Probation

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ys

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What is the significance/consequences, etc. for residents in an IM program under probation? Should residents to be stay away from such programs? Thanks in advance.
 
In so many words I'm sure you're referring to what happened to the Hopkins internal medicine program. As you're aware new work hour regulations went into effect this past academic year and in an attempt to stave off government regulation (the RRC is not a government agency) a program had to be chosen to be made an example of.

The word on the street has always been that Hopkins has a rather grueling IM residency program and apparently one of the interns this year filed a complaint with the RRC. This led to an investigation of the residents' work hours. Hopkins was found to not be in compliance with the new regulations with multiple residents. To show that the RRC meant business, Hopkins was chosen as an example. In some ways it was merely a slap on the wrist. The program could immediately reapply for certification and did (i.e. ability to sit for IM boards, continue to a fellowship, apply for hospital priviledges, etc.).

Per the Hopkins website at http://deptmed.med.som.jhmi.edu/housestaff/notice.html they have indeed regained their certification. Naturally this event was for less well publicized than the decertification which made national news.

So take it for what it is, the RRC giving notice that things are not to remain the same yet acknowledging that the new regulations are very difficult to follow. Every program in the nation is struggling with either the 80 hour limit or the 30 hour limit.
 
Originally posted by Bobblehead
Every program in the nation is struggling with either the 80 hour limit or the 30 hour limit.

I did prelim in New York last year, and it IS law there. The "408" regulations were enforced, and it DOES work. Post-call, we would get paged by the department at 9:30, PUSHING us out the door. Where I'm at now (another state), they give it lip service, but don't do anything differently (more efficiently, walk faster, talk faster, or talk less) to achieve it.

If every place tries to fix it de novo, there will be some successes, and many failures. Maybe if places looked to others that made it work, there might be better luck.
 
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