I May Be a Rat...

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random? care to elaborate?
 
Sorry, I'm still swimming to Lansing watching the other poor water-logged mammals who never expected to be swimming struggling towards the far shore.
 
I may be an Ectopic Fetus but im growing anyhow.. might be the wrong place but grow I will!!
 
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Duke Family Medicine....Duke....no...can't say I've ever heard of the brother....

I said I've never heard of the brother! Back off!
 
Panda Bear said:
I said I've never heard of the brother! Back off!
Click to expand...
Panda Bear's been consulting his seventies dictionary. :laugh:
 
So now that they are terminating X number of family practice residency spots, can they now create more spots in other fields? In other words, would they have to go through an approval process if they want to use the federal funding from the terminated X family spots to instead create X IM, Rads, etc. spots?
 
Looks like residents may have more pull in the big scheme of things than we think. Too bad change couldn't occur in time to save this program.

Panda - you did a great job holding on while you could, good luck to you and your family in your next endeavor 🙂
 
Panda Bear said:
Duke Family Medicine....Duke....no...can't say I've ever heard of the brother....

I said I've never heard of the brother! Back off!
Click to expand...

I think he refers to Peter in the courtyard of the Sanhedrin.

So, has the ACGME grown some coconuts or is there some other reason for this?
 
Damn. Hey good for you for getting out of there Panda. It's just too bad. Hopefully there weren't too many casualties.

So, what will happen to the Sports Med Fellowship?
 
lowbudget said:
Damn. Hey good for you for getting out of there Panda. It's just too bad. Hopefully there weren't too many casualties.

So, what will happen to the Sports Med Fellowship?
Click to expand...

Since I don't have inside information, this is conjecture and hearsay, but, since the department is remaining, even though the residency isn't, the fellowship should be unaffected.
 
Panda Bear's departure was the straw that broke the camel's back!
 
lowbudget said:
Damn. Hey good for you for getting out of there Panda. It's just too bad. Hopefully there weren't too many casualties.

So, what will happen to the Sports Med Fellowship?
Click to expand...

The fellowships will remain and most likely will be expanded.
 
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lowbudget said:
Damn. Hey good for you for getting out of there Panda. It's just too bad. Hopefully there weren't too many casualties.

So, what will happen to the Sports Med Fellowship?
Click to expand...

Not to mince words, the program lied through their teeth to the residents and to the incoming interns about the future of the program in an absolutely shameles manner. Now, I don't really care because I was the first rat off the wallowing hulk and swimming rodents don't have time to look back. Still, if you read my blog you will know that my program wasn't exactly cooperative when it came to my need to interview this year. This decision didn't come out of nowhere nor was it hatched last week. They've known about it for a long time and I first heard about the likely closure of the program in November from one of my sources in the administration. With this being the case there was no goddamn reason to make me sweat so much over interviews. They should have said, "Sure you can interview...and nod nod wink wink maybe you should tell yer' fellow interns to start looking around themselves, wink wink."
 
Sounds like they were only looking after themselves which in a business sense is right but morally bankrupt considering how much work people have put into their medical careers.
 
Not to highjack this thread but... Does it bother anybody that they are "expanding our training programs for physician assistants and physical therapists" and "It is our belief that our patients will be best served by teams of highly trained health care providers."

Is it just me or is the implication there a worrisome foreboding that primary care really is going to the midlevels?

I still believe in the utility of a good FP and I don't think they should be supplanted by PAs or any other midlevel practitioner. I wish we as a profession could band together a little more and fix the system wide problems that lead people to avoid the primary care specialties instead of handing it over to PAs or NPs. This is not a good thing for any of us.
 
Interesting.. you dont think they would open it up again maybe in a couple of years under a new program director?
 
You may as well know it, Family Medicine is viewed as something of a joke at Duke. Many, many attendings and senior residents on other services have rolled their eyes and made incredibly cutting comments to me about the program, especially when they find out that I have matched into something else.

I was kind of shocked at first but I've gotten used to it and suffer in silence.

This is not just a rivalry thing. They also make cutting comments about Emergency Medicine, for example, but there is an underlying respect. Certainly they are always glad to have the EM residents around if things are going south. There is rarely a need for emergency empathy,on the other hand, or any of the other things that the program advertises as its strengths, most of which are far removed from the practice of medicine as they involve social work and wacky pseudo-psychological hokum.

Do I sound mad? Well, I am. A little. Sure, I am not really effected as I matched out in March. Still, if they knew the program was imploding why did they make it so hard for me to get time to interview? Not to mention the other residents who need to find new positions. Oh sure, they've promised to let every resident who elects to stay finish out their training (including the interns starting in July) but they also said that the program was strong and would remain open. Typical beauracratic duplicity and pointless duplicity at that. Almost unfathomable except that what probably happened was that the axe fell six months ago and the announcement was delayed while the faculty covered their behinds and jockeyed for new titles and positions in the restructured program.
 
Oh, and I also feel like an idiot because in some private emails between me and some fourth years considering Duke I assured them that the program had turned the corner and was doing well.
 
Panda Bear said:
You may as well know it, Family Medicine is viewed as something of a joke at Duke. Many, many attendings and senior residents on other services have rolled their eyes and made incredibly cutting comments to me about the program, especially when they find out that I have matched into something else.

I was kind of shocked at first but I've gotten used to it and suffer in silence.

This is not just a rivalry thing. They also make cutting comments about Emergency Medicine, for example, but there is an underlying respect. Certainly they are always glad to have the EM residents around if things are going south. There is rarely a need for emergency empathy,on the other hand, or any of the other things that the program advertises as its strengths, most of which are far removed from the practice of medicine as they involve social work and wacky pseudo-psychological hokum.

Do I sound mad? Well, I am. A little. Sure, I am not really effected as I matched out in March. Still, if they knew the program was imploding why did they make it so hard for me to get time to interview? Not to mention the other residents who need to find new positions. Oh sure, they've promised to let every resident who elects to stay finish out their training (including the interns starting in July) but they also said that the program was strong and would remain open. Typical beauracratic duplicity and pointless duplicity at that. Almost unfathomable except that what probably happened was that the axe fell six months ago and the announcement was delayed while the faculty covered their behinds and jockeyed for new titles and positions in the restructured program.
Click to expand...

Panda,

Frequently, posters on this board say what they want to believe, often in the face of evidence to the contrary. Perhaps your faculty were doing the same.

Happily, I've not been personally involved in a program or a school going down, but I've observed the phenomenon. Behind the scenes, the administrators are trying to fix it. Often, they take an "everything is fine" public face for two reasons.

First, if the public perception is that things are going badly, that adds to the burden of fixing it. For example the quality of recruits goes down, reinforcing the perception of failure. In addition the position of the "enemies" in the institution is strengthened. Maybe some of those lovely dollars can be diverted.

Second, those administrators often have significant personal commitment to the program. They have a personal and professional need to be optimistic.

If things don't go well, they are called mendacious or naive. But in fact, this strategy often works.

BTW, the repeated SDN postings by the fired resident probably contributed to the ultimate closing by a negative effect on recruiting. I suspect it's giving him/her satisfaction at this point, but I'm unsure that this was a good thing.

Oh well, enough blathering. Welcome to EM, I'm glad that you matched.

BKN
 
BKN said:
Panda,

Frequently, posters on this board say what they want to believe, often in the face of evidence to the contrary. Perhaps your faculty were doing the same.

Happily, I've not been personally involved in a program or a school going down, but I've observed the phenomenon. Behind the scenes, the administrators are trying to fix it. Often, they take an "everything is fine" public face for two reasons.

First, if the public perception is that things are going badly, that adds to the burden of fixing it. For example the quality of recruits goes down, reinforcing the perception of failure. In addition the position of the "enemies" in the institution is strengthened. Maybe some of those lovely dollars can be diverted.

Second, those administrators often have significant personal commitment to the program. They have a personal and professional need to be optimistic.

If things don't go well, they are called mendacious or naive. But in fact, this strategy often works.

BTW, the repeated SDN postings by the fired resident probably contributed to the ultimate closing by a negative effect on recruiting. I suspect it's giving him/her satisfaction at this point, but I'm unsure that this was a good thing.

Oh well, enough blathering. Welcome to EM, I'm glad that you matched.

BKN
Click to expand...


I see your point. And I have no doubt that the on-line assasination of the program (both here and at Scutwork.com) had a great deal to do with the demise of the program. On the other hand some of the disgruntled residents were treated very shabbily, their concerns dismissed, and given no other option but to suck it up or leave. It is not surprising then that some of them turned to the internet to have their revenge as the blogosphere is the great equalizer.

In the past they would have just had to shout their grievances into the darkness, now they can reach practically every medical student considering family medicine with a few clicks of the mouse.

So do I blame them? Yes and no. I hate the fact that they have sabotoged our program director who was brought in to fix some of the problems, is a very good guy and very resident-oriented, and who is not to blame for past problems with the program. On the other hand even I have have been unable to avoid occasional critical comments about some of the more goofy things we do here.
 
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