M4, matched into first rank (EM), getting kicked out...4-6 wks to graduate

[phospho]

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I haven't posted in so long - it feels so good!

a good friend of mine is actually going through this (very) traumatizing phase... he didn't get into details, and frankly, I didn't want him to, because I know how hard it's been on him. He mentioned he had somewhere between 350k-400k in student loans. He also mentioned some family issues (death in immediate family) where he had to make up a month (or i think two) , which will make him late for residency by at least 2 months i guess.

That's all I got from him. Oh, and I also know that the honors council (he wasn't involved in anything patient or drug related) recommended him for dismissal to the dean of medicine, and now he's waiting on the Dean of medicine to make his final decision.

As a resident, it's hard for me to even imagine this happening to me. I have no clue about the details, or if he's even telling me the truth. However, I do know he's waiting for the final decision from the dean. Not sure what he could have done, or what he may have left out.

Regardless, it got me thinking.

So, my question: what would you have to do to get kicked out of medical school when you've already matched and literally have about a month (or let's say two months) left to graduate?

BTW, it's a USMD school on the left coast

any takers?

 

[Makati2008]

This doesn't add up? He matched into his number one choice in a competitive speciality but about to be kicked out I think it's one of the following
1.) he's lying about his match and has failed several courses or steps and it is finally catching up with him

2.)an egregious hippa/patient care violation

3.)a severe substance abuse issue

4.)missing the wrong rotation/forging paperwork like he was really there but wasn't

Also him starting residency late sounds strange. Even missing a month or two of rotations shouldn't put you behind that much when you can use your vacation month for that purpose?

 

[mvenus929]

Also him starting residency late sounds strange. Even missing a month or two of rotations shouldn't put you behind that much when you can use your vacation month for that purpose?

If you need x credits to graduate, and only have x-2 weeks to get those credits (where 1 week = 1 credit), missing a month of rotations at the end of fourth year can prevent you from graduating. If you've already taken your vacation time earlier in the year, then there's no way for you to get the credits you need to graduate.

 

[Siggy]

Also him starting residency late sounds strange. Even missing a month or two of rotations shouldn't put you behind that much when you can use your vacation month for that purpose?

Not necessarily. My school only gives us 4weeks of vacation time 4th year, most of which is used to adjust our schedules for away rotations anyways. Most people only have 1-2 weeks left at the end of the year, if any left.

That said, our last rotation ends just over 2 months before July 1st, but my rotation has us beginning orientation on June 9th and our residency officially starts June 23rd (at least that's when our health insurance kicks in). So if I ended up 2 months behind, I would be forced to miss orientation, which would probably lose me the residency. I say "lose" because I'm missing 1 day of orientation for a memorial service due to a death in my immediate family, and while the residency was completely understanding, they aren't exactly happy in a "I guess there really isn't a choice" attitude.

 

[Priapism4tooLong]

This doesn't add up? He matched into his number one choice in a competitive speciality but about to be kicked out I think it's one of the following
1.) he's lying about his match and has failed several courses or steps and it is finally catching up with him

2.)an egregious hippa/patient care violation

3.)a severe substance abuse issue

4.)missing the wrong rotation/forging paperwork like he was really there but wasn't

Also him starting residency late sounds strange. Even missing a month or two of rotations shouldn't put you behind that much when you can use your vacation month for that purpose?

This is what being a medical student/doctor does to you. You are going to be a fantastic doctor, you gave a through list of differentials.

 

[Makati2008]

This is what being a medical student/doctor does to you. You are going to be a fantastic doctor, you gave a through list of differentials.

Lol

 

[phospho]

This doesn't add up? He matched into his number one choice in a competitive speciality but about to be kicked out I think it's one of the following
1.) he's lying about his match and has failed several courses or steps and it is finally catching up with him

2.)an egregious hippa/patient care violation

3.)a severe substance abuse issue

4.)missing the wrong rotation/forging paperwork like he was really there but wasn't

Also him starting residency late sounds strange. Even missing a month or two of rotations shouldn't put you behind that much when you can use your vacation month for that purpose?

yeah, that's essentially what I was getting at. It doesn't add up. Hell, even HIPPA violations got eventually thrown under the rug when they caught a bunch of med students looking up their own records in Epic at my institution.

His match was posted on his school's website, and he's really the average dude, i.e. no weird s.hit, no substance abuse or anything like that. I guess it could be 4, but he's just not that kinda guy.

From talking to him it seems like his school has a policy of automatically dismissing anyone who comes before the honors council twice, even if it's for something ******ed. I'm suspecting that's the case, but I just couldn't believe something like this would happen to someone who's literally about to graduate. I thought you'd pretty much have to kill someone to get to that point.

 

[calvnandhobbs68]

yeah, that's essentially what I was getting at. It doesn't add up. Hell, even HIPPA violations got eventually thrown under the rug when they caught a bunch of med students looking up their own records in Epic at my institution.

His match was posted on his school's website, and he's really the average dude, i.e. no weird s.hit, no substance abuse or anything like that. I guess it could be 4, but he's just not that kinda guy.

From talking to him it seems like his school has a policy of automatically dismissing anyone who comes before the honors council twice, even if it's for something ******ed. I'm suspecting that's the case, but I just couldn't believe something like this would happen to someone who's literally about to graduate. I thought you'd pretty much have to kill someone to get to that point.

Just chiming in for no reason to say that looking at your own records is such a stupid HIPAA violation. Here we have a specific exception that says "my personal health information" when you try to access an employee record.

And yes, in general I don't think even most HIPAA violations would get you kicked out unless you kept doing it after they warn you or you looked up some famous person's record/doctor's record in the hospital/etc.

 

[Anastomoses]

Reading anything that describes a 4th year/resident losing everything turns my stomach in knots.

 

[touchpause13]

It's so tempting to look yourself up on EPIC. Such a dumb violation

 

[Siggy]

It's so tempting to look yourself up on EPIC. Such a dumb violation

Why is that a violation anyways?

1. HIPAA is complaint driven. For it to be a HIPAA violation you literally have to look yourself up and then turn around and complain to CMS that you looked yourself up. This is the equivalent of finding a police officer to report that you were speeding on the freeway.

2. Its your own records. It isn't like you can't go down to medical records and get the information on yourself anyways. If it was a family member (even if you're next of kin or POA:HC), then it's a little more understandable (especially if you're not next of kin/POA:HC), but yourself? It's not like you don't have access to the information.

 

[maxxor]

That's because it is not a HIPAA violation, rather a hospital policy violation. Hospitals and Medical Schools are free to set the policy on self-lookup.

 

[mvenus929]

That's because it is not a HIPAA violation, rather a hospital policy violation. Hospitals and Medical Schools are free to set the policy on self-lookup.

Which is why my hospital doesn't make it a violation. You can't look up your minor child's records, but they have no problem with you looking up your own, as long as you have the access to do so anyway.