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Residents Leaving
Started by psymed
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Who cares, 😴ACGME do not want to be bothered, Do not try to be "whistle blower", you may BLOW your whole career AWAY, didn't you know PDs are above the law. The so called "lack of structure" is a Joke, It may be a merit though,
grow over it. Finish your detention period silently and graduate from there. Get the paper that say BC/BE and move on with your life.I doubt the sheer volume of resident turnover triggers anything -- residents leave for a multitude of reasons and so absent complaints, the ACGME isn't going to presume an ACGME shortcoming. Resident dissatisfaction about something isn't a violation, the question is whether the program violates an explicit ACGME requirement. Often a lousy or malignant situation is still found to be within the minimum requirements when the place gets audited. If you are going to report something (always a dangerous career move), make sure you are clear on what the ACGME rule actually requires.
I realized early on during my pre-lim reporting duty hours causes more trouble than it's worth... First time I violated, I had to have a meeting post-call... I'm like wtf, isn't this a duty hour violation? Since then I just kept it under to avoid wasting more time.
Bottom line some things are not worth the trouble even though these rules are suppose to be in our best interest. Unfortunately, the ACGME can be more of a hassle with more serious consequences than just keeping your mouth shut.
-R
Maybe I'm misreading the question, but I don't think the op is asking about whether or not to report the problem. It's just if there's an ACGME site visit and they hear about losing people (which I assume they will through paperwork or whatever) -- will that affect accreditation? I'm curious as well because my program has lost a lot of people recently for mainly personal reasons, and I'm wondering what the consequences will be for the program (and for me because I wouldn't want my program to be on probation).
Who cares, 😴ACGME do not want to be bothered, Do not try to be "whistle blower", you may BLOW your whole career AWAY, didn't you know PDs are above the law. The so called "lack of structure" is a Joke, It may be a merit though,
I agree 100% with this. The ACGME exists to serve the programs, not police them. The PDs can act with near-impunity without any repercussions to themselves in the vast majority of programs. He can end your career on a whim and the institution will back him 100%.
Minorities suffered greatly under my old PD at the University of Nevada pediatrics program. Last year's graduating class had two of their three East Asian residents unhired by graduation day, due to the less-than-stellar references he provided, and one of the program's two only black residents had been fired by this same PD during this period of time. (EDIT: forgot to mention the two East Asian PGY-2's that he arranged to have held back and/or put on suspension. Tell you what, leaving that place was the best thing to have ever happened to me.) He also acted to end the acceptance of ANY visa applications whatsoever -- even J1's. Had this happened in a law school, or liberal arts college, could you even begin to imagine the repercussions of such racially-tinged hiring and firing decisions? But medicine is not like that. The PD is never wrong. 🙄
Keep your head low, brown-nose, and pray you are not the next one targeted. It's only a few years.
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Why don't you try filing a complaint with the ACGME? If you have a problem with the PD bring it to the attention of the DIO. Keep a record of everything. Still, just about any resident is suspect for termination at any given point at any residency program in this country 🙁
If you had read all the posts in the thread, you'd see that the op doesn't want to bring this to the ACGME's attention. That was not his/her question, which btw, has failed to be answered in this thread, which is somewhat irritating. Maybe no one knows?
Does anyone honestly think there's an actual answer to the OP's question? I'm sure a program could be hemorrhaging residents and still not come under scrutiny from the ACGME without direct complaints from those within the program. Anyone who believes there is any meaningful oversight with regard to these matters grossly overestimates the ACGME.
This is pretty much it. There exists no meaningful oversight of programs and program directors know it. There are some rules set by the board for their particular speciality (as in they must have X months of inpatient, Y hours of ER, etc) but I haven't heard of any program being shut down by the ACGME in recent memory.
Univ. Nevada peds is among the worst of the worst (<50% board pass, more resident turnover than the local McDonald's, etc etc) and the ACGME couldn't care less as long as their work hours are documented to be ok.
this. The ACGME isn't out there looking for things to fix. They wait until something presents itself. A program where lots of people leave for a variety of reasons (changing careers, relocating, family reasons, health reasons) isn't necessarily a bad program, so there is not going to be a presumption that there's any problem. One complaint can change that presumption, but until then I wouldn't expect them to come sniffing around.
