New Emergency Medicine Residency Program at Level 1 Trauma Center in Phoenix

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Matthew N. Graber

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We are are happy to announce that our new program is welcoming students to apply for an EM residency position.

The Abrazo Health Network Emergency Medicine Residency Program is based in a multi-hospital system in the Phoenix metro area. Our primary site is the Abrazo West Campus, a level 1 trauma center, STEMI and stroke center, with multi-specialty back up. We will be reviewed by the ACGME for accreditation in January, 2020 and are confident that we will receive accreditation to take our first class in July, 2020. As we are not able to participate in ERAS, we are accepting applications via email and plan to begin interviews in late October. Upon accreditation, we will join the regular NRMP. We are a 1-3 year program taking 6 residents per year.

Please email [email protected] for further information regarding the program, application process, and any other questions.

We will reply with more information about the program and detailed application steps.

Please note: We are unable to interview candidates who require visa support at this time.

Best of luck with the application process. We look forward to meeting many of you!

Matthew Graber, MD PhD, Program Director
Glareh Imani, DO, Associate Program Director

Abrazo Health Network Emergency Medicine
Phoenix, Arizona
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I mean, Phoenix is the 5th largest city in the US. It has 4 medical schools (5 if you want to count the Creighton transplants) and only has 1 EM residency with 14 spots. Seems long overdue.
 
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charles.carmichael said:
I mean, Phoenix is the 5th largest city in the US. It has 4 medical schools (5 if you want to count the Creighton transplants) and only has 1 EM residency with 14 spots. Seems long overdue.
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This is not a justification for opening a residency. There's also too many medical schools, but that's a different argument.
 
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Isn't starting new residencies and getting funding dictated by congress? so are these CMG's just able to go past that process and just fund the money themselves to start residencies?
 
scoopdaboop said:
Isn't starting new residencies and getting funding dictated by congress? so are these CMG's just able to go past that process and just fund the money themselves to start residencies?
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Hospitals, schools, or other organizations can self-fund their own GME.
 
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Rekt said:
Where do you expect your graduates will go if PHX is already saturated from Copa and UA?
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GeneralVeers said:
No jobs available, and extremely low pay in the Phoenix area. Where are your grads going to work?
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Oh man, wait till you two hear about boxes, cars, and the interstate highway system!

After you recover from that shock, I'll start to tell you about airplanes and moving companies.

It's a shame neither of you have ever left the area within walking distance of where you were born.
 
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You need a skilled specialist to ensure patients have access to quality care in their time of emergency. As long as it's a day shift in a major city paying $300 or more. Everything else can go to NP's, PA's, and FP's.
 
With all due respect, I’m little skeptical since the post is made using a gmail domain. Dr. Graber, is there any valid reason?
 
Were there responses deleted from this thread?
 
Whats with this BS. I said the phoenix market is DEAD.
 
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Franzd'Epinay said:
They might have taken issue with name-calling a specific person.

For what it's worth, I also find the removal of posts concerning.
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Then, and hear me out, stop posting off topic things on this thread. It's for the program. You can discuss other programs in the thread for that.
What you're doing is being the person that takes the comments in a different direction than intended. You don't comment on gun control in the obituary of a cop. You don't put anti-vax comments in a post on vaccines. You don't talk about all of GME on an informational thread about a specific program.
Understand?
 
Dr.McNinja said:
Then, and hear me out, stop posting off topic things on this thread. It's for the program. You can discuss other programs in the thread for that.
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Most of the stuff deleted was related to the program, just not very flattering.

Maybe when these posts that are off-limits to criticism come up, one of the mods can chime in early on to say "only positive comments allowed in this post."
 
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Franzd'Epinay said:
Maybe when these posts that are off-limits to criticism come up, one of the mods can chime in early on to say "only positive comments allowed in this post."
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Or maybe people can be decent human beings and not gripe about the program's perceived shortcomings in the program's own thread.
Nah, that will never happen.
 
scoopdaboop said:
Isn't starting new residencies and getting funding dictated by congress? so are these CMG's just able to go past that process and just fund the money themselves to start residencies?
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They are funding t themselves because they can make money off of you. Cheaper than MLPs.
 
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Dr.McNinja said:
Or maybe people can be decent human beings and not gripe about the program's perceived shortcomings in the program's own thread.
Nah, that will never happen.
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Where is it more appropriate to criticize a program than in that programs own thread?
 
EctopicFetus said:
Where is it more appropriate to criticize a program than in that programs own thread?
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Because they're not criticizing the program. They're criticizing GME in general, CMGs, and everything. You want to ask specific questions about rotations and things? Fine.
You want to criticize CMGs or residency expansion? The other 98% of threads are there. It's not about the criticism, it's about being on topic.
 
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is it not important to understand that this is a CMG residency and the reason for starting those? The incentive for starting these programs should let the MS4s understand that their education is about 11th on the list of priorities for the CMG. I get not going wider with overall residency expansion but I would argue who runs the program, who the faculty are, what fellowships and rotations are all important.

To say that a CMG running a residency doesn't matter (with the overall expansion of said CMG residencies) is a disservice to those applicants.
 
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EctopicFetus said:
is it not important to understand that this is a CMG residency and the reason for starting those? The incentive for starting these programs should let the MS4s understand that their education is about 11th on the list of priorities for the CMG. I get not going wider with overall residency expansion but I would argue who runs the program, who the faculty are, what fellowships and rotations are all important.

To say that a CMG running a residency doesn't matter (with the overall expansion of said CMG residencies) is a disservice to those applicants.
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Right. We never hear from the OPs what the actual reason is for starting their residency and why it's a good choice for med school graduates. At my CMG they forced us to start a residency none of us want, and I will state unequivocally that the primary motivator is money, and the poor residents who get chosen to work with us will get inferior training.
 
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How do you send the sloes to a gmail? I do t feel comfortable asking my letter writers
 
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i only have 2 interviews.. i need a job lol
 
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GeneralVeers said:
Right. We never hear from the OPs what the actual reason is for starting their residency and why it's a good choice for med school graduates. At my CMG they forced us to start a residency none of us want, and I will state unequivocally that the primary motivator is money, and the poor residents who get chosen to work with us will get inferior training.
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I think we all know the actual reasons for CMGs started residencies. It's to save money. These companies are highly efficient contract winning machines that focus on short-term profitability. Their behavior is largely rent seeking. I.e. there is almost no meaningful value added from the CMG to the emergency department. Between multiple departments I've seen that were staffed by Envision or Team Health, none had any appreciable improvement due to the CMG being involved.

The two CMG run emergency departments that I saw launched emergency medicine residencies were poor quality departments. I can't imagine that these departments will provide great training. Neither were places that I would want to receive care for myself or my family and both of these were vastly inferior to places I've trained or worked.

This includes the "level I" trauma center that this thread pertains to. I mentioned level I in quotes as I suspect it is an American College of surgeons level II trauma Center, but a level I by Arizona state regulations.

From what I saw of the physician assistant emergency medicine "residency" in this system there is no way that I would want to be affiliated with this. That poor PA signed up for a "residency" only to find herself with minimal training, increased hours, and decreased wages. It was a grossly inappropriate "residency" that undoubtedly harmed patients.

PS Phoenix sucks.
 
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GeneralVeers said:
I love Phoenix. Would move there in a heartbeat if they didn't have a state income tax, and if the average job didn't pay $225.
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Gotcha. I wanna take a trip there in January. Was hoping not to hear something like: "All the traffic of LA and the homelessness of the PNW."
 
RustedFox said:
Gotcha. I wanna take a trip there in January. Was hoping not to hear something like: "All the traffic of LA and the homelessness of the PNW."
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Honestly the traffic isn't THAT bad for a huge city. The Scottsdale area is incredibly beautiful. Their desert (Sonoran) makes my desert (Mojave) look like complete crap.
 
The Emergency Medicine Residency Program at the Abrazo Health Network has been accredited by the ACGME.
 
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Wages being cut, yet we still open residencies.

K lol .

CMGs/HCA has invaded the ACGME like Palpatine invaded the Senate.

Sent from my Pixel 3 using SDN mobile
 
Don't worry, these new grads will be so skilled poorly trained, they'll be perfect for supervising collaborating in an optimal team billing practice model with a midlevels Advanced Practice Providers that are also being churned out by your national publicly traded / Private Equity HCA / Envision / TeamHealth / USACS backed APP residency program.

I for one remember a PA in "residency" in this same system confiding in me their uncertainty if the foreign body they were attempting to remove from a kid's shin was a splinter or if they were pulling on an tendon. They weren't having any luck in getting whatever they were pursuing out of the kid's leg and they finally realized they didn't know what they were pulling on. I had to bail them out of the entire procedure. Like the house of god, "Show me a BMS PA who only triples my work and I will kiss his feet." This poor resident had no teaching, no consistent attending physicians (most were CMG internal locums), and the PA wasn't qualified for the job. But the CMG didn't hesitate to bill like the patient saw a doctor!
 
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I IVed at this place got good vibes, definitely going to be better than some programs I IVed at.

Would I rather TeamHealth wasn't behind this ....? Of course, but damn you guys are savage on here.
 
Listen2Savage said:
I IVed at this place got good vibes, definitely going to be better than some programs I IVed at.

Would I rather TeamHealth wasn't behind this ....? Of course, but damn you guys are savage on here.
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People are significantly underestimating how bad things are going to get with the oversupply and quickly.

It's already hurting PGY3s looking this year. Four years from now? Programs like this are supporting cutting wages and oversupply.

Didn't TH today just send out an email saying everyone's wages are getting cut across the board?
 
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What we're trying to tell people is that if this is the quality of residency you can match into, you're better served going into another specialty.

We have more applicants than jobs. You better believe "where did he/she train?" helps decide if we want to hire.
Listen2Savage said:
I IVed at this place got good vibes, definitely going to be better than some programs I IVed at.

Would I rather TeamHealth wasn't behind this ....? Of course, but damn you guys are savage on here.
Click to expand...
 
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Rekt said:
People are significantly underestimating how bad things are going to get with the oversupply and quickly.

It's already hurting PGY3s looking this year. Four years from now? Programs like this are supporting cutting wages and oversupply.

Didn't TH today just send out an email saying everyone's wages are getting cut across the board?
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But you better damn well believe that they have a corporate district assistant vice ass-kisser. Because that's an important position that needs a 401K and stock options.

My "Sgt. Barnes" monologue becomes truer and truer every day.

"Don't try to tell me how to run my war!"
 
I said to my uncle (a pathologist of high regard at a very big cancer center the other day):
We are just the "ANIMAL MOTHERS" of medicine.

Image result for animal mother629 × 500

It's an awful job.
Its not polite.
Its not cerebral.

But we do it.

For those who remember: "DOC JAY and EIGHT-BALL ARE WASTED!"
But Animal mother was the only guy to throw a chain of rounds around his forearm, charge forward into the fray and try and save Doc Jay and Eight-Ball; despite "Cowboy's" orders to stand down, because it was "the right thing to do".

There's no room for anymore "polite middle managers in white coats" in our world.
We need more Animal Mothers.
 
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Importantly: written on Animal Mother's helmet is the phrase:

"I AM BECOME DEATH".

That has much, much more significance that people generally recognize.

It was the first phrase uttered by J. Robert Oppenheimer (the father of the atomic bomb) after the first atomic test in New Mexico.

He said:

"Some men laughed. Some cried. Most were silent."
"I remembered the words from the Bhagavad-Gita."
"I am become death. The destroyer of worlds."
 
TooMuchResearch said:
I agree with RF, let's hire Adam Baldwin to off the corporate overlords. I think that's what he meant at least.
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I'm pretty crispy. But you got the idea.
If you cant justify your worth to a company... you're fired.

We need 200% less "District Regional Vice Ass Kisser Directors"

and we need 100% more ANIMAL MOTHERS.
 
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