CMS guidelines on new institutions not accepting those with prior GME experience?

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milsha

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Hi,
I am currently trying to transfer to be closer to home, I was wondering, what is this deal about not being able to apply to a program because you have previous GME experience (i.e. have completed intern year somewhere else)? Is there a reason this rule is in place via CMS for new institutions? I ran across this during my search and was just wondering if I'm interpreting this correctly.

Thanks
 
Actually, it might be true. Presumably this is a new residency program, just getting started. If so, they get their cap defined after 3 years of training (? I believe). In any case, I don't know if their "final locked-in cap" is equal to the number of people they have in their residency, or the total FTE billing in year 3. If the latter, new programs can't take anyone with less than 100% funding or they lose that funding forever. Hence, no one with prior GME experience (although some forms of prior GME experience might be OK). The regs are complicated, I'm not sure about this.
 
dggopal said:
you should consider yourself lucky... that place is a hell hole...
Click to expand...

It's not San Francisco or Los Angeles, but compared to other places I've lived at, Visalia is not that awful.

Are you talking about the hospital/program?
 
JediZero said:
Get back to me when it's 115 for two months straight in the summer.

Though as they say... In residency, the weather is always 72 and fluorescent.
Click to expand...

Although that sounds ruff, it's just two summer months and still your in California, so whenever you get a day off you can escape up north or down south. But for me the location is ideal for family reasons.

I was wondering, can anyone shed light on the program itself? Is it a hostile work environment at all? My main reasons for transferring are to be closer to family. I don't want to transfer due to problems with my current program. I love my program and my co-interns are like family. However, I want to be closer to my dad as his health has not been the greatest. Thanks for shedding any light on this
 
milsha said:
Although that sounds ruff, it's just two summer months and still your in California, so whenever you get a day off you can escape up north or down south. But for me the location is ideal for family reasons.

I was wondering, can anyone shed light on the program itself? Is it a hostile work environment at all? My main reasons for transferring are to be closer to family. I don't want to transfer due to problems with my current program. I love my program and my co-interns are like family. However, I want to be closer to my dad as his health has not been the greatest. Thanks for shedding any light on this
Click to expand...

I've heard only briefly about people going there and getting decent training for a new program, interesting patient population, lots of bread and butter. I doubt it's awful, but try to talk to interns there and get a sense for what they like and dislike about the program. I don't think others will know a whole lot since it's pretty new, and like I said I've only heard very brief comments about it from people who did aways there.
 
milsha said:
It's not San Francisco or Los Angeles, but compared to other places I've lived at, Visalia is not that awful.

Are you talking about the hospital/program?
Click to expand...

yeah the program... Interviewed there last year and the PD openly told all the candidates that she had her doubts about the residents already in the program being able to pass the board exam but she was hoping that this class would change that. She follows this up with "if you guys don't turn it around, I don't know what I'll do... I guess I'll just leave the program in protest!" and that was that.... There was plenty more but that was nail in the coffin...
 
dggopal said:
yeah the program... Interviewed there last year and the PD openly told all the candidates that she had her doubts about the residents already in the program being able to pass the board exam but she was hoping that this class would change that. She follows this up with "if you guys don't turn it around, I don't know what I'll do... I guess I'll just leave the program in protest!" and that was that.... There was plenty more but that was nail in the coffin...
Click to expand...

That shows that the PD doesn't have faith in her class. But I wonder if the environment is truly harsh/malignant?
 
milsha said:
That shows that the PD doesn't have faith in her class. But I wonder if the environment is truly harsh/malignant?
Click to expand...
well... you are right... and if it was just that I would not have been so hard on the program, but throughout my preinterview dinner and my interview day I kept getting these sort of red flags about the residents and the program... just my 2 cents... take it for what its worth....
 
milsha said:
Hi,
I am currently trying to transfer to be closer to home, I was wondering, what is this deal about not being able to apply to a program because you have previous GME experience (i.e. have completed intern year somewhere else)? Is there a reason this rule is in place via CMS for new institutions? I ran across this during my search and was just wondering if I'm interpreting this correctly.

Thanks
Click to expand...
Bumping this to the top of the thread because this not-well-know rule REALLY put me at a disadvantage this application season. I applied to 40 new programs as a re-applicant with prior GME experience...apparently I am ineligible to attend because my prior experience will permanently limit funding for that school's residency FOREVER.

I called AAMC and was told "it is the responsibility of the applicant to thoroughly research program requirements". I discussed that I visited many school's websites (approximately 35) and did not see this disclosed anywhere, until the website linked above. In response, I was told it was my responsiblity to thoroughly research the program and it was recommended I should have called the residency program to ensure I had all necessary info for applying (not a very realistic expectation in my opinion).

I am now adding more programs which expensive and places me at a disadvantage by applying "late". I hope this rule can be more clearly and transparently stated to applicants so future applicants can avoid this problem in the future. 🙁
 
aProgDirector said:
Actually, it might be true. Presumably this is a new residency program, just getting started. If so, they get their cap defined after 3 years of training (? I believe). In any case, I don't know if their "final locked-in cap" is equal to the number of people they have in their residency, or the total FTE billing in year 3. If the latter, new programs can't take anyone with less than 100% funding or they lose that funding forever. Hence, no one with prior GME experience (although some forms of prior GME experience might be OK). The regs are complicated, I'm not sure about this.
Click to expand...
Kaweah Delta opened its first program in 2013 or 2014. I think they started with FM, then added EM and Psych, then Surgery and Anesthesia or some combination thereof. I doubt they've had more than 2 graduating classes for any specialty yet.
 
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