losing accreditaiton

[realruby2000]

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I have heard many programs on this thread losing their accreditaiton. what does this mean and how does it affect residents? does this mostly happen to new programs? if a program loses its accrediation, would it be a good idea to avoid applying there?

thanks

 

[tonem]

Every residency program must be accredited by the ACGME. They review programs to see if they are meeting minimum standards. If they fail to meet those standards they are placed on probation until they correct their problems. If they fail to correct the problems or if the violation is bad enough the program loses it's accreditation and it can no longer train residents. Any residents in the program have to find new jobs. Pretty simplistic explanation hope it helps.

 

[NinerNiner999]

Which Programs are losing accreditation? You can't just start a post like this in the middle of interview season without naming some specific programs, especially when expensive flights, hotels, and rental cars may be on the line. Informed interviewers gotta be in the know. Come on, cuz...

 

[edinOH]

I haven't heard of any. Losing accreditation is a pretty big deal and usually a multi-step process. It rarely, if ever, just comes out of the blue. Programs usually have ample warning of problems and are given every opportunity to correct them. They are usually administrative problems vs pt care/exposure issues.

I just completed the interview process last year and there were no programs up on the chopping block to my knowledge. I doubt very seriously that things have changed much since then.

 

[grouptherapy]

howard is asking to be reinstated for 2005 match

 

[DrQuinn]

edin's right... a program doesn't lose its accredidation overnight... they will go on probation, and if the problem is not fixed, they will lose their accredidation. Be sure to ask the accredidation status of the program you're interviewing at, its not a Taboo question!

Q, DO

 

[iwakuni_doc]

ACGME database of accredited programs

This web site has a searchable database of programs.

 

[NinerNiner999]

But are there any known programs under the knife or being investigated? It would be good to know this before an interview rather than ask during an interview - makes you look at the program and tour in a whole new light...

 

[Sheerstress]

I believe the most recent programs that were discontinued were Howard and U of Oklahoma. Houston was in trouble for a while, but supposedly is back on the right track.

I don't know much about the details behind the problems these programs had. Comment anyone?

 

[edinOH]

Oklahoma was yanked in 2000 and it was a long time coming. The administration was told time and again to fix things but they never did. I think the dean at the time really wasn't interested in supporting the program so they just kind of let it wither on the vine. I think most of the problems there were administrative but I can't remember the specifics. I was just an MS2 at the time.

Ironically, that same year they became an ACS level one center. Now they are making a local private group obscenely rich running the ED. Something like 350K per year just to look at the pt and call the consult teaching services.

 

[anonymousEM]

Houston was given full accreditation again last Oct after having been on probation for a while.

 

[Idiopathic]

Originally posted by edinOH
Oklahoma was yanked in 2000 and it was a long time coming. The administration was told time and again to fix things but they never did. I think the dean at the time really wasn't interested in supporting the program so they just kind of let it wither on the vine. I think most of the problems there were administrative but I can't remember the specifics. I was just an MS2 at the time.

Ironically, that same year they became an ACS level one center. Now they are making a local private group obscenely rich running the ED. Something like 350K per year just to look at the pt and call the consult teaching services.

Oklahoma just lost its only Level I trauma center, due to $$$. The closest one now is either Dallas or Lubbock (not sure which is closer, I imagine Dallas). Sad for trainees of both our schools and sad for patients.

A quote from one of the directors said that the ER had to shut down because of too many poor people coming in for colds and runny noses. Arent there ways to triage this? Can you have tertiary care centers that deal only with these things and leave the ER's to deal with trauma, in cases like this?

 

[edinOH]

OU losing the level one center is just a political ploy to get funding. They are pretty much saying "give us a tax source for the trauma pts or we are going to take our ball and go home". There is no way in hell the other hospitals in OKC and the area are going to let that happen. They may "close" for a few months but I would be shocked if it was permanent.

 

[Sessamoid]

Originally posted by edinOH
OU losing the level one center is just a political ploy to get funding. They are pretty much saying "give us a tax source for the trauma pts or we are going to take our ball and go home". There is no way in hell the other hospitals in OKC and the area are going to let that happen. They may "close" for a few months but I would be shocked if it was permanent.

This seems likely. And being Level II rather than Level I makes no practical difference if you're the only regional trauma center. They all come to you anyway if there's no higher-level alternative.