical procedure with Dr. Ilyas first because he is her immediate supervisor. As a resident, Dr. Hadiya does not have the authority to implement new surgical procedures without approval. Dr. Ilyas is higher in the surgical department's hierarchy than Dr. Hadiya and is responsible for overseeing her work. After discussing with Dr. Ilyas, if the new procedure is considered beneficial, Dr. Ilyas would then take the matter to Dr. Neela, who as the Chief of Surgery has the ultimate authority to approve the implementation of new procedures within the hospital. Dr. Hadiya cannot make this change without the consent of both Dr. Ilyas, her direct supervisor, and Dr. Neela, the Chief of Surgery.
In a hospital, Dr. Neela is the Chief of Surgery, Dr. Hadiya is a resident under the supervision of Dr. Ilyas, who is a senior surgeon. Dr. Ilyas reports directly to Dr. Neela. Dr. Hadiya recommends a new surgical procedure that could benefit patients. Who should Dr. Hadiya discuss the implementation of this new procedure with first, and can she make this change without approval?

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