Can a residency regain the accreditation after losing it?

[Island Doctor MD]

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A neurosurgery program in Puerto Rico just lost its accreditation after being on probation for years. What's next for the residents in that program? I am just curious
Do they still be able to graduate and be board certified?

 

[Redpancreas]

A neurosurgery program in Puerto Rico just lost its accreditation after being on probation for years. What's next for the residents in that program? I am just curious
Do they still be able to graduate and be board certified?

They have to transfer. Not certain how much credit they leave with. I do know some program directors are willing to absorb those residents if they have less residents. Perhaps a PD can comment on those finer points.

 

[NotAProgDirector]

They have to transfer. Yes, a program can get accreditation back but that usually takes years and lots of work. The ACGME gives programs lots of chances.

Transferring isn't so easy, depending on what the problems were. If the issues were poor training / not enough cases, programs may be concerned about taking more senior residents as their skills may not be good. If it's being closed for abusing residents / way over duty hours all the time / etc, then programs may be perfectly fine. No one can force a program to take a resident, so it's possible that some residents may not get spots, or will need to take a lower PGY level and extend their training.

 

[Redpancreas]

To piggy back above, the situation at Drexel was purely financial and there were no problems with the training of the residents hence many transitioned seamlessly. I also know of a program that lost accreditation a decade ago and has just started interviewing this year. The argument they're trying to make is they're truly experienced, academic despite the being a new program because of the infrastructure, teaching resources, etc.

 

[frenchyn]

U Tennessee and Case Western integrated plastic will withdraw their accreditation starting 6/2021. Why would a program withdraw accreditation? They went through the match this year and matched students. Can you imagine a match then unmatch if no program will take them. This is crazier than SOAP tbh.

 

[FindersFee5]

U Tennessee and Case Western integrated plastic will withdraw their accreditation starting 6/2021. Why would a program withdraw accreditation? They went through the match this year and matched students. Can you imagine a match then unmatch if no program will take them. This is crazier than SOAP tbh.

Yeah I just heard about this. Tennessee has been struggling for years, but I interviewed at Case this cycle and they definitely were not thinking this was going to happen - I think they ADDED a resident slot a few years ago. I did get kinda weird vibes from them though and heard some pretty consistent chatter about malignancy, ended up putting them at the bottom of my list. Trust your gut, people!

 

[frenchyn]

Is this for real? Anyone can confirm?

Yes you can go acgme website. Accreditation withdraw 6/31/2021 for both programs.

 

[doyouhaveaflag]

U Tennessee and Case Western integrated plastic will withdraw their accreditation starting 6/2021. Why would a program withdraw accreditation? They went through the match this year and matched students. Can you imagine a match then unmatch if no program will take them. This is crazier than SOAP tbh.

They didn't withdraw their accreditation. Their accreditation was withdrawn by the ACGME for being in violation of a lot of ACGME standards.

 

[Lawpy]

@Med Ed related question. If a school loses LCME accreditation, are med students sent to other schools or... what happens?

 

[Med Ed]

@Med Ed related question. If a school loses LCME accreditation, are med students sent to other schools or... what happens?

The only semi-recent example of this was when Oral Roberts SOM closed in 1989 due to financial troubles. There were 147 medical students at ORU when the announcement was made. They stayed open long enough to graduate the seniors. The rest transferred to sympathetic schools with some assistance from the LCME. If another allopathic school were to close I think it would play out in similar fashion, although no medical school can be forced to accepted transfers.

 

[doyouhaveaflag]

So what happens to the existing residents?

They find spots in other plastics programs. They should theoretically keep their funding, so if programs have the volume for an additional resident, they can take them. There are several programs that are currently trying to expand that are likely to take transfers.

 

[NotAProgDirector]

They should theoretically keep their funding, so if programs have the volume for an additional resident, they can take them.

This turns out to be more complicated. They only get to keep their funding if their home program releases the funding to their new program. They are not "attached" to the residents, nor are they specialty specific. The institution could choose to redeploy the slots to another program. if they di release them, then the funding would follow the resident until they complete training, and then revert bac to the original institution.

 

[frenchyn]

This turns out to be more complicated. They only get to keep their funding if their home program releases the funding to their new program. They are not "attached" to the residents, nor are they specialty specific. The institution could choose to redeploy the slots to another program. if they di release them, then the funding would follow the resident until they complete training, and then revert bac to the original institution.

This is crazy. What will happen if they can't find a spot?

 

[Med Ed]

This is crazy. What will happen if they can't find a spot?

Then they are unemployed, just like everyone else who cannot find a job.

The options are to change specialties or leave medicine.

 

[Wordead]

This turns out to be more complicated. They only get to keep their funding if their home program releases the funding to their new program. They are not "attached" to the residents, nor are they specialty specific. The institution could choose to redeploy the slots to another program. if they di release them, then the funding would follow the resident until they complete training, and then revert bac to the original institution.

Do the ones in their last year finish it out and "graduate"? That must be terrible - last class from a disgraced program.