Beware of Hawaii Residency Programs

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DJFresh

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University of Hawai'i Psychiatry Residency is risky because of its legal structure, culture, and recent history.

Legally, it is unique because residents are employed by a corporation known as Hawaii Residency Programs. HRP is employed by the University of Hawaii.

This gives the program directors, program managers, and EVEN administrators extreme leverage over the residents. This leverage is commonly abused during your most vulnerable period of medical training.

The culture is passive aggressive at best. Attendings are grossly underpaid, unhappy, and rarely stay long.

The amount of disciplinary actions, probations, and terminations over the past 10 years is appalling and the threat of all 3 are always present and often utilized.

If you match here, be prepared to do everyone’s grunt work (including social workers and program administrators) while receiving very little education and protection.

The program itself is often under investigation and on probation by the ACGME.

Finally, funding is a major issue. As a PGY4 we had our elective blocks taken away and assigned new rotations to make money for the program without any input or warning. It's an awful program, be careful!

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