PGY1 Non-Renewal – Better to Leave at 12 Months or Stay to 15?

[nala97]

Hi everyone,

I’m a US IMG PGY1 in Family Medicine I was placed on probation and informed of non promotion back in March due to clinical performance issues mostly with documentation and applying knowledge under pressure. I’ve since been diagnosed with ADHD, started treatment, and requested accommodations, but my program recently told me I won’t be promoted to PGY2. They also said it’s very unlikely I’ll meet the milestones for PGY1 completion, even if I stay through the extension they offered until October.

So I’m torn between:
• Leaving on June 30 with 12 months and a training verification letter (no PGY1 certificate)
• Staying until October for 15 months, but still not being signed off

I want to try restarting PGY1 elsewhere if possible, and I’m worried about how GME funding works if I go past 12 months without credit.

Would really appreciate any advice on what would leave me with the best shot at starting over.

Thanks

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[ThoracicGuy]

Hi everyone,

I’m a US IMG PGY1 in Family Medicine I was placed on probation and informed of non promotion back in March due to clinical performance issues mostly with documentation and applying knowledge under pressure. I’ve since been diagnosed with ADHD, started treatment, and requested accommodations, but my program recently told me I won’t be promoted to PGY2. They also said it’s very unlikely I’ll meet the milestones for PGY1 completion, even if I stay through the extension they offered until October.

So I’m torn between:
• Leaving on June 30 with 12 months and a training verification letter (no PGY1 certificate)
• Staying until October for 15 months, but still not being signed off

I want to try restarting PGY1 elsewhere if possible, and I’m worried about how GME funding works if I go past 12 months without credit.

Would really appreciate any advice on what would leave me with the best shot at starting over.

Thanks

Have you investigated any programs that would take a chance on you? If so, those programs will likely start in July so you'd need to be available by that time. I'll be honest, though, the odds are stacked against you here. If you have the chance of getting PGY1 full credit, then you could look into Preventative Medicine or Occupational Medicine training.

Good luck.

 

[tacobellforlife]

Hi everyone,

I’m a US IMG PGY1 in Family Medicine I was placed on probation and informed of non promotion back in March due to clinical performance issues mostly with documentation and applying knowledge under pressure. I’ve since been diagnosed with ADHD, started treatment, and requested accommodations, but my program recently told me I won’t be promoted to PGY2. They also said it’s very unlikely I’ll meet the milestones for PGY1 completion, even if I stay through the extension they offered until October.

So I’m torn between:
• Leaving on June 30 with 12 months and a training verification letter (no PGY1 certificate)
• Staying until October for 15 months, but still not being signed off

I want to try restarting PGY1 elsewhere if possible, and I’m worried about how GME funding works if I go past 12 months without credit.

Would really appreciate any advice on what would leave me with the best shot at starting over.

Thanks

100% get 1-year funding. It will just be an easier transition. I would definitely check ResidentSwap as there have been a plethora of new FM programs which have been opening up for the next academic year.

 

[AlbinoHawk DO]

This is definitely a terrible position to be in. Without getting a PGY-1 certificate, you effectively will be unable to get license anywhere. The chances to get a second residency after this are probably close to none. Ultimately, I don't think either scenario makes a difference given that they won't give you the opportunity to "graduate" from PGY-1. I would do everything in your power to convince the PD to allow you to remediate until you meet milestones to get your PGY-1 certificate.

Are you sure this is all entirely academic? I mention this because the PD probably knows they are ending your medical career by not giving you a chance to complete at least PGY-1

 

[tacobellforlife]

This is definitely a terrible position to be in. Without getting a PGY-1 certificate, you effectively will be unable to get license anywhere. The chances to get a second residency after this are probably close to none. Ultimately, I don't think either scenario makes a difference given that they won't give you the opportunity to "graduate" from PGY-1. I would do everything in your power to convince the PD to allow you to remediate until you meet milestones to get your PGY-1 certificate.

Are you sure this is all entirely academic? I mention this because the PD probably knows they are ending your medical career by not giving you a chance to complete at least PGY-1

This is truly the worst thing to read. Knowing that a PD is ending your medical career after the countless hours and time put in to get to the training level. Some programs will literally pick a resident every year to make their life hell.

 

[nala97]

This is truly the worst thing to read. Knowing that a PD is ending your medical career after the countless hours and time put in to get to the training level. Some programs will literally pick a resident every year to make their life hell.

Yeah it’s my Orgina

This is definitely a terrible position to be in. Without getting a PGY-1 certificate, you effectively will be unable to get license anywhere. The chances to get a second residency after this are probably close to none. Ultimately, I don't think either scenario makes a difference given that they won't give you the opportunity to "graduate" from PGY-1. I would do everything in your power to convince the PD to allow you to remediate until you meet milestones to get your PGY-1 certificate.

Are you sure this is all entirely academic? I mention this because the PD probably knows they are ending your medical career by not giving you a chance to complete at least PGY-1

Yeah, al

This is definitely a terrible position to be in. Without getting a PGY-1 certificate, you effectively will be unable to get license anywhere. The chances to get a second residency after this are probably close to none. Ultimately, I don't think either scenario makes a difference given that they won't give you the opportunity to "graduate" from PGY-1. I would do everything in your power to convince the PD to allow you to remediate until you meet milestones to get your PGY-1 certificate.

Are you sure this is all entirely academic? I mention this because the PD probably knows they are ending your medical career by not giving you a chance to complete at least PGY-1

Yeah, I’ve been trying to process that exact fear. My main struggle has been staying organized under pressure which really affects my inpatient rotations and my organizational skills and that’s made me seem weaker than I actually am. My OB and ED attendings thought I was solid, and even in clinic, my plans were usually sound. I recently started ADHD treatment and requested accommodations, and I’m asking for one last chance to work under structure to meet the PGY1 milestones.
I really don’t want to walk away without at least knowing I tried everything. Appreciate your honesty. It’s painful, but it’s helping me stay clear-eyed.

 

[tacobellforlife]

Wait, @nala97 why can't you get a PGY1 certificate if you're ending on June 30th?

 

[nala97]

Wait, @nala97 why can't you get a PGY1 certificate if you're ending on June 30th?

They say because I haven’t met all pgy1 milestones

 

[tacobellforlife]

They say because I haven’t met all pgy1 milestones

****, this is a very tough situation. I have never heard of somebody being forced out after PGY1 level. I think you really really need to grind and demonstrate that you're capable of working under the pressure.

If you leave now, I'm not sure whether you'll be able to get back into medicine.

Atleast staying until October could potentially be a saving life line. You 100% need to have periodic meetings with your preceptors to make sure you're doing well and show them that you're improving.