New EM residency...again

[Mr. Vandemar]

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Email I received today. 🙄

 

[CliveStaples]

Is this a meme? Tell me it's a meme.

 

[VA Hopeful Dr]

That's a very homey looking hospital

 

[deleted941485]

Brought to you by envision

 

[solitarius]

Sounds like RadOnc and pharmacy a few years back.

 

[deleted941485]

Sounds like RadOnc and pharmacy a few years back.

This is rad Onc right now

 

[Apollyon]

Somebody doesn't know the rules (which makes everything else suspect); the EM RRC requires a minimum complement of 6 residents per year.

 

[deleted941485]

Somebody doesn't know the rules (which makes everything else suspect); the EM RRC requires a minimum complement of 6 residents per year.

Only 6? Seems a bit low. Was thinking more like 12-20. But anyway not like it matters to those POS chairs or their corporate overlords. If these people could be given an enema I could bury them in a match box.

 

[Apollyon]

Only 6? Seems a bit low. Was thinking more like 12-20. But anyway not like it matters to those POS chairs or their corporate overlords. If these people could be given an enema I could bury them in a match box.

Well, it's just the minimum.

 

[Rekt]

Only 6? Seems a bit low. Was thinking more like 12-20. But anyway not like it matters to those POS chairs or their corporate overlords. If these people could be given an enema I could bury them in a match box.

That's very high. Around 8 per year is more typical. Unless you're HCA of course dumping out 12 a year out a Podunk community hospital. The biggest programs in the country are about 22 with Houston and Dallas.

 

[EctopicFetus]

I assume this is a joke. Its sad that we cant tell LOL. people can see 2 patients a shift and we can talk about how that is ok. Dudes and Dudettes... Form your own SDGs. HIre away good docs at fair terms to work with you. It is so much better all the way around. No downside vs any CMG job. IIts the only way to truly control MLPs and our income.

 

[Franzd'Epinay]

It's concerning that this is the picture they chose to represent this "beautiful" location. There wasn't any other point of interest to photograph?

 

[USCDiver]

What town is 3 hours from all those cities? Gotta be somewhere like Dothan, AL

 

[deleted109597]

Can't be real. Doesn't talk about college football or other sports.
Doesn't have some exorbitant salary figure attached.

 

[Tenk]

Honestly... that looks like a nice place to work. Can just sit on the porch and write scripts for percocet.

 

[CajunMedic]

What town is 3 hours from all those cities? Gotta be somewhere like Dothan, AL

That may be it. Some of the ACOM guys I knew said SAMC had been trying to start one for a couple of years. Plus, Dothan is about the right location to be less than 3 hours from those places.


Sent from my iPhone using SDN

 

[Mr. Vandemar]

Sadly, this is real. Full email:

“Opportunity Details:

Less than a 3 hour drive to Atlanta, Birmingham, Tuscaloosa, Tallahassee, Pensacola, Mobile, Panama City, St. George Island and more.

Program Director to help develop and implement a NEW ACGME EM Residency Program
This will start in 2021, and there will be between 3-6 Residents each year

Develop and lead the operation of the EM Residency Program

• Oversee the activities of the residents and other faculty members
• Recruit, interview, and select residents, and facilitate the involvement of residents

Assist the Medical Center in recruiting a sufficient number of appropriately trained and qualified faculty members to conduct the program.

• Participate with the DME/DIO and VPMA in the overall formulation, review and revision of policies and procedures
• Structure the content of the curriculum for the program.
• Structure, coordinate, and participate with the faculty in providing a didactic program for residents in compliance with ACGME requirements

Ideal candidate will have experience developing a program from beginning through implementation & will have strong administrative and team-building skills.

• Additional responsibilities as outlined by ACGME & available to interested candidate
• Minimum of 3 years’ experiences as a core faculty member in an ACGME accredited EM program & demonstrated exp. in a leadership role
• Current certification by ABEM or AOBEM;
• Evidence of ongoing involvement in scholarly activity, including peer-reviewed publications”

 

[southerndoc]

From what I've read, I think Dothan isn't a bad place to train.

Someone mentioned 6/year is the minimum approved. That may be true, but it doesn't mean they have to match/fill 6 spots/year. They may choose to only do 3/year.

 

[alpinism]

Physician - Emergency Medicine Job in Dothan, AL
Level 2 trauma center with high acuity seeks Program Director
Southeast Health Dothan, AL 36301-3088

• Accepts J1s:No
• Accepts H1Bs:No Response
• Loan Assistance:Not Specified
• Practice Type:Not Specified
• Verified Date:09/25/2019
• Job ID:691116

Apply Now Save Job Share with a Friend Print

Level 2 trauma center with high acuity seeks Program Director to help develop and implement a NEW ACGME EM residency. This is an exciting opportunity for an experienced, motivated physician leader to have input in building a program from the ground up. The Program Director will be responsible for the development and operation of the Emergency Medicine Residency Program and will oversee the activities of the residents and other faculty members.
Details
• 28 bed Level 2 trauma ED staffed with 12 EM residency trained physicians
• 59,000 annual visits from 13 county, 600k person referral area
• Subspecialty coverage available in all specialties including ortho, neuro, cardiothoracic and vascular surgery
• Comprehensive stroke center with neuroendovascular lab which treated 1600 pts during last 2 yrs
• ACGME IM residency began July 2018 with 13 residents

Job Description
• Develop and lead the operation of the EM Residency Program
• Oversee the activities of the residents and other faculty members
• Recruit, interview, and select residents, and facilitate the involvement of residents
• Assist the Medical Center in recruiting a sufficient number of appropriately trained and qualified faculty members to conduct the program.
• Participate with the DME/DIO and VPMA in the overall formulation, review and revision of policies and procedures, and structure and content of the curriculum for the program.
• Structure, coordinate, and participate with the faculty in providing a didactic program for residents in compliance with ACGME requirements
• Ideal candidate will have experience developing a program from beginning through implementation & will have strong administrative and team-building skills.
• Additional responsibilities as outlined by ACGME & available to interested candidate

Position Benefits
• Competitive salary including but not limited to paid vacation, matching retirement, health, dental and vision insurance options
• Commencement bonus and relocation allowance
• CME allowance , paid malpractice and paid licensing fee
• Protected time minimum 50% (20 hours/ week) dedicated to program educational and administrative duties

Required Qualifications
• Current board certification in Psychiatry by ABEM or AOBEM
* 3 years previous leadership experience in an ACGME residency
Evidence of ongoing involvement in scholarly activity, including peer-reviewed publications

About Southeast Health
• One of the largest not-for-profit tertiary referral centers in Alabama
• 420 licensed bed facility • 2,700+ dedicated employees
• 350 active Medical Staff
• 22 ORs with 2 endovascular suites and open heart, IR and Vas surgery
• Interventional cardiology, EP and radiology labs, lithotripsy, 3 MRIs (1 a 3-T), 3 CTs including a 64 slice CT and Pet Scanner
• 24/7 Neurosurgery coverage with 3 employed neurosurgeons and 1 fellowship trained neuroendovascular interventionalist
• 10 bed dedicated Neurocritical Care Unit for acute stroke/neuroendovascular care
• 28 bed inpatient psychiatric program and outpatient center with psychiatric hospitalist coverage
• Serves over 600,000 in a 75-mile radius
• The second class of 143 students graduated from the Alabama College of Osteopathic Medicine (ACOM) in June 2018. ACOM is Alabama’s first osteopathic medical school and the first in the U.S. to be developed by a regional medical center.
* An Internal Medicine Residency Program received ACGME approval and begain July 2018 with 13 residents.
About Dothan, Alabama
• Nearby lakes and rivers and less than 100 miles to Gulf Coast Beaches
• Robust business environment ranked #1 in retail sales in Alabama (per capita)
• Highland Oaks, a Robert Trent Jones Golf Course, and other public and private golf courses and driving ranges
• Regional Airport served by Delta Airlines • Recognized as a “Playful City” with 19 parks, 6 public swimming pools, 47 tennis courts including a 20-court complex built to professional standards

 

[d2305]

I always thought the Robert Trent Jones golf courses were Bobby Jones designed, but he just did Augusta.

 

[deleted941485]

Physician - Emergency Medicine Job in Dothan, AL
Level 2 trauma center with high acuity seeks Program Director
Southeast Health Dothan, AL 36301-3088

• Accepts J1s:No
• Accepts H1Bs:No Response
• Loan Assistance:Not Specified
• Practice Type:Not Specified
• Verified Date:09/25/2019
• Job ID:691116

Apply Now Save Job Share with a Friend Print

Level 2 trauma center with high acuity seeks Program Director to help develop and implement a NEW ACGME EM residency. This is an exciting opportunity for an experienced, motivated physician leader to have input in building a program from the ground up. The Program Director will be responsible for the development and operation of the Emergency Medicine Residency Program and will oversee the activities of the residents and other faculty members.
Details
• 28 bed Level 2 trauma ED staffed with 12 EM residency trained physicians
• 59,000 annual visits from 13 county, 600k person referral area
• Subspecialty coverage available in all specialties including ortho, neuro, cardiothoracic and vascular surgery
• Comprehensive stroke center with neuroendovascular lab which treated 1600 pts during last 2 yrs
• ACGME IM residency began July 2018 with 13 residents

Job Description
• Develop and lead the operation of the EM Residency Program
• Oversee the activities of the residents and other faculty members
• Recruit, interview, and select residents, and facilitate the involvement of residents
• Assist the Medical Center in recruiting a sufficient number of appropriately trained and qualified faculty members to conduct the program.
• Participate with the DME/DIO and VPMA in the overall formulation, review and revision of policies and procedures, and structure and content of the curriculum for the program.
• Structure, coordinate, and participate with the faculty in providing a didactic program for residents in compliance with ACGME requirements
• Ideal candidate will have experience developing a program from beginning through implementation & will have strong administrative and team-building skills.
• Additional responsibilities as outlined by ACGME & available to interested candidate

Position Benefits
• Competitive salary including but not limited to paid vacation, matching retirement, health, dental and vision insurance options
• Commencement bonus and relocation allowance
• CME allowance , paid malpractice and paid licensing fee
• Protected time minimum 50% (20 hours/ week) dedicated to program educational and administrative duties

Required Qualifications
• Current board certification in Psychiatry by ABEM or AOBEM
* 3 years previous leadership experience in an ACGME residency
Evidence of ongoing involvement in scholarly activity, including peer-reviewed publications

About Southeast Health
• One of the largest not-for-profit tertiary referral centers in Alabama
• 420 licensed bed facility • 2,700+ dedicated employees
• 350 active Medical Staff
• 22 ORs with 2 endovascular suites and open heart, IR and Vas surgery
• Interventional cardiology, EP and radiology labs, lithotripsy, 3 MRIs (1 a 3-T), 3 CTs including a 64 slice CT and Pet Scanner
• 24/7 Neurosurgery coverage with 3 employed neurosurgeons and 1 fellowship trained neuroendovascular interventionalist
• 10 bed dedicated Neurocritical Care Unit for acute stroke/neuroendovascular care
• 28 bed inpatient psychiatric program and outpatient center with psychiatric hospitalist coverage
• Serves over 600,000 in a 75-mile radius
• The second class of 143 students graduated from the Alabama College of Osteopathic Medicine (ACOM) in June 2018. ACOM is Alabama’s first osteopathic medical school and the first in the U.S. to be developed by a regional medical center.
* An Internal Medicine Residency Program received ACGME approval and begain July 2018 with 13 residents.
About Dothan, Alabama
• Nearby lakes and rivers and less than 100 miles to Gulf Coast Beaches
• Robust business environment ranked #1 in retail sales in Alabama (per capita)
• Highland Oaks, a Robert Trent Jones Golf Course, and other public and private golf courses and driving ranges
• Regional Airport served by Delta Airlines • Recognized as a “Playful City” with 19 parks, 6 public swimming pools, 47 tennis courts including a 20-court complex built to professional standards

Wait they have a Med school down there too? Wtf? 143 students graduating? Hahahahaha. It’s Sponsored by a regional medical center.

Wonder how many actually stayed in Bama. Also 26 on mcat to get in Jesus man I remember when you couldn’t get in if you didn’t have at least a 30. What kind of standards are these?

 

[Apollyon]

From what I've read, I think Dothan isn't a bad place to train.

Someone mentioned 6/year is the minimum approved. That may be true, but it doesn't mean they have to match/fill 6 spots/year. They may choose to only do 3/year.

III.b.2 of the RRC requirements state that programs should have a minimum of 18 residents. In the FAQ, there is a question about new programs, and the 18 requirement. The answer is that they should be working to that number, so that it is achieved by the 36 month mark (or 48 months, for 4 year programs - so, I guess a 4 year could have 4.5). But, the program can't go above what is authorized per year (elsewhere in the regs), without approval. So, if they choose to only fill with half, they wouldn't be able to catch up without approval, and I find it highly unlikely that the RRC would approve 9 residents a year after only 3.

 

[EctopicFetus]

Wait they have a Med school down there too? Wtf? 143 students graduating? Hahahahaha. It’s Sponsored by a regional medical center.

Wonder how many actually stayed in Bama. Also 26 on mcat to get in Jesus man I remember when you couldn’t get in if you didn’t have at least a 30. What kind of standards are these?

New CMG norm. Good luck. All you need is a license, a pulse is optional, a brain is unlikely.

 

[deleted941485]

New CMG norm. Good luck. All you need is a license, a pulse is optional, a brain is unlikely.

Brains are a No No. just smart enough to work the machine and make them money but dumb enough not to see the theft going on in front of them

 

[Rekt]

From what I've read, I think Dothan isn't a bad place to train.

Someone mentioned 6/year is the minimum approved. That may be true, but it doesn't mean they have to match/fill 6 spots/year. They may choose to only do 3/year.

There's plenty of hospitals that see sick patients. Plenty of potentially good places to train. Also, probably more hospitals with weak patient populations too, but this all isn't the question. The question is do we need more emergency medicine residencies? A somewhat old figure shows 2500 people are graduating each year right now. How many people are retiring? I'm willing to bet EM is probably the youngest workforce as well. I'm betting our surplus is far excess of 1000 per year. Realistically we can only work in EDs. Sure a select few will do some sports med clinic or do CCM fellowship, but that's a negligible amount. We can't support the amount of physicians coming out. I think the next 3-5 years is going to dump an absolute bolus of EM docs as all the programs that have opened drop their first classes on their ass.

 

[EctopicFetus]

I agree. Just because your ED can be used to train people doesn't mean it should. Its hard to argue we aren't diluting ourselves. Does a 10k volume ED in a rural part of the country that is a glorified urgent care need a BCEM. No. no they don't.

 

[Franzd'Epinay]

I agree. Just because your ED can be used to train people doesn't mean it should. Its hard to argue we aren't diluting ourselves. Does a 10k volume ED in a rural part of the country that is a glorified urgent care need a BCEM. No. no they don't.

Who should staff it instead? A midlevel? An FM physician?

 

[EctopicFetus]

Who should staff it instead? A midlevel? An FM physician?

show me the BCEM that will take that job...

 

[emergentmd]

Glad I am winding down in my career b/c in 20 yrs EM will start to go down the Path route. Too many residencies, not that many jobs avail, pay will go down, ERs in the sticks will have 10 applicants per opening.

 

[Rekt]

Glad I am winding down in my career b/c in 20 yrs EM will start to go down the Path route. Too many residencies, not that many jobs avail, pay will go down, ERs in the sticks will have 10 applicants per opening.

20? Probably ten

 

[Franzd'Epinay]

show me the BCEM that will take that job...

It wasn't a rhetorical question. If you want to go down the route of limiting the EM supply, somebody has to staff those small ERs. I wold much rather it was a physician than a midlevel.

 

[EctopicFetus]

It wasn't a rhetorical question. If you want to go down the route of limiting the EM supply, somebody has to staff those small ERs. I wold much rather it was a physician than a midlevel.

My true answer is either an mlp or fm doc. The care will be subpar. Just cause you want a hospital or ed doesn’t mean you should have one. I’m sort of clear on the issue. Frankly I believe only em docs should work in eds. It’s like every other field. I don’t believe you cath people without a cardiologist or repair a hip fracture without an orthopod. Unsure why the ed is different. IMO those places are urgent cares and should be paid and run as such.

 

[EctopicFetus]

It wasn't a rhetorical question. If you want to go down the route of limiting the EM supply, somebody has to staff those small ERs. I wold much rather it was a physician than a midlevel.

No one *has* to staff those ers. I would argue those ers don’t need to exist since imo they aren’t functional ers.