Four Year Programs

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I have noticed that more and more programs are switching to four years, i.e. combined with internship.

If someone completes an internship and then spends a few years in, say, the military, would he/she have to essentially repeat internship if interested in one of these 4 year programs? Would many program directors offer a spot and allow you to pick up as a PGY-2?

Cheers.

 

[escape78]

Would many program directors offer a spot and allow you to pick up as a PGY-2?

I'm not sure what the PD's take on this would be, but this is what I have gathered about the C and A programs. Hope it helps!

Most of the programs that offer 4 year spots (Categorical spots) also tend to offer 3 year spots (Advanced spots) as well for residents who prefer to do their intern year elsewhere. Although there are a few that only offer Categoricals and vice-versa.
I have heard that Categorical spots are getting more common now as it is an advantage for the resident to have trained in a program that has an intern year that is tailored for an Anesthesiology Residency/one move/fewer interviews etc.

My guess is that you could be eligible for the Advanced Spots ie: starting from the CBY1/PGY2 but I don't know how the time away from clinical medicine will affect you.

You would not be able to start a Categorical Program in the CA1/PGY2 year unless a resident were to drop out after their PGY1/intern year leaving an open spot in the program.
You could possibly consider starting a Categorical Program in the CA1 year, ie do your internship all over again, but this brings up the issue of funding and your last PGY4 year will go unfunded due to repeating your intern year.

 

[MTGas2B]

I have noticed that more and more programs are switching to four years, i.e. combined with internship.

If someone completes an internship and then spends a few years in, say, the military, would he/she have to essentially repeat internship if interested in one of these 4 year programs? Would many program directors offer a spot and allow you to pick up as a PGY-2?

Cheers.

It depends. My program is a mix, the majority of our spots are four year spots, a few 3 year spots in that go in the match, and a few 3 year spots we keep outside of the match. Most programs probably have a few three year spots, and would allow someone to come in as CA-1/PGY2/R2, whatever you call them. We currently have an R2 who did an intern year with the Navy, then three years of GMO time, then got out of the Navy.

You would have to contact the program director. If its a smaller program, you may have to apply two years ahead, as they may try to fill all of their 3 year spots in the match, so they would be matching people for the year after next.

 

[AnesCoord]

You could possibly consider starting a Categorical Program in the CA1 year, ie do your internship all over again, but this brings up the issue of funding and your last PGY4 year will go unfunded due to repeating your intern year.

If you've already done internship, you probably will not be allowed to repeat it at any University programs since funding is the issue. Resident salaries at our University are paid by GME; if the resident exceeds his/her allowable time for any reason, allowable time being 36 months or 48 months, then our department has to pay their salary. For example, if a resident was in a car accident and couldn't work for a few months, or a female resident who takes maternity leave.

 

[i want out]

If you've already done internship, you probably will not be allowed to repeat it at any University programs since funding is the issue. Resident salaries at our University are paid by GME; if the resident exceeds his/her allowable time for any reason, allowable time being 36 months or 48 months, then our department has to pay their salary. For example, if a resident was in a car accident and couldn't work for a few months, or a female resident who takes maternity leave.

not entirely true.

There are some programs out there, that have some of their spots funded by the program itself, not HCFA or GME as you have called it.

If your in an Unfunded spot (like I am), then HCFA (aka medicare related) funding doesn't really matter because the program isn't getting payed to train you.

If You are in a HCFA funded spot, then it gets more complicated. Your internship, no matter what you did it in, or where or when you did it locks you into a certain number of years of 1.0 multiplier reimbursement to the program, followed by 0.5 multiplier for the remainder of your training.

More details here about HCFA funding, with the military addressed as well.

http://www.aamc.org/advocacy/library/gme/dgmebroc.pdf

I want out (of IRR)