IMHO: I have to say it makes me suspicious of the school quality, no offense CanHasNaps...it's pretty hard for a department to have a failure like that in isolation. I would suspect the hospital CEO or board of directors would have a little come to jesus talk with the PD considering the financial and reputation implications of not being able to support a graduate program. Can curmudgeons, poor teachers and bad board scores repeatedly happen to a dept? Well yes, but to have the department officially fail is a bad sign. The fact that it is 'isolated' to me sounds worse: that there is no oversight, no quality control measures for a department.