Other Appeal Process

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[QUOTE=Nwachinemelu1]
As a prelim IM intern I was denied renewal of contract and promotion based on deficiencies in professionalism and communication. My contract ends 6/30/12. The reason for denial of promotion to R2 level has changed several times the last was because several positive letters of support came from my patients as they realized I was not going to continue care. All the residents also wrote and signed a letter of petition to PD on my behalf. A letter also came from a U.S Rep on my behalf. Professional mis-conduct was coined based on 'soliciting for advocate'. I didn't solicit for letters of support. I was told no position for me by late march after the 'match', and its been difficult finding a spot. Please advise as I'm going through appeal process with hearing date to be announced soon. Anyone with similar experiences? Thanks for your responses.

[QUOTE=Nwachinemelu1;12709366]

Originally Posted by Nwachinemelu1

As a prelim IM intern I was denied renewal of contract and promotion based on deficiencies in professionalism and communication. My contract ends 6/30/12. The reason for denial of promotion to R2 level has changed several times the last was because several positive letters of support came from my patients as they realized I was not going to continue care. All the residents also wrote and signed a letter of petition to PD on my behalf. A letter also came from a U.S Rep to the authorities demanding answers. Professional mis-conduct was coined based on 'soliciting for advocate'. I didn't didn;t solicit for letters of support. I was told no position for me by late march after the 'match', and its been difficult finding a spot. Please advise as I'm going through appeal process with hearing date to be announced soon. Anyone with similar experiences? Thanks for your responses.

Are you a foreign grad? If you are a prelim IM intern, there is no guarantee that your program will have a PGY-2 position for you. What deficiencies did you specifically have? I also don't see how a US rep could demand anything, and who the "authorities" you are referring to are. It seems like there is more to the story.

[QUOTE=Dermpath;12709527]

Originally Posted by Nwachinemelu1

Are you a foreign grad? If you are a prelim IM intern, there is no guarantee that your program will have a PGY-2 position for you. What deficiencies did you specifically have? I also don't see how a US rep could demand anything, and who the "authorities" you are referring to are. It seems like there is more to the story.

I'm IMG. We had 5 prelim interns everyone was promoted but me. I was denied renewal/promotion based on deficiencies in professionalism and communication-several letters came from my patients to PD stating they would want me to continue caring for them. Also that I was discussing my case with some attending during rounds. Residents in the program also wrote a letter of support to PD on my behalf. I was originally told there was no funds available to keep me in the program, but currently the reason for not promoting me is deficiencies in professionalism. I was also told by PD people from middle east were favored due to financial back up from their countries. Medical knowledge is my strength according to the PD.

Dermpath is right, you are not guaranteed a PGY2 after a pre lim year

[QUOTE=Nwachinemelu1;12710185]

Originally Posted by Dermpath

I'm IMG. We had 5 prelim interns everyone was promoted but me. I was denied renewal/promotion based on deficiencies in professionalism and communication-several letters came from my patients to PD stating they would want me to continue caring for them. Also that I was discussing my case with some attending during rounds. Residents in the program also wrote a letter of support to PD on my behalf. I was originally told there was no funds available to keep me in the program, but currently the reason for not promoting me is deficiencies in professionalism. I was also told by PD people from middle east were favored due to financial back up from their countries. Medical knowledge is my strength according to the PD.

I would not appeal it if I were you. I doubt it will help you and as someone else mentioned you are not guaranteed a spot as a prelim. While your other fellow prelims were promoted doesn't mean they have to promote you as well. If I were you I'd focus on finding a different spot.

Originally Posted by Nwachinemelu1

As a prelim IM intern I was denied renewal of contract and promotion based on deficiencies in professionalism and communication.

That's going to be a big problem in finding a PGY-2 spot (both at your current program or at a new one). Not having your contract renewed because of "professionalism" concerns is a big red flag - and your current program director will be contacted by any future potential employers. Have you addressed your program's concerns? Do you know where you made mistakes?

I have already appealed and waiting for hearing date.

[QUOTE=Medstudentquest;12720376]

Originally Posted by Nwachinemelu1

I would not appeal it if I were you. I doubt it will help you and as someone else mentioned you are not guaranteed a spot as a prelim. While your other fellow prelims were promoted doesn't mean they have to promote you as well. If I were you I'd focus on finding a different spot.

I have already appealed and waiting for hearing date. I'm trying to find different spot. It hasn't been easy. Please advise. Thanks.

This is tough, as a prelim, your not guarantied any future spot. You suppose to apply for PGY2 positions...I take it you have been doing that. Going into an appeal is probably not going to get you anywhere..bc there is no commitment to continue you. I would rather work with the PD to get a good and clean LOR, and use that to apply for PGY2 spots. By going threw the appeal and fighting it, you may not get a positive response from your PD when you apply to other programs,,,,,,and that can be detrimental.

I am assuming that you have will get a certificate of completion of PGY1, you must have good LORs, now work on getting that clean and good LOR from the PD. You apply for advanced positions, and the reason you did not stay with your old program is because there were no positions available. Thats what your going to sell when you apply to other programs...simple as that.

Before you go any further, I advise that you discuss your strategy with a lawyer.

PS. If you are connected with a US rep, I am sure your probably connected in other ways, and wont have a problem finding a PGY2 spot.

Originally Posted by ams81

This is tough, as a prelim, your not guarantied any future spot. You suppose to apply for PGY2 positions...I take it you have been doing that. Going into an appeal is probably not going to get you anywhere..bc there is no commitment to continue you. I would rather work with the PD to get a good and clean LOR, and use that to apply for PGY2 spots. By going threw the appeal and fighting it, you may not get a positive response from your PD when you apply to other programs,,,,,,and that can be detrimental.

I am assuming that you have will get a certificate of completion of PGY1, you must have good LORs, now work on getting that clean and good LOR from the PD. You apply for advanced positions, and the reason you did not stay with your old program is because there were no positions available. Thats what your going to sell when you apply to other programs...simple as that.

Before you go any further, I advise that you discuss your strategy with a lawyer.

PS. If you are connected with a US rep, I am sure your probably connected in other ways, and wont have a problem finding a PGY2 spot.

I agree. Fighting this is kinda pointless. There is no guarantee that a prelim will be given a second year spot. It is entirely up to the discretion of the PD. If OP had deficiencies then even less of a chance he/she would be given a second year position. Maybe colleagues did not have issues and were promoted. It would make more sense to be humble and talk to PD and ask for help than fight it. What could possibly be the argument to fight?

[QUOTE=Nwachinemelu1;12733673]

Originally Posted by Medstudentquest

I have already appealed and waiting for hearing date. I'm trying to find different spot. It hasn't been easy. Please advise. Thanks.

What in the world are you appealing?????

As others have stated, you were a PRELIM. There is absolutely no obligation of any program to make you a categorical after a PRELIM year. Almost all prelims know this, and you should have too. As a matter of fact, most prelims make plans for their PGY 2 way before March since they know they are only expected to be at the program for one year.

In addition, you have been cited for problems with "professionalism". If I were you, then I would want to drop ties with this program and just move on and start somewhere fresh.