PGY-3 Openings

[Gatsbygal]

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Does anyone know of any last-minute PGY-3 openings? Due to recent personal and professional reasons, I am desperately trying to get out of my program and have had no luck with the pathology outlines and other searches. Any advice would be greatly appreciated!

Thanks.

 

[LADoc00]

Does anyone know of any last-minute PGY-3 openings? Due to recent personal and professional reasons, I am desperately trying to get out of my program and have had no luck with the pathology outlines and other searches. Any advice would be greatly appreciated!

Thanks.

My advice is get back in there and get it sorted out. Aside from faculty mauling you and having to flee due to profusely bleeding bite wounds on your neck, the best option would be sticking it out and goin for a fellowship elsewhere. If you got a story please share, Im bored enough to read it at the moment.

 

[b&ierstiefel]

My advice is get back in there and get it sorted out. Aside from faculty mauling you and having to flee due to profusely bleeding bite wounds on your neck, the best option would be sticking it out and goin for a fellowship elsewhere. If you got a story please share, Im bored enough to read it at the moment.

I agree with this. Just finish your residency and try to land a fellowship elsewhere. A fellowship in a new locale will help build fresh connections.

Your situation is a tough one and I don't want to oversimplify things. But ultimately you need to gauge the consequences of burning bridges vs. establishing new connections.

 

[fly77]

I think the Pennsylvania Hospital in Philadelphia has a PGY3 position opened. Hopefully that is not the program you are trying to get out. The cons is that it is a five year path program instead of four bc they require a year of research. Hope this helps 😳)

 

[LADoc00]

Can we hear the drama?? What is so bad you have to leave?

 

[quant]

Can we hear the drama?? What is so bad you have to leave?

you are SUCH a sucker for gossip....ain't ya?
🙂

 

[Gatsbygal]

You would not believe me if I told you . . . Let's just say that most people would think I was just a complaining female (no offense), but in reality, my department is headed by a disorganized, bitter, and socially inept individual. She spends more time finishing her kid's homework than signing out her cases. It is VERY obvious within the department who her favorites are and I have certainly not made the cut. The truth is, I could care less if I am her favorite or not, but she continues to make life miserable and will make inappropriate comments to other residents about me. I wish I could be more specific, but I am not someone that would give up if I did not feel it was ABSOLUTELY necessary. I simply cannot be in the same room with her, let alone sit at sign-out for several hours with her. I am not the only one that feels this way, but the other resident need to stay in the area for other reasons, so are sticking it out.

It sounds like the best thing to do is stick it out . . . right?

 

[yaah]

The best thing to do is to go to GME. Also, if this woman is not your program director, you need to go to your program director. It might be awkward, but sitting aside and letting her push you around (if the situation is as you present it) is wildly inappropriate for a training program and grounds for sanctions or action. You should not be forced to leave a training program because someone in your department has a problem with you if they don't try to work out whatever their grievances are with you and you don't otherwise have disciplinary action, etc.

The purpose of a residency training program is for residents to learn to be pathologists. Sure, the work of the hospital needs to get done, but the purpose of the training program is not to serve the needs of one person who cannot deal with certain residents when it isn't even their fault.

 

[Gatsbygal]

Thanks for the advice. I have spoken to both GME and my program director. I sat with my program director one year ago and even considered going CP only because it would eliminate any interaction with her. In reality, I really love AP and wanted to do GYN or GU since I arrived. Now I don't even see finishing the program. I went to GME a few weeks back after feeling that my program director was not doing enough to help with the situation. As you can imagine (and I cannot blame GME), after hearing some stories, some things are so unbelieveable that it appears to simply be "me". ACGME is coming for inspection in the next week, but of course, I was not chosen to be represented from the program. The bottom line is that I will always be overlooked for awards, recognition, chief resident, etc because of this person. I have been told by other residents and attendings that I am one of the hardest workers in the program and that I am advancing ahead of my year. From this person, it is the exact opposite. Keep in mind that this person is the head of AP.

Is there anything I can do, or does anyone know how I can inform ACGME of any of this? Unless I have personal interaction with the inspector, I am not sure how I can do this.

 

[djmd]

Thanks for the advice. I have spoken to both GME and my program director. I sat with my program director one year ago and even considered going CP only because it would eliminate any interaction with her. In reality, I really love AP and wanted to do GYN or GU since I arrived. Now I don't even see finishing the program. I went to GME a few weeks back after feeling that my program director was not doing enough to help with the situation. As you can imagine (and I cannot blame GME), after hearing some stories, some things are so unbelieveable that it appears to simply be "me". ACGME is coming for inspection in the next week, but of course, I was not chosen to be represented from the program. The bottom line is that I will always be overlooked for awards, recognition, chief resident, etc because of this person. I have been told by other residents and attendings that I am one of the hardest workers in the program and that I am advancing ahead of my year. From this person, it is the exact opposite. Keep in mind that this person is the head of AP.

Is there anything I can do, or does anyone know how I can inform ACGME of any of this? Unless I have personal interaction with the inspector, I am not sure how I can do this.

If no one else in your program (attending wise) is able or willing to deal with this situation, you may need to speak to your hospital's Ombudsman.

I thought that the ACGME inspector was supposed to have unfettered access to residents... but I don't remember that for certain.

Still it sounds like the Ombudsman might have to be the next step.
Unless you can get some of the other attendings to do something on your behalf...

 

[yaah]

I would say that when the ACGME inspector comes you need to talk to them. They are not going to refuse to talk to a resident especially if they think the resident is being hidden.

If you are presenting a true picture of what is going on, you need to be more forceful, I would say. OBviously I don't know the whole situation but if GME is not helping and your PD is not helping, you obviously haven't made your case well enough. Unfortunately the "other side" has more power and influence, but that shouldn't matter that much. And if other attendings are supporting you, then you could ask them to help you out more, advocate for you. This is your future at stake.

GME may be treating the situation as such because they get lots of similar situations in which it is the resident's "fault." I wouldn't be surprised if lots of residents go to them to complain because of something that was their own doing. I think what you need to make clear to them (and keep it simple) is that you have received excellent reviews and performance evals from everyone except one person, and that your education is seriously suffering as a result. If you are clear and have your own evidence in your corner, they cannot ignore you without facing serious consequences.

 

[pathdoc68]

You need to suck it up, keep your head down and complete that AP/CP program. 4 yrs is nothing! Don't F@#k up you career. Quit complaining and don't give them any excuses to label you as a problem.
For what it's worth.

 

[Gatsbygal]

Thanks yaah for the encouragement, but I am at a total loss as to how to get to the ACGME. Trying to muscle my way into a meeting I was purposely excluded from is not exactly an appropriate way to respond. I have had several years of work experience prior to residency and I can honestly say that these are the worst office politics I have seen.

As for other evals, unfortunately, only the head of AP does our written evaluation. Everything else is word-of-mouth, and it is always me against the attending. Although, I have spoken one-on-one with certain attendings who assure me that the written evaluation reflects only one person's opinion, despite the fact that it is written as a consensus. At this point, I do not know who to believe. At this point, threatening the chair or GME is simply a waste of time. It will ultimately come back to haunt me in the end and I am not sure if its worth it.

Thus the attempt to transfer, but this is proving just as cumbersome because the chair of the department has to advocate and/or approve. It is simply a nightmare. Also the problem is so acute that I need a chance to stop and reevaluate the situation.

 

[LADoc00]

I want to add that rarely does what your residency program think about you matter. MAYBE the first year out in practice, maybe and then I would say most employers would contact fellowship people first. The only circumstance where they might be interested in your program's input is if they personally know them.

I want to officially debunk the myth that somehow a well known residency director can land you a job. 90% of jobs are given to friends, hence friends and social contacts>>>>>residency evals. I really cant stress that enough. 10% of jobs will go to random, just out of training fellows/residents and a good chunk of those switch anyway within the first 3 years to a new position.

Most people are looking for someone with a specific skill: derm, GI heme etc. I really couldnt give a flying turd about whether an applicant was loved by their program or not, in fact even thinking of it makes me chuckle.

The best groups honestly dont take people directly from training anyway. They want to see you sign out 10,000 cases solo before they touch you. Hell, I only looked at people who had signed out at least 50,000 cases.

So I ask why the hell it matters that one faculty dislikes you?

 

[Gatsbygal]

I don't want to go on with this because I am sick of talking about it and frankly, I think the true point is being missed. It is not about one faculty member hating me, so let's put that to rest. And for those that think all I am doing is complaining . . . give it a rest too. Just let this be an anonymous place to vent. I don't need any more judgement. I just wanted to explore any PGY-3 openings.

Thanks LADoc, you have definitely put it in perspective. Maybe you will interview me someday and something I say will trigger this conversation. Maybe you will recognize the source of my problem . . .