Don’t get me wrong. I am very grateful and appreciative to the program and I made that clear to them. Also I am a very humble person. I never throw an attitude at work and always work professionally. I don’t have any personality conflicts with anyone. I’m well liked. I have completed all my step exams and I have never had any issues. No conflicts with anyone. I am a very humble person.
I am in no way saying I should return as a PGY3 but I do not think it’s fair to repeat intern year when I did my time.
QUOTE="Crayola227, post: 20316556, member: 576613"]I would say the program has been *extremely* accommodating so far. There are programs that would have looked to figure out a way to force a resignation or terminate (yes, before anyone says what a hassle it is to do so).
I can't recall exactly but in some scenarios where you don't defer starting at the start, having a resident come back from PGY1 and as PGY1 isn't straightforward either.
You missed what, 5 months out of 11?????
Do you really think you're ready to supervise interns and run a service now? Honestly?
As far as not having to make up the months you did complete, you do realize that even if you passed them, there are 2 issues: one is that you have to be competent in those "competencies" by end of year, and it's hard to say so when you've only got 7/11 rotations under your belt. No, you probably haven't done enough of the year to say you've grown enough.
As far as getting credit for those months, it might not be feasible with the overall schedule to waive you doing them over. Also, doing a month of wards as an intern should not be considered equivalent to doing it as a PGY2 or 3. Where you see credit given it's usually going a transfer going PGY of the same level to somewhere else, should that program see them as equivalent (and they don't have to and don't always see it that way).
Not to mention, if you only have 7/11 months all broken up, the argument can easily be that you need to have a more consistent run of practice to have developed the skills to go on to PGY2.
This is not illegal. If anything, they have made exceptions for you and gone to a lot of trouble.
If I were you, I would take a fruit basket for the GME office and get down on my knees to kiss my PD's feet.
You should be unbelievably grateful your career is not ENDED over this, let alone thinking you've been wronged in any way.
Actually, starting with a bit of a clean slate (in that you get to start from the beginning) with a few months under your belt, you should be grateful because you are poised for success in completing your intern year and residency, strong.[/QUOTE]
Hard to know if it's unfair from the program perspective without more information, which I would not expect the OP to divulge. I don't think it would be fair to expect to come back as a PGY-3, but it seems a bit harsh to not let them come back as a PGY-2--this means they're essentially only getting 2 months of credit for 18 months of training. Of course, if there are performance issues on top then that's a separate issue.
What is certainly unfair is getting sick enough (for any reason) to need to take 6 months leave in the middle of training. One of our co-fellows was diagnosed with cancer, needed to take medical leave, and didn't graduate on time through no fault of their own. So I can empathize, at a minimum, from that perspective.