Name & Shame Programs Abusing Residents & Other Providers

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DISCLAIMER: While it encouraged that submissions include proof with their submissions, not everything can be verified. Please take all submissions with a grain of salt.

There is a google form to make submissions on programs and hospitals that are abusing residents. I encourage everyone to contribute to it, so we have a list of these programs. We need to document this for future applicants, and so programs are under pressure to not **** us over. SUBMISSIONS: Tracking Abuses in Healthcare

Results of the spreadsheet can be viewed here:

Across the United States, we hear stories of how residents are subtly threatened by their program directors if they refuse to see COVID patients without PPE, or coaxed into going on sick leave if they are unwilling to see patients without PPE because they’re “immunocompromised”.

Residents, nurses, and even attendings are being threatened with being called unprofessional for speaking out. Some go as far as accusing us of not caring about patients, by bringing up PPE concerns (aka we’re selfish?). And then, we are guilted, when PDs and administrators bring up the Hippocratic oath to justify throwing us into a war. This thread and this mini-project I hope can serve to reduce that barrier.

The anecdotal stories I hear the most often come from medical trainees in marginalized communities, specifically those serving in hot zones, community programs, and international medical graduates. Specifically the East Coast programs is where I hear the most stories from, especially those programs that have a majority IMG workforce.

We need to be able to share these stories on twitter, and have a place where we can document these violations publically -- overwhelm the ACGME with the stories of abuse. Use the media to highlight these abuses to put pressure on the ACGME.

Given the high stakes nature of where we are at in our careers, please do not identify your program if it will get you in trouble (region would work). But, if you can do it safely, please do name your programs. Feel free to share visual evidence, such as screenshots of e-mails your PDs have sent, if you can safely without violating HIPAA.

I see this as an opportunity to publically shame programs that are not treating their residents well, to help the next year’s batch avoid these programs. Simply said, they don’t deserve us.

The goal is to use social media to help make these stories go viral among the MedEd community on twitter, and highlight our voices to the ACGME and greater medical community to be in a position to answer for contributing to the creation of an unsafe work environment.

I realize this may seem like a hopeless endeavor. But our stories must be shared. Our stories need a voice. The world should understand how we are suffering too, to provide basic medical care. My goal is to convey that no one can attach their names to these stories like nurses and other attendings because if we do so, we lose out on our careers.

If there’s positive stories of where your administration/PD has had your back, share those too!

If you are nervous using your public ID to post, please feel free to PM and I can post it.

We need to represent ourselves. This is the best way.

All submissions are being updated manually so if you do not see your post immediately, please be patient. There's a lot of blank submissions, so we thought this was best to keep the spreadsheet clean and not have a lot of nonsense.

On a side note, this post was taken off of r/residency on reddit. I hope the same would not happen here. We need a voice, and we need the world to see what is happening to us.

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DISCLAIMER: While it encouraged that submissions include proof with their submissions, not everything can be verified. Please take all submissions with a grain of salt.

There is a google form to make submissions on programs and hospitals that are abusing residents. I encourage everyone to contribute to it, so we have a list of these programs. We need to document this for future applicants, and so programs are under pressure to not **** us over. SUBMISSIONS: Tracking Abuses in Healthcare

Results of the spreadsheet can be viewed here:

Across the United States, we hear stories of how residents are subtly threatened by their program directors if they refuse to see COVID patients without PPE, or coaxed into going on sick leave if they are unwilling to see patients without PPE because they’re “immunocompromised”.

Residents, nurses, and even attendings are being threatened with being called unprofessional for speaking out. Some go as far as accusing us of not caring about patients, by bringing up PPE concerns (aka we’re selfish?). And then, we are guilted, when PDs and administrators bring up the Hippocratic oath to justify throwing us into a war. This thread and this mini-project I hope can serve to reduce that barrier.

The anecdotal stories I hear the most often come from medical trainees in marginalized communities, specifically those serving in hot zones, community programs, and international medical graduates. Specifically the East Coast programs is where I hear the most stories from, especially those programs that have a majority IMG workforce.

We need to be able to share these stories on twitter, and have a place where we can document these violations publically -- overwhelm the ACGME with the stories of abuse. Use the media to highlight these abuses to put pressure on the ACGME.

Given the high stakes nature of where we are at in our careers, please do not identify your program if it will get you in trouble (region would work). But, if you can do it safely, please do name your programs. Feel free to share visual evidence, such as screenshots of e-mails your PDs have sent, if you can safely without violating HIPAA.

I see this as an opportunity to publically shame programs that are not treating their residents well, to help the next year’s batch avoid these programs. Simply said, they don’t deserve us.

The goal is to use social media to help make these stories go viral among the MedEd community on twitter, and highlight our voices to the ACGME and greater medical community to be in a position to answer for contributing to the creation of an unsafe work environment.

I realize this may seem like a hopeless endeavor. But our stories must be shared. Our stories need a voice. The world should understand how we are suffering too, to provide basic medical care. My goal is to convey that no one can attach their names to these stories like nurses and other attendings because if we do so, we lose out on our careers.

If there’s positive stories of where your administration/PD has had your back, share those too!

If you are nervous using your public ID to post, please feel free to PM and I can post it.

We need to represent ourselves. This is the best way.

All submissions are being updated manually so if you do not see your post immediately, please be patient. There's a lot of blank submissions, so we thought this was best to keep the spreadsheet clean and not have a lot of nonsense.

On a side note, this post was taken off of r/residency on reddit. I hope the same would not happen here. We need a voice, and we need the world to see what is happening to us.


sdnbruh
 
Excellent thread. Ideally abuses will result in real action and not just shaming, but it's a place to start. We're professionals who want to do our jobs, not disposable cannon fodder. Most importantly, administrator scum banning their employees from utilizing their own PPE in favor of inferior hospital supplied stopgaps or even no PPE whatsoever should be held criminally liable for the consequences.
 
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😢 😢 😢
 
Not sure eliminating moonlighting especially outside moonlighting counts as resident abuse. Seems like a sensible plan to both reduce spread from hospital to hospital and decrease the chance of your own staff/residents getting sick somewhere their program can’t control the safety measures/conditions.
 
Not sure eliminating moonlighting especially outside moonlighting counts as resident abuse. Seems like a sensible plan to both reduce spread from hospital to hospital and decrease the chance of your own staff/residents getting sick somewhere their program can’t control the safety measures/conditions.

Can't let logic get in the way of complaining about resident conditions, warranted or not.
 
Can you guys not read? They weren't complaining that moonlighting was being eliminated, they were complaining that existing moonlighting shifts would still have to be worked, but would no longer be compensated as such. Those bleating about logic should maybe try using it themselves.
 
Can you guys not read? They weren't complaining that moonlighting was being eliminated, they were complaining that existing moonlighting shifts would still have to be worked, but would no longer be compensated as such. Those bleating about logic should maybe try using it themselves.
If it’s still under 80hrs, it’s just ending a generous policy of paying more for something they can make you do for free. Crappy but not abuse
 
Can you guys not read? They weren't complaining that moonlighting was being eliminated, they were complaining that existing moonlighting shifts would still have to be worked, but would no longer be compensated as such. Those bleating about logic should maybe try using it themselves.

I promise you that you're not going to get anywhere by being a jerk.
 
Jesus people in this field really are gluttons for punishment. I'm out, rationalizations are bad enough, but when you're rationalizing against your own interests it just too much.
 
Can you guys not read? They weren't complaining that moonlighting was being eliminated, they were complaining that existing moonlighting shifts would still have to be worked, but would no longer be compensated as such. Those bleating about logic should maybe try using it themselves.
When lots (most?) practicing physicians are taking pay cuts as well you're going to get no sympathy for this.
 
Jesus people in this field really are gluttons for punishment. I'm out, rationalizations are bad enough, but when you're rationalizing against your own interests it just too much.
I’d hold my own press conference before I would let one of my junior residents be bullied into the wrong room with no PPE. But you can calm down about some cancelled moonlighting pay, it’s at best a contractual breach, but not abuse
 
I’d hold my own press conference before I would let one of my junior residents be bullied into the wrong room with no PPE. But you can calm down about some cancelled moonlighting pay, it’s at best a contractual breach, but not abuse

Agree it’s a breach but not abuse. I just wish this thread would take off as some residents are actually being abused. Lack of PPE, working beyond hours, and being threatened. It’s nice to see someone who would stick up for their residents.
 
Jesus people in this field really are gluttons for punishment. I'm out, rationalizations are bad enough, but when you're rationalizing against your own interests it just too much.

What's too much is doctors dying and being fired for protecting themselves and you whining about moonlighting pay. That's too much.
 
I promise you that you're not going to get anywhere by being a jerk.
When lots (most?) practicing physicians are taking pay cuts as well you're going to get no sympathy for this.

What I like are these accounts that signed up apparently for this sort of posting trying to tell me what I should be outraged about and what I should do about it.
 
Agree it’s a breach but not abuse. I just wish this thread would take off as some residents are actually being abused. Lack of PPE, working beyond hours, and being threatened. It’s nice to see someone who would stick up for their residents.
I’d burn all my bridges to protect my interns. You just gotta know which hills are worth dying on, and moonlighting isn’t one
 
What I like are these accounts that signed up apparently for this sort of posting trying to tell me what I should be outraged about and what I should do about it.

Haha true. Everyone just sees things very different on here. Moonlighting shouldn’t be the number issue here but definitely can be lower on the list of things not handled well during this pandemic.
 
Sees list of 20+ abuses affecting his profession:

- "Meh"

Spots one that may or may not be an outright abuse but merely exploitation:

- Brings firebreathing energy against effort to protect himself from the abuse.

What a joke. You just can't win with these cats, and it's too bad that the stakes right now are so high.
 
I’d burn all my bridges to protect my interns. You just gotta know which hills are worth dying on, and moonlighting isn’t one

And to be honest, work hours or redistributing your services from one field to another particularly in hot spots aren't worth hellfire and brimstone. Working without appropriate protective gear and practices? Absolutely, that should be mandatory.
 
What's too much is doctors dying and being fired for protecting themselves and you whining about moonlighting pay. That's too much.
You and I disagree pretty frequently, so on the occasions that we're on the same page I think that means something
 
Sees list of 20+ abuses affecting his profession:

- "Meh"

Spots one that may or may not be an outright abuse but merely exploitation:

- Brings firebreathing energy against effort to protect himself from the abuse.

What a joke. You just can't win with these cats, and it's too bad that the stakes right now are so high.

Sees a non-required perk given by the hospital rescinded during a global pandemic:

- Shakes fist at the heavens claiming abuse.

Sees a bunch of attendings rallying behind defending any resident who is asked to work without PPE:

- But the moonlighting money!!!
 
Apparently fine however with NP's/PA supervision rights being waived though, or travel nurses getting crazy pay in NYC, or a BSN in charge of the NRMP...
 
Apparently fine however with NP's/PA supervision rights being waived though, or travel nurses getting crazy pay in NYC, or a BSN in charge of the NRMP...
A ton of anti indepent midlevel practice sentiment on sdn

Hazard pay is just a function of supply and demand. I’m not mad they get it, I am jealous that I don’t😉

Very few people who understand business care if a former nurse runs a computer program
 
The actual issues out of this list (mostly at NYC, Miami, and Cleveland, at least in the US) are pretty significant.

I'm in the camp that eliminating moonlighting money is kinda crappy, but not on the same level as "being forced to go into COVID-19 r/o patients without appropriate PPE" or "COO sent us a video threatening our jobs if we went to the media to denigrate the hospital"

Let's focus on what we agree on, not what we disagree on.
 
A ton of anti indepent midlevel practice sentiment on sdn

Hazard pay is just a function of supply and demand. I’m not mad they get it, I am jealous that I don’t😉

Very few people who understand business care if a former nurse runs a computer program
I swear, There are SDNers who will turn a thread about ham sandwiches into an anti-midlevel rant
 
DISCLAIMER: While it encouraged that submissions include proof with their submissions, not everything can be verified. Please take all submissions with a grain of salt.


I see this as an opportunity to publically shame programs that are not treating their residents well, to help the next year’s batch avoid these programs. Simply said, they don’t deserve us.

I think we can all agree that forcing any provider to see a patient without proper PPE is a huge issue. But the stated goal of "publically shaming programs that are not treating their residents well" is a much more general statement. Doing so with anecdotal accounts and a disclaimer to "take with a grain of salt" will lead to a massive list naming programs across the country with questionable reliability.
 
Pretty sure a lot of people are aware but....

A certain program in Central California sent an email from the PD to their medical residents stating that "regardless of PPE availability, COVID status, or physician risk status", if a resident is not willing to accept that risk [to rush in and save a COVID patient even if PPE or attending backup is not available], it is grounds for leave of absence with implications of more punitive action.

Or as the PD's email said..."If that is a risk you cannot accept, we will need to discuss options, such as temporary leave of absence."

Thankfully after this email blew up on reddit and Twitter, seems like the spotlight is now on this program...
 
There is a lot of legitimate grips imo in this thread, and focusing on moonlighting is probably not the top priority, I can even admit that. But for everyone saying hazard pay is a function of supply and demand....I mean nursing hazard pay I get but NP and PA? Theoretically I mean they are competing for the same positions/jobs we are. I guess they do a better job than senior residents or others in the respective fields, maybe that's why they're worth so much more by market economics right? And a BSN/MBA being in charge of the NRMP? I swear some of you really don't give a damn what happens to our profession or who is in charge...

Oh and for the record, regarding COVID, I'm in a speciality that does have a high degree of contact with COVID and have been there day in and day out. This isn't some "hero" nonsense or whatever, (which personally I feel degrading), I do think there is a civic responsibility and that this is an unprecedented situation. I personally want to be there and see the COVID patients/help/do whatever is required because I do believe that I owe it to do it, for society and the greater good, and what have you. No matter what, I don't think there is anyone who has any semblance of interest in this field who will not feel the need to be there, or do everything, when you see these patients hypoxic, altered, in shock and needing emergent intervention who will not intervene when actually presented with the scenario. What I don't and still don't see is why our skillset as physicians is being devalued (a BSN I can get, because their role is different, but an NP/PA w/independent practice rights I do not). I don't see a single reason we shouldn't get hazard pay (as residents we are not asked to do this-honestly I would do this no matter what), and yes while I know attending are getting salaries cut across the board, there is a huge discrepancy across the board, between what an attending and a resident makes. Lastly, I know at the end of the day, despite whatever we do, if something does happen, programs will NOT hesitate to shift the onus on residents (could have happened outside work, techically true with community spread but odds are obviously much greater at work), and if something critical were to happen, there is no one in this field (not the attending or the program or the medical community at large), that will ultimately give a damn, or say much beyond empty words because at the end of the day, it really won't affect them all that much as far as the status or life of trainee. This is why it really is crucial we advocate for ourselves imo.

And I still do believe it is all of our responsibilities from a civic perspective to take care of these patients. I want us (as trainees) to advocate for ourself, but personally I would still see these patients no matter even if one thing doesn't change what because I do believe in a pandemic we have to act. But that doesn't mean we are being treated ridiculously in a lot of cases, or there aren't a lot of legitimate gripes, or our profession isn't being devalued and we should at least know our worth. Again just my 2 cents ofc, and I'll bet a lot of practicing attending will most likely disagree.
 
There is a lot of legitimate grips imo in this thread, and focusing on moonlighting is probably not the top priority, I can even admit that. But for everyone saying hazard pay is a function of supply and demand....I mean nursing hazard pay I get but NP and PA? Theoretically I mean they are competing for the same positions/jobs we are. I guess they do a better job than senior residents or others in the respective fields, maybe that's why they're worth so much more by market economics right? And a BSN/MBA being in charge of the NRMP? I swear some of you really don't give a damn what happens to our profession or who is in charge...

Oh and for the record, regarding COVID, I'm in a speciality that does have a high degree of contact with COVID and have been there day in and day out. This isn't some "hero" nonsense or whatever, (which personally I feel degrading), I do think there is a civic responsibility and that this is an unprecedented situation. I personally want to be there and see the COVID patients/help/do whatever is required because I do believe that I owe it to do it, for society and the greater good, and what have you. No matter what, I don't think there is anyone who has any semblance of interest in this field who will not feel the need to be there, or do everything, when you see these patients hypoxic, altered, in shock and needing emergent intervention who will not intervene when actually presented with the scenario. What I don't and still don't see is why our skillset as physicians is being devalued (a BSN I can get, because their role is different, but an NP/PA w/independent practice rights I do not). I don't see a single reason we shouldn't get hazard pay (as residents we are not asked to do this-honestly I would do this no matter what), and yes while I know attending are getting salaries cut across the board, there is a huge discrepancy across the board, between what an attending and a resident makes. Lastly, I know at the end of the day, despite whatever we do, if something does happen, programs will NOT hesitate to shift the onus on residents (could have happened outside work, techically true with community spread but odds are obviously much greater at work), and if something critical were to happen, there is no one in this field (not the attending or the program or the medical community at large), that will ultimately give a damn, or say much beyond empty words because at the end of the day, it really won't affect them all that much as far as the status or life of trainee. This is why it really is crucial we advocate for ourselves imo.

And I still do believe it is all of our responsibilities from a civic perspective to take care of these patients. I want us (as trainees) to advocate for ourself, but personally I would still see these patients no matter even if one thing doesn't change what because I do believe in a pandemic we have to act. But that doesn't mean we are being treated ridiculously in a lot of cases, or there aren't a lot of legitimate gripes, or our profession isn't being devalued and we should at least know our worth. Again just my 2 cents ofc, and I'll bet a lot of practicing attending will most likely disagree.
You’re kind of rambling.

Supply/demand doesn’t apply to residents in regards to pay during situations like this because we cannot leave. We aren’t fluid
 
Pretty sure a lot of people are aware but....

A certain program in Central California sent an email from the PD to their medical residents stating that "regardless of PPE availability, COVID status, or physician risk status", if a resident is not willing to accept that risk [to rush in and save a COVID patient even if PPE or attending backup is not available], it is grounds for leave of absence with implications of more punitive action.

Or as the PD's email said..."If that is a risk you cannot accept, we will need to discuss options, such as temporary leave of absence."

Thankfully after this email blew up on reddit and Twitter, seems like the spotlight is now on this program...

For those of us not on Reddit or Twitter, would you mind posting either the email or the name of the program here so we can look it up?
 
For those of us not on Reddit or Twitter, would you mind posting either the email or the name of the program here so we can look it up?
They are likely referencing ucsf fresno IM. Some screenshots are placed in a thread on reddit r/residency about it. Since then, someone has also posted some more complete screenshots from the GME department there referencing the IM program letter and basically saying, "yeah, that's not how it's gonna work. You need ppe".
 
They are likely referencing ucsf fresno IM. Some screenshots are placed in a thread on reddit r/residency about it. Since then, someone has also posted some more complete screenshots from the GME department there referencing the IM program letter and basically saying, "yeah, that's not how it's gonna work. You need ppe".

Awesome, thanks! Will look it up.
 
Apparently fine however with NP's/PA supervision rights being waived though, or travel nurses getting crazy pay in NYC, or a BSN in charge of the NRMP...

Well the BSN thing I'd agree with - but as physicians we are collectively stupid for standing up for our rights
 
The only defense I have for fresno in general is there are residents on that thread saying the other fresno programs are defending the residents appropriately and the GmE office apparently issued a quick smack down. But screw whoever authored this garbage, should be ran out of academic medicine

Absolutely-i would say the vast majority of physicians are do-gooers,conscientious and want to help patients.But I'd be darn to agree that my life has no value and somehow my family's life has no value either - yes i'm sure we all agree that we watn to help if possible - but if ahospital/residency can't give us at least the equipment to protect us as individuals as well, it's not acceptable. physician lives matter!
and if this comes from clueless administrators sending emails from home it's even more infuriating. if anything i hope that these people including residents sue away if they are forced to endanger their lives bc of administrator/hospital negligence. no different than if a patient sues with an injury bc of inappropriate/malfunctioning equipment.
this is a great opportunity to reclaim our value - and i hope that more and more people start speaking out against this nonsense. not ok.
 
Absolutely-i would say the vast majority of physicians are do-gooers,conscientious and want to help patients.But I'd be darn to agree that my life has no value and somehow my family's life has no value either - yes i'm sure we all agree that we watn to help if possible - but if ahospital/residency can't give us at least the equipment to protect us as individuals as well, it's not acceptable. physician lives matter!
and if this comes from clueless administrators sending emails from home it's even more infuriating. if anything i hope that these people including residents sue away if they are forced to endanger their lives bc of administrator/hospital negligence. no different than if a patient sues with an injury bc of inappropriate/malfunctioning equipment.
this is a great opportunity to reclaim our value - and i hope that more and more people start speaking out against this nonsense. not ok.
I honestly cannot remember where I read it, but it's worth repeating. As doctors you're expected to run into the burning building, but you are not expected to run in Stark naked
 
I honestly cannot remember where I read it, but it's worth repeating. As doctors you're expected to run into the burning building, but you are not expected to run in Stark naked

Yep
 
I honestly cannot remember where I read it, but it's worth repeating. As doctors you're expected to run into the burning building, but you are not expected to run in Stark naked

Definitely agree. I’d be happy when I start intern year in July to help any patient with proper PPE. Heck this would probably challenge me more than any other time I’d be on an ICU rotation. Let’s hope with get enough PPE for everyone and fast.
 
Definitely agree. I’d be happy when I start intern year in July to help any patient with proper PPE. Heck this would probably challenge me more than any other time I’d be on an ICU rotation. Let’s hope with get enough PPE for everyone and fast.

I'm sure many of us are willing to help - but not with threats and mistreatment.
 
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