Quoted: Funding and residency changing

[Doodledog]

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Tildy, who is quite stuffed today on Hamantaschen, will raise the aPD flag for this one!

I am leaving one residency program and applying to another (please see "special circumstances" below).

Questions that are very important to me:

1) Will I have any problems obtaining another residency position because of funding issues?

2) What happens to a resident's funding after they leave a program? (i.e. does it disappear?; does the program keep it?; does it follow the resident?)


Special Circumstances:

-Resigned from 1 residency program after 6 months (was a 1-year position)

-Successfully completed a 1 year position at a 2nd residency.

-Resigning from a 3rd residency program after 10 months (a 3-year program)

-Switching fields and applying to a 1 year residency program (my residency training will be complete if accepted and after completing this year (this is because of my previous residency experience + graduate degree)


(no disciplinary action on my record whatsoever)


Thank you very much for your time and replies. I really need to get accurate information regarding this.

 

[NotAProgDirector]

It totally depends on what your prior programs were. Presumably, at least one of them was a "terminal residency" meaning that, had you completed it, it would have led to board certifcation. Only prelims and TY's would not fit this. If so, then the minimum time it would take for you to train in whatever your first terminal residency was, that's the amount of full funding you have.

So, I'm assuming from your circumstances that the first two programs were prelims, and the third program was some sort of categorical. If it was a 3 year program that doesn't need a prelim year (such as IM), then you'd have 3 total years of funding. You've used 6 + 12 + 10 months = 2 years 4 months, so you'd have 8 months left.

If you're third program was neuro, which would be a 3 year program AFTER a prelim (so really a 4 year program), then you'd have 1 year and 8 months left, and have no problem.

Of note, even if you run out of "full funding", you still get funded 50% on the "DME" and 100% on the "IME", so it's not like they get nothing for you.

As for your question "what happens to a resident's funding when they leave a program" the answer is complicated. The old program stops claiming any funds -- to do so would be Medicare fraud. Any new program that picks you up has to have room under their cap (i.e. each institution/program has a maximum number of residents they get funding for -- any above that cap get nothing). So, the funding requires both the program to have a fundable slot, and the resident to have full funding left.