PGY4 Swap

[penandpaper]

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[notdeadyet]

Don't you need two years at a program for them to graduate you? Or am I confused?


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[penandpaper]

Don't you need two years at a program for them to graduate you? Or am I confused?


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I believe that's if you've transferred before...? Unless that's a new rule.

 

[splik]

you need to spend at least 2 years at one program in order to complete residency. the residency you graduate from does not need for you to be there for that length of time. case in point: when cedars sinai became defunct their PGY3s completed their last year somewhere else.

 

[penandpaper]

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[HopelessBias]

With the abundance of PGY-3s departing for child, might anyone chime in on how difficult a process it is to transfer from one program into another for the PGY-4 year, and what is typcially required of an applicant in the process?

 

[MacDonaldTriad]

Two things at play here. You need 12 months of continuous outpatient, and you need at least 2 years at the same program. I have seen someone leave after 2 years to a new program, then fast track into child for a PGY-IV year at a third institution. They got caught up in the second rule. I believe someone may be able to graduate from a new program after just spending their last year of training there. This happens all the time with fast tracking child people. The ACGME makes exceptions for people who get caught in a program closure (Cedar’s). But this has to be for reasons and you need it in writing in advance. The problem is finding a program interested in adding a PGY-IV. We are fairly used to losing PGY-IVs and tend not to be very dependent upon them for service work. It is important to ask the NBPN and the ACGME to accept a proposed combination of training before you assume that you will be OK. Again, I would get it in writing as this could cost you an extra year of training.

 

[HopelessBias]

Thanks for your response. Just to clarify, when you say at least 2 years at the same program, are you saying 2 years at the graduating program? I understand the bit about exceptions for program closure and child applicants, but provided my current program remains alive (though far from well) and I have completed 3 full years there, including 1 full year of outpatient, assuming a new program would take me, would I have to apply for this exception in order to graduate on time?

 

[MacDonaldTriad]

My understanding is 2 years in the same program, not the graduating program. Sounds like you would be fine, but even if you don't need an exception, a letter saying that you see this right would provide you with nice insurance.