Resolution 42

[LadyGrey]

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I was looking this stuff up for a friend going into IM, so I checked out the EM requirements. Has anyone gotten this approved with the new non-hardship criteria? Here's what they want:

• 1 month (or 4 weeks) of general internal medicine.
• 2 months (or 8 weeks) of additional medicine that may include training in general internal medicine, medical subspecialties, or hospital family practice in any combination.
• 1 month (or 4 weeks) of hospital-based general surgery.
• 2 months (or 8 weeks) of additional surgical training in either ambulatory or hospital settings. These eight (8) weeks may consist of:
  • general surgery.
  • any surgical subspecialty.
  • free-standing ambulatory surgery, on or off campus.
  • gynecological surgery.
  • emergency medicine.
• 1 month (or 4 weeks) of training in female reproductive medicine with a minimum of 50% of this time spent in obstetrics.
• 1 month (or 4 weeks) of pediatrics with a minimum of 50% of ambulatory training which will be defined by the training institution. Strong consideration should be given to a pediatric emergency medicine rotation.
• Four months (or 20 weeks) of emergency medicine that will be conducted under the supervision of a board certified/board eligible emergency medicine physician in an institution approved for residency training in emergency medicine. Vacation time may be taken out of this rotational time.

The one that looks problematic to me is general surgery. Also, depending on where I match, general internal medicine. I guess my question is, how rigid is the AOA about this?

I'm not planning to ever practice in the 5 states, but given that plans can change, it would be nice to know how people are doing this.

ETA: Also, they say this is in the first year, but can it actually be spread out?

 

[tkim]

Those criteria are for last year's graduates and newer. In order to me to qualify for 42, I have to do a FM rotation, using one of my two elective months, one of which is already in my area of interest, and cannot be changed.

Not gonna happen.

 

[GoBuckeyes913]

I was looking this stuff up for a friend going into IM, so I checked out the EM requirements. Has anyone gotten this approved with the new non-hardship criteria? Here's what they want:

• 1 month (or 4 weeks) of general internal medicine.
• 2 months (or 8 weeks) of additional medicine that may include training in general internal medicine, medical subspecialties, or hospital family practice in any combination.
• 1 month (or 4 weeks) of hospital-based general surgery.
• 2 months (or 8 weeks) of additional surgical training in either ambulatory or hospital settings. These eight (8) weeks may consist of:
  • general surgery.
  • any surgical subspecialty.
  • free-standing ambulatory surgery, on or off campus.
  • gynecological surgery.
  • emergency medicine.
• 1 month (or 4 weeks) of training in female reproductive medicine with a minimum of 50% of this time spent in obstetrics.
• 1 month (or 4 weeks) of pediatrics with a minimum of 50% of ambulatory training which will be defined by the training institution. Strong consideration should be given to a pediatric emergency medicine rotation.
• Four months (or 20 weeks) of emergency medicine that will be conducted under the supervision of a board certified/board eligible emergency medicine physician in an institution approved for residency training in emergency medicine. Vacation time may be taken out of this rotational time.

The one that looks problematic to me is general surgery. Also, depending on where I match, general internal medicine. I guess my question is, how rigid is the AOA about this?

I'm not planning to ever practice in the 5 states, but given that plans can change, it would be nice to know how people are doing this.

ETA: Also, they say this is in the first year, but can it actually be spread out?

A classmate of mine that matched in PA last year at an urban allo program applied for 42, and they made her do a FP month in place of her elective month. Other places in PA... in more rural areas have not had to do anything extra for approval (or so they have told me). I guess it matters what program you end up at, so hard to say specifically what they would make you do.

There's supposedly only 9 times people have ever been denied. I hope it stays that way. 😉