Residency resignation/termination

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dawgs55

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Resignation/termination from residency (long post, really struggling here)

USMD grad class of 2024 here. In late 2024/early 2025 I was dealing with some very difficult life circumstances. My dad was diagnosed with multiple myeloma which has invaded his skull and spine. And then about a month later my longtime girlfriend, who was pregnant with our child and I was hoping to marry, was killed in a motor vehicle accident. Our child was killed instantly—she initially survived but passed about 3 weeks later.

To be honest, I just started to struggle enormously during her time in the ICU and in the aftermath of these events. Although I tried not to show it and still showed up to work each day, my program had to have noticed a change/decline in my demeanor and performance and were I think at a loss. For months, I did not tell any of them what was going on, not wanting to look weak/make excuses, and now I totally regret this. They drug tested me like 4+ times (all of which were negative), placed me on a PIP, and then referred me to the state health board in April. It was here that I finally began to open up somewhat about what I was going through.

They placed me a leave of absence for 90 days, most of which I spent at MD Anderson with my father who was receiving cancer treatment. However, during this time, while I was not even on rotations, they went ahead and placed me on probation. My progression to PGY2 was obviously delayed, and I know that I really messed up their call schedule, etc. I came back, completed 4 extra months of PGY 1 rotations, and then was given notice of termination/resignation option instead of termination.

I know that when a resident is fired, it is an enormous red flag. Other program directors have consistently asked me if there is something else I am not telling them—such as an arrest, substance abuse, an inappropriate relationship with patients/staff, HIPAA violations, killing a patient, etc. Although I am far from perfect, there is not anything like that. Even my old program has offered to attest to that. I almost think they are skeptical that something else didn’t happen. I have even, as morbid as it sounds, offered to provide medical records and death certificates to prove I am not making up a sob story.

None of this is to say it isn’t my fault. It is absolutely my fault—I let outside life events affect my work, my demeanor, my performance. And I know that is unacceptable, and 100% on me. I was just going through an enormously difficult time and quite frankly having difficulty focusing. That’s on ne.

My life is now ruined. I put all these years and all this money into this, and now it’s just over. Does anyone have any type of advice? I have no interest in suing my old program or anything like that, I’m not like that. I would be so grateful to get a new program, maybe a place that is a little more compassionate, and work my ass off to show I can be a kind, caring, competent physician.
 
Oh my god, I can't even express how awful it is that you had to go through that.

Those circumstances are enough to break the toughest person. You should have absolutely said something and spoken up. It sounds like your program was trying to help you out/trying to figure out what's going on but you wouldn't give them the full story for some reason? This is definitely a situation where you do not try to be a hero. I get wanting to deal with it on your own, but still.

I recommend meeting with the PD/program and coming clean. Unless I am mistaken, it sounds like they do not know the full story. Not even the most malignant residency program would be so unsupportive if they did. Even if they can't reinstate you, he can write you a letter stating what truly happened and in your support.
 
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