Originally Posted by Kimberli Cox
I guess technically if your PGY1 year and the successful completion of it is not required for your new training program, then yes, you could leave.
However, as noted above, why burn bridges? Medicine is a small field. We had a Prelim resident who did the same - basically got a position in the scramble and called and said she would not be coming in again. Not only did that upset everyone (adding to their call schedule), it was unprofessional...our PD made sure her new PD knew about what he was getting.
Yeah, but so what? Your prelim resident had her new spot, had a signed contract, and all your PD was doing was calling to vent. I understand that we should be courteous to our employers and give them advance notice of our plans as they effect our employment, but on the other hand everyone must secure their own future.
Why should she suffer at a job she despised for those few extra months if it is not required for her new program? To me, Q4 call with two days off a month is suffering and if we weren't so firmly grasped by the gonads we would never put up with it. I swear, there is no other job where the employees are such slaves and ******* that they can't even quit without people accusing them of unprofessional behavior. Can you imagine any other job where you could get blacklisted for quitting a job you didn't like? The residency contract is not as tight as you folks think, by the way, and you don't sign yourself into indentured servitude by signing it.
It ain't the Marine Corps. Hell, I got treated better as a Marine than I did on my last (off-serivce) rotation.
Your resident was probably laughing all the way to her new program at the impotent fury of your program director. Maybe if an effort was made to make residency a decent job with fair hours and pay I'd have more sympathy.
And loyalty is a two-way street. Most residency programs will sell you up the river at the first sign of trouble, without regrets, and with no thought of being loyal to you. It is the proverbial dog-eat-dog world. And if your program makes you pull extra call because somebody quits, thats the programs fault and their lack of leadership, not the person who left's fault.
Leadership is protecting your subordinates, especially from unfair treatment. Making them do extra call is unfair. It is punishing them for things out of their control. The whole philosophy of the residency system makes me sick.
And I don't want to hear "Patient Care" thrown out as an excuse. "Patient Care" is only important when your hospital is trying to screw more cheap labor out of you. It certainly never applies to your faculty or staff.