New Program

[BLADEMDA]

UCF/HCA Consortium Announces New Anesthesiology Residency - UCF News - University of Central Florida Articles - Orlando, FL News

Applications are now open for the 2018-2019 academic year and should be submitted through ERAS. Qualified applicants will be selected for interviews. To learn more about the Anesthesia program at Ocala Regional Medical Center, please contact Jacklyn Fuller at: [email protected].

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[BLADEMDA]

Apply smart in anesthesiology: New data to consider
Included in the study were data from 9,424 U.S. MD applicants who applied to anesthesiology programs in ERAS® between 2011 and 2015 and who reported a score for the USMLE Step 1 exam.

Figure 1

 

[anbuitachi]

Is this your program or something?

 

[aneftp]

Is this your program or something?

No. What blade is posting is all these new programs pop up.

Hca programs are basically Sheridan’s anesthesia especially now that hca is purchased amused/Sheridan as part of the envision/kkr deal.

So a public university (university of central Florida school of medicine ) is too lazy to setup its own anesthesia program. So using Sheridan to setup a program. And Sheridan obviously is completely happy to do it since it’s cheaper Labor to use anesthesia residents than crna.

Hca equals Sheridan in the anesthesia world. Just remember that.

 

[Planktonmd]

No. What blade is posting is all these new programs pop up.

Hca programs are basically Sheridan’s anesthesia especially now that hca is purchased amused/Sheridan as part of the envision/kkr deal.

So a public university (university of central Florida school of medicine ) is too lazy to setup its own anesthesia program. So using Sheridan to setup a program. And Sheridan obviously is completely happy to do it since it’s cheaper Labor to use anesthesia residents than crna.

Hca equals Sheridan in the anesthesia world. Just remember that.

very sad... but true!

 

[Aether2000]

So HCA is using KKR/Envision/Sheridan/AmSurg as their workforce for the anesthesia residency? Interesting because HCA is NOT using Envision/Sheridan to staff some of their hospitals in my area

 

[BLADEMDA]

So HCA is using KKR/Envision/Sheridan/AmSurg as their workforce for the anesthesia residency? Interesting because HCA is NOT using Envision/Sheridan to staff some of their hospitals in my area

HCA purchased Amsurg recently. KKR purchased the rest of Envision. HCA has a long term contract now with KKR to staff the majority (not all) of their hospitals in Florida. If the hospital is profitable or at least break even KKR wants the contract. If the hospital is small and a big money loser KKR doesn't really care much about staffing that center.

 

[aneftp]

So HCA is using KKR/Envision/Sheridan/AmSurg as their workforce for the anesthesia residency? Interesting because HCA is NOT using Envision/Sheridan to staff some of their hospitals in my area

It’s a complete conflict of interest.

People gotta remember when hca imploded in mid 1990s. Half of the hca executives went to work for Amsurg. So amsurg and hca still have very close ties.

Kinda of like old friends hooking each other up. Why do u think both companies have significant head quarters in the same exact city (Nashville Tennessee).

And know with the kkr purchase of envision and spinning off Sheridan/amsurg directly to HCA. It’s pretty blantant they are in this together.

So any group that has contracts with hca better watch their backs. HCA can and will impose their will anytime and yank a anesthesia contract.

They don’t this with many practices especially in Florida that I’ve known personally.

 

[AdmiralChz]

This program specifically makes so little sense it’s nuts.

About 10 years ago the ACGME shut down USF’s anesthesia program in Tampa. What was left in Florida was UF, Mayo and Miami. UF Jax opened a short time later, and then the regional southern Florida programs (Cleveland Clinic Hollywood, Kendall Regional in Miami, Mt. Sinai) opened more recently.

The logical place to open a residency would be Orlando, UCF’s medical school is still very new (graduated first class 5-6 years ago). Rumor has it UCF (has no hospital of its own, similar to USF) isn’t very friendly with Florida Hospital or ORMC which is why they partnered with HCA. Instead they opened their program in Ocala mostly with former UF Gainesville faculty at community facilities that do Level 2 trauma and send anything complicated to Gainesville or Orlando. This UCF program is affiliated with Nemours in Orlando which is pretty much the only positive. As someone who sat on the fellowship application committee, I doubt we’d consider someone from this program at all - where are they getting their exposure?

I don’t think one would get much exposure beyond bread-and-butter stuff and simple cardiac. I anticipate them having trouble attracting quality applicants - that means low scoring DOs, MDs with multiple failures and IMGs from lesser-known medical schools. These applicants are out there.

 

[aneftp]

This program specifically makes so little sense it’s nuts.

About 10 years ago the ACGME shut down USF’s anesthesia program in Tampa. What was left in Florida was UF, Mayo and Miami. UF Jax opened a short time later, and then the regional southern Florida programs (Cleveland Clinic Hollywood, Kendall Regional in Miami, Mt. Sinai) opened more recently.

The logical place to open a residency would be Orlando, UCF’s medical school is still very new (graduated first class 5-6 years ago). Rumor has it UCF (has no hospital of its own, similar to USF) isn’t very friendly with Florida Hospital or ORMC which is why they partnered with HCA. Instead they opened their program in Ocala mostly with former UF Gainesville faculty at community facilities that do Level 2 trauma and send anything complicated to Gainesville or Orlando. This UCF program is affiliated with Nemours in Orlando which is pretty much the only positive. As someone who sat on the fellowship application committee, I doubt we’d consider someone from this program at all - where are they getting their exposure?

I don’t think one would get much exposure beyond bread-and-butter stuff and simple cardiac. I anticipate them having trouble attracting quality applicants - that means low scoring DOs, MDs with multiple failures and IMGs from lesser-known medical schools. These applicants are out there.

Cause hca is building a brand new hospital in Orlando that will be university of central Florida teacher hospital.

UCF reveals more details about future teaching hospital

And that location is next to Va hospital in Orlando and next to Children’s hospital.

It’s a slam dunk Sheridan/hca will relocate to new hca hospital that will be ucf teaching hospital and interstate their anesthesia program there.

 

[AdmiralChz]

Cause hca is building a brand new hospital in Orlando that will be university of central Florida teacher hospital.

UCF reveals more details about future teaching hospital

And that location is next to Va hospital in Orlando and next to Children’s hospital.

It’s a slam dunk Sheridan/hca will relocate to new hca hospital that will be ucf teaching hospital and interstate their anesthesia program there.

Good detective work!

But look deeper. This is a 64 bed hospital they are building. Orlando Regional (ORMC) has over 800. You can’t build an academic medical center with that few beds.

 

[Euripides]

There is some inaccurate information posted previously. KKR and HCA made a bid for Envision as reported in the media. However, KKR alone has agreed to buy-out Envision. At this point there is no deal involving HCA for any part of Envision’s assets. Second, USAP has a major presence in HCA facilities (North Texas, Vegas, Denver). In fact, the new anesthesia residency in Las Vegas that is sponsored by HCA has almost all USAP anesthesiologists as faculty including the program director. The “UCF” program is actually HCA’s. HCA is the largest provider of GME of all types in the State of Florida and within a year or so is reportedly going to be the largest number of GME slots in the US. They recently announced 500 new slots in North Texas with a health science center there as well as a new partnership with University of Houston to create several hundred more slots there. Like it or not, the large health systems are creating GME in large numbers and in many specialities. In essence, they are starting to produce their own clinical workforce. See Kaiser’s new medical school as further example of the trend.

http://healthcare.dmagazine.com/201...thsc-to-add-500-residencies-over-seven-years/
University of Houston Creates College of Medicine and Partners with HCA Healthcare
Program Director Welcome Page | GME Programs in Las Vegas

 

[chocomorsel]

There is some inaccurate information posted previously. KKR and HCA made a bid for Envision as reported in the media. However, KKR alone has agreed to buy-out Envision. At this point there is no deal involving HCA for any part of Envision’s assets. Second, USAP has a major presence in HCA facilities (North Texas, Vegas, Denver). In fact, the new anesthesia residency in Las Vegas that is sponsored by HCA has almost all USAP anesthesiologists as faculty including the program director. The “UCF” program is actually HCA’s. HCA is the largest provider of GME of all types in the State of Florida and within a year or so is reportedly going to be the largest number of GME slots in the US. They recently announced 500 new slots in North Texas with a health science center there as well as a new partnership with University of Houston to create several hundred more slots there. Like it or not, the large health systems are creating GME in large numbers and in many specialities. In essence, they are starting to produce their own clinical workforce. See Kaiser’s new medical school as further example of the trend.

http://healthcare.dmagazine.com/201...thsc-to-add-500-residencies-over-seven-years/
University of Houston Creates College of Medicine and Partners with HCA Healthcare
Program Director Welcome Page | GME Programs in Las Vegas

The thing is, how do PP guys/gals, who are used to busting out case after case, worried only about efficiency and money go and become "academic" types?

I personally think that the teaching will be marginal. And the surgeons, will be pissed now and take a lot of their cases elsewhere where there isn't a slowdown from residents. There is so much competition out there and surgeons run the town. They are not trying to slow things down for the heck of teaching sake.

I worked in those HCA facilities in Vegas and I doubt those residents will get a good experience. Vegas is all about the money. There's decent training at the University Hospital because that hospital has academic attendings mixed in with the private guys, but I don't see any good teaching happening outside of that environment.

The students from the DO schools get a crappy experience and if one is not very motivated to learn on their own, they will struggle in third and fourth year, because they are taught by many private docs who do it just for the stipend and not for the love of teaching. Those students were completely ate the hell up the few times I worked with them. Clueless. I had a friend/colleague who graduated from there and agreed. Said she had to really teach herself a lot of **** cuz it wasn't coming from her attendings.

Maybe I will be proven wrong, but I doubt it.

 

[Euripides]

The thing is, how do PP guys/gals, who are used to busting out case after case, worried only about efficiency and money go and become "academic" types?

I worked in those HCA facilities in Vegas and I doubt those residents will get a good experience. Vegas is all about the money. There's decent training at the University Hospital because that hospital has academic attendings mixed in with the private guys, but I don't see any good teaching happening outside of that environment.

In Vegas the residents are not part of the labor pool, i.e., they are single-posted with an anesthesiologist. My friends tell me that efficiency won’t be a problem. In-training exams and board pass rates will eventually tell the tale about the education.

On a related note, most academic teaching practices are hemorrhaging money. Not sure how sustainable that model ultimately is.

 

[ItBurnsInMyHand]

In Vegas the residents are not part of the labor pool, i.e., they are single-posted with an anesthesiologist. My friends tell me that efficiency won’t be a problem. In-training exams and board pass rates will eventually tell the tale about the education.

On a related note, most academic teaching practices are hemorrhaging money. Not sure how sustainable that model ultimately is.

Don't know much about any of this, but I would caution someone from going to a residency where one is clearly and predominantly a part of the labour pool. One of my best friends is at a program in the midwest like this and really hates the culture of the program. From the sounds of it, there is no real investment in the residents and the morale is low.

 

[chocomorsel]

Don't know much about any of this, but I would caution someone from going to a residency where one is clearly and predominantly a part of the labour pool. One of my best friends is at a program in the midwest like this and really hates the culture of the program. From the sounds of it, there is no real investment in the residents and the morale is low.

You mean are not part of the labor pool?
Cuz most residencies are right? As in two residents per attending?
How’s your friend’s residency structured?

 

[BLADEMDA]

Until proven otherwise these HCA residencies are bottom tier programs. Whether they remain bottom tier is yet to be determined. My recommendation is for those who have no other options due to Step scores in the 200-210 range go ahead and apply to those programs. Those with a Step over 220 should mix in some academic programs like Mayo-Jax, UF-Jax, Augusta, etc because the experience will be better IMHO.

 

[aneftp]

There is some inaccurate information posted previously. KKR and HCA made a bid for Envision as reported in the media. However, KKR alone has agreed to buy-out Envision. At this point there is no deal involving HCA for any part of Envision’s assets. Second, USAP has a major presence in HCA facilities (North Texas, Vegas, Denver). In fact, the new anesthesia residency in Las Vegas that is sponsored by HCA has almost all USAP anesthesiologists as faculty including the program director. The “UCF” program is actually HCA’s. HCA is the largest provider of GME of all types in the State of Florida and within a year or so is reportedly going to be the largest number of GME slots in the US. They recently announced 500 new slots in North Texas with a health science center there as well as a new partnership with University of Houston to create several hundred more slots there. Like it or not, the large health systems are creating GME in large numbers and in many specialities. In essence, they are starting to produce their own clinical workforce. See Kaiser’s new medical school as further example of the trend.

http://healthcare.dmagazine.com/201...thsc-to-add-500-residencies-over-seven-years/
University of Houston Creates College of Medicine and Partners with HCA Healthcare
Program Director Welcome Page | GME Programs in Las Vegas

There is a lot of dirty business when it comes to private equity buyouts we all know that.

They want to take it private away from the public eye They don’t want the messiness of the public traded companies (hca Plus envision)

Who knows what they will eventually do with the amsurg/Sheridan division. But gotta remember hca strong ties with amsurg. Very strong ties from the 1990s hca implosion with hca people shifting to amsurg.

Anyways. I have no doubt kkr will split up the amsurg/Sheridan Division and hca will have a big say in the matter. They just want to keep it low profile in the private equity world right now away from the public shareholders.