Getting Fired…

[Bird444]

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So it looks like I will almost certainly be fired from my pediatric residency this summer. I prefer not to get into why I'm being let off, just suffice it to say that I've done nothing illegal and there are no issues with my medical competency. But that isn't why I'm writing.

My question is whether there are any other countries where I can practice medicine with the medical degree (from a top school) and 1 year of residency I have successfully completed. Does anyone know if an American medical degree + passing intern year of residency qualifies me to practice in another country? I know that being fired from my residency will leave me with no other options in the states, and I still want to practice - and as I said before, there are no issues with my competency.

Any help you can provide would be so appreciated. Thanks in advance.

 

[Iamnotme]

So it looks like I will almost certainly be fired from my pediatric residency this summer. I prefer not to get into why I'm being let off, just suffice it to say that I've done nothing illegal and there are no issues with my medical competency. But that isn't why I'm writing.

My question is whether there are any other countries where I can practice medicine with the medical degree (from a top school) and 1 year of residency I have successfully completed. Does anyone know if an American medical degree + passing intern year of residency qualifies me to practice in another country? I know that being fired from my residency will leave me with no other options in the states, and I still want to practice - and as I said before, there are no issues with my competency.

Any help you can provide would be so appreciated. Thanks in advance.

Are you sure you are getting fired? Can you resign? Most programs will let you resign rather than getting fired. If that is an option for you, I would take it. If not, you can perhaps get a full license in some states, and still do a number of things. You can also try to get into a different residency. You are not the first person to get fired,and there are people who have been fired and still manage to get a position.

 

[VA Hopeful Dr]

In my state, SC, completing intern year for American grads (MD or DO) plus passing step 3 is enough to get a permanent license. Often that's enough to do some Urgent Care type work.

 

[luCZky]

I can't tell you about every country but I guess I can give you an idea how it works at many/most/all the EU/Commonwealth countries...
It's not a (big) problem if you're willing to leave the US.
Basically once you get the full unrestricted medical license in the US then you're eligible to get the same license at these countries too. Which puts you into the same position where they are once they get it. And then it's absolutely not a problem to join their health care system and practice there.
But without that license you're going to be placed to the same position where their graduates are or sometime even lower and then it can be a huge problem to join them b/c you can have a troubles to get "residency" spot.
But still having a license doesn't mean that you can start practice independently on your own.
The systems are about the same everywhere - you have to graduate - you have to get a license - you have to complete postgraduate training - and you have to pass the board exams. Differences are just when you get the license (sometimes right after graduation, other times after few years of post-grad training) and how is the postgrad training called. To be eligible to practice on your own you still have to pass board exams and to be eligible to sit for them you still have to complete your residency (or however it's called at that country) training. But with a full license from the US you usually can get that license everywhere easily and you can start their "residency". The only what you have to do is to pick a country where you want to go to. Then check their medical board's web and so on...

Although... I don't understand why to leave without trying to get another residency (pgy-2) spot in the US? And maybe there can be a problem with starting everywhere based on the "firing" reason since I can't imagine what could be such a big issue to be fired beside the mentioned issues ("nothing illegal and there are no issues with my medical competency").

 

[shopsteward]

You've still got a few months before the end of your first year. If your program is willing to keep you on for those months, you may have a chance of redemption.

If your program wants to get rid of you immediately, the best thing you can do is negotiate - ie you will "go quietly" (resign, rather than needing to be fired, or not contest a non-renewal) provided you get the full year's credit, an OK letter of resignation and hopefully also some sort of help towards finding a new residency.

If you are just in the position where your troubles are starting (ie you know you are in trouble but action against you is just beginning) then you need advice ASAP, rather than just defaulting to the "flee abroad" option. You need to understand your terms and conditions of employment and the disciplinary procedures available to be used against you, with all their various processes, requirements for notification and appeal stages, and then make sure that you are putting your best case forward at each stage. You need an advisor to help you with this - start with anyone in your program who is supposed to be on your side (resident adviser, union rep, etc). A lawyer who is familiar with employment issues for doctors in training could also be helpful, particularly in being an adviser behind the scenes - if you don't disclose you have a lawyer, their help doesn't have to turn things more adversarial.

 

[MadHopsMD]

You still can get into a residency again. The road is hard, but still possible. Make sure you leave the program on somewhat a good term...by that I mean if they give you an option of resignation than TAKE IT. Make sure you get your current PD to write you a letter of support for your ERAS application. You absolutely need this. You might need 1 or 2 more letters from people who supported you in residency . Second, go back to your medical school find your advisor or get a new one in case you want to g0 back to ERAS. There are options, and it doesnt have to be switching specialities either.

If peds is what you want it might even be possible to get into a PGY2 position.

P.S And going to another country. Going to a top medical schools, I presume you have loans coming out of your ears. No country will pay you as much as good old USA. Try your best to stick here. Options such as working at urget settings in some states or doing research at your former medical school are good options while you wait. But I still believe you will find a PGY2 position easily this august.

 

[Shikima]

You could go work for the BoP (Federal service), if you have your unrestricted license, and put in some time there. Reapply for residency after that with good LORs?

 

[IM2GI]

So it looks like I will almost certainly be fired from my pediatric residency this summer. I prefer not to get into why I'm being let off, just suffice it to say that I've done nothing illegal and there are no issues with my medical competency. But that isn't why I'm writing.

If true, do not resign, do not sign anything, and get a lawyer.

 

[DrT2202]

A resignation with a negotiated positive LOR from the PD would be your best bets. Legal advice should be sought yesterday.

 

[atillius]

I don't understand what a lawyer is going to do for you? I look over cases where residents have sued the programs. Only ~3 in 40 have won anything.

I am in a bit of a predicament. I completed my first year of residency. I was failed on 2 rotations. Despite passing the repeat rotation, my program director asked me to repeat my intern year. I complied and am in the process of repeating my intern year. I was failed on yet another rotation. They placed me in academic probation. I have gone through probation and feel as if I am going to be let go. I have not failed another rotation. I have passed all my rotations on probation. I feel like this because, when I seek feedback on my performance on rotations, it is generally positive and am given a few areas to work on. I work on those areas and show improvement. Individual faculty evaluations reflect this. However, when it comes to the overall evaluation, I get blindsided. I have a feeling that this is going to happen to me at present.

I don't know what I can do if I am let go from this residency. I would have completed 24 months of residency at the end of June. I don't know how I would go about finding another program or convincing another program to take me.

What are my options?

 

[petyr_baelish]

I don't understand what a lawyer is going to do for you? I look over cases where residents have sued the programs. Only ~3 in 40 have won anything.

I am in a bit of a predicament. I completed my first year of residency. I was failed on 2 rotations. Despite passing the repeat rotation, my program director asked me to repeat my intern year. I complied and am in the process of repeating my intern year. I was failed on yet another rotation. They placed me in academic probation. I have gone through probation and feel as if I am going to be let go. I have not failed another rotation. I have passed all my rotations on probation. I feel like this because, when I seek feedback on my performance on rotations, it is generally positive and am given a few areas to work on. I work on those areas and show improvement. Individual faculty evaluations reflect this. However, when it comes to the overall evaluation, I get blindsided. I have a feeling that this is going to happen to me at present.

I don't know what I can do if I am let go from this residency. I would have completed 24 months of residency at the end of June. I don't know how I would go about finding another program or convincing another program to take me.

What are my options?

Australia, New Zealand, Hong Kong, Germany, Qatar. They will take you with at least 1 year of internship and allow you to continue training. If you are willing to write the PLAB and have EU citizenship the UK is an option too.

 

[da8s0859q]

I read so many of these fired from residency posts, and each of them very gloomy
Whats stopping the OP from opening his own private practice? He still has an unlimited medical license in most states right? Do cash business if you cant get on insurance

You bumped three threads with this very post. At least one was recent. Sigh.

 

[atillius]

Can't get licensed if you aren't an American medical graduate.


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[colbgw02]

I read so many of these fired from residency posts, and each of them very gloomy
Whats stopping the OP from opening his own private practice? He still has an unlimited medical license in most states right? Do cash business if you cant get on insurance

Good call. People with enough cash on hand for medical care generally prefer to see the doctors without a board certification. What could go wrong?

 

[Innocent resident]

I am almost in similar situation with a little difference that I am on academic probation for 3 months..
I would suggest do your best to resign rather than being fired from the program.

I know, it's very tough but good luck

 

[gutonc]

Necrobumped thread needs to go back to the grave.

Closing.