Summa Health System/NEOUCOM Residency Reviews

Discussion in 'Emergency Medicine' started by icymd, Feb 24, 2008.

  1. bravotwozero

    bravotwozero Chronically ambitious

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    I think he is saying the opposite. The only known case that I know of where residents got kicked out without funding was at an AOA residency program. St Barnabas hospital in the Bronx contracted their radiology services out. Since they didn't need in house radiology anymore, they kicked out their radiologists and shut down the residency program, and left residents wit no spots. The hospital also refused to release the funding for the program and instead transferred the spots to their family practice residency, which was super shady. In the shady AOA world, this is considered acceptable behavior.


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  3. Dr.McNinja

    Dr.McNinja Nobel War Prize Winner
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    Nope. Literally the opposite. I'm asking for him to provide one where it didn't.
     
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  4. gutonc

    gutonc No Meat, No Treat
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    I was a little confused too.

    Nice to know that those of us who know what we're talking about are all in agreement here.
     
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  5. WilcoWorld

    WilcoWorld Senior Member

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    Thanks for clarifying.
     
  6. Dr.McNinja

    Dr.McNinja Nobel War Prize Winner
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    I live to obfuscate. It's my calling.
     
  7. Apollyon

    Apollyon Screw the GST
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    What do you mean? I don't understand. You're not clear.
     
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  8. anonymous654

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    .
     
    #107 anonymous654, Mar 9, 2017
    Last edited: Mar 21, 2017
  9. WilcoWorld

    WilcoWorld Senior Member

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    ACGME issued a decision today on the appeal - the residency program will not be granted accreditation.
     
  10. EctopicFetus

    EctopicFetus Keeping it funky enough

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    Sad for the residents but not sad for USACS.
     
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  11. Arcan57

    Arcan57 Junior Member

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    I'm sure USACS would have liked to keep the residency. Labor you don't have to pay for and the ability to recruit with the lure of having minions aren't nothing.
     
  12. EctopicFetus

    EctopicFetus Keeping it funky enough

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    i should have said I am sad for the residents. I am not sad for USACS. They may be the filthiest of the CMGs (though I know they claim to be democrcatic)
     
  13. The White Coat Investor

    The White Coat Investor AKA ActiveDutyMD
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    Did you see the back page of your ACEP NOW this month? It's a full page advertisement "open letter" to emergency docs trying to justify what they did at Summa. Serious spin they're working there. Amazing how high a proportion of the ad space in that throwaway is purchased by CMGs.

    Must be feeling some heat to run that ad and not worry that you might be telling some emergency docs something they don't already know.
     
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  14. TooMuchResearch

    TooMuchResearch i'm goin' to Kathmandu...
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    I thought about sending that page back to the publisher.
     
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  15. LChristmas

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    It's politician-level spin. A full-page ad, plenty of words, but doesn't say anything of substance at all.
     
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  17. bravotwozero

    bravotwozero Chronically ambitious

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    I had personally spoken to ACEP's president elect and told him they should pull all of USACS 's ads for their newsletter. He did not appear very receptive to the idea.


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  18. surely

    surely MD Class of 2018

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    Would love to see this, if someone would be kind enough to post a picture.
     
  19. VA Hopeful Dr

    VA Hopeful Dr Senior Member
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  20. The White Coat Investor

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    The CEO seems to think that some level of physician ownership makes what they did okay. "We're just a bunch of groups banded together." It isn't physician ownership that matters, it's the predatorial way they took the contract. If the SEA docs came to USACS and said, "Let's band together, we want to be USACS docs," that would be fine with me. But that's not what happened. SEA was prey and USACS was predator. That's not the way emergency docs should treat each other.

    If, as he maintains, Summa came to him and said "we need you," the answer should have been "have the SEA docs give me a call and I'll see if they want to join us." Anything else is predatorial. Is it "just business?" Sure. But should we be "just businessing" other emergency docs? I don't think so. My group doesn't do it. The only groups that join us are groups that come to us and ask to join.
     
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  21. camaronal15

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    This corporatization of EM (and medicine in general) would make a great WCI feature. Not that you need anyone telling you what to write :)
     
  22. carbonizedeyesockets

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    That would require some sense of ethics to anyone but self. One thing I have learned from this board is that by and large EM physicians are out for themselves - how can one squeeze another dollar per hour for themselves even if it means selling a colleague down the river. (Of course this is in no way limited to EM or even medicine.) Few are willing to make sacrifices or take a stand for the greater good. In that sense I applaud SEA for playing hardball, even if it didn't go as they hoped. Even if they "lost", I am hopeful that if a similar situation were to arise (which we can bet it will) that the health system and the predatory group will be more likely to assure a smooth transition at least, or ideally, for the health system to put more effort in to working out a deal with the existing group.
     
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  23. Makati2008

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  24. goodoldalky

    goodoldalky Member

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    USACS has gotten where they are today by doing something similar in many respects to what they did in Akron, many times, in many places.
     
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  25. sb247

    sb247 Doer of things

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    Just for future reference, is there a way to know (if one is working locums) that you aren't making something like this possible?

    I'm all for working locums to let docs take vacations or medical leave...I don't want to be a part of covering the gap when a hospital screws an sdg acting in good faith.
     
  26. TooMuchResearch

    TooMuchResearch i'm goin' to Kathmandu...
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    I read it as a veiled resistance is futile message.
     
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  27. Hamhock

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    Is this the same USACS that appears to employ the author of the "legislative" article on page 5?
    DR. CIRILLO is director of health policy and legislative advocacy for US Acute Care Solutions in Canton, Ohio, and past chair of the ACEP Federal Government Affairs Committee
    Perhaps there is more than one reason ACEP is not so interested in pulling USACS ads.
    HH
     
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  28. WilcoWorld

    WilcoWorld Senior Member

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    This is an interesting sentence, "Dozens of...APPs...picked up shifts to ensure every patient...was seen and treated by a board-certified emergency physician." (edited for clarity)
     
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  29. GimpGenius

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    Except the BCEM docs sometimes didn't see the patients (allegedly) prior to discharge.
     
  30. GeneralVeers

    GeneralVeers Globus Hystericus
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    USACS has their claws firmly planted in ACEP. One big reason I haven't renewed my ACEP for the past 2 year. You will often see them listed as a "Diamond" or "Platinum" contributor to ACEP Scientific Assembly. There are too many people at ACEP who are reliant on the money from CMGS for their jobs. They aren't going to bite the hand that feeds them.

    Dr. Cirillo is indeed employed by USACS (and before that EMP). He is their go-to for legislative and executive action. I've met him a few times and can't say he's a bad guy. The annual shakedown of their docs for "Give A Shift" donations to NEMPAC are a bit of a nuisance.
     
  31. Venko

    Venko True to self
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    Are there any remaining orphan residents in need of a residency? I would be happy to see if we are able to bring them into our shop. Please private message me if I can help.


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  32. EctopicFetus

    EctopicFetus Keeping it funky enough

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    I would be curious if Summa released their funding? I am assuming they havent and as such they would be unfunded spots.
     
  33. Apollyon

    Apollyon Screw the GST
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    I thought the system didn't have a choice - the residency closes, the residents go elsewhere, and bring their money with them. It's not Summa's to withhold.
     
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  34. GeneralVeers

    GeneralVeers Globus Hystericus
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    When LA County got rid of us, they forced us to sign a waiver saying we wouldn't sue them, and in exchange they would release funding.
     
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  35. Apollyon

    Apollyon Screw the GST
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    Dude...that is hard core.
     
  36. TimesNewRoman

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    LA County got rid of residents????
     
  37. Apollyon

    Apollyon Screw the GST
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    Umm...where you been, dude?

    This was about 10 years ago, plus/minus.
     
  38. TimesNewRoman

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    Only 1 year out of residency. What happened?
     
  39. Siggy

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    Welcome to 2004.
    LA Times did this series:
    The Troubles at King/Drew

    Which lead to the Joint Commission putting King/Drew on probation... which they failed to fix by the next review... which lead to the Joint Commission withdrawing accreditation.

    With no accreditation, no Medicare funding... which cost the hospital about half of their funding... which meant that King Drew closed their doors. Also, the fact that the hospital lost accreditation meant that they also lost their residency accreditation.
     
  40. TimesNewRoman

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    Ah. Didn't know that was LA-County.
     
  41. WilcoWorld

    WilcoWorld Senior Member

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    ACEP members who agree with Veers' assertions may consider cancelling their ACEP memberships by emailing [email protected] and letting them know that the USACS conflict of interest is a step too far.

    I did.
     
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  42. shoal007

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    ya im tempted too as well.

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  43. The White Coat Investor

    The White Coat Investor AKA ActiveDutyMD
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    In the "adding insult to injury" category, I'm told that the residents have lost their matching 403(b) funds because they separated before the 3 year vesting period was over. So this thing is literally taking thousands of dollars in real money away from the residents, not even considering the moving costs.
     
  44. VA Hopeful Dr

    VA Hopeful Dr Senior Member
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    Yeah that's something that even if the 3 years thing is the rule you bend it in this case since its not like the residents had any choice in the matter. Would've been a good PR move which they desperately need.
     
  45. goodoldalky

    goodoldalky Member

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    I dislike USACS as much as the next guy... but

    Haven't we to some extent done this to ourselves? 99% of the front line docs I know don't contribute to NEMPAC, to cite your example. It's no wonder ACEP is so dependent on CMG funds.
     
  46. GeneralVeers

    GeneralVeers Globus Hystericus
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    I agree, however NEMPAC is just a legislative arm for the CMGS. They promote some things that help us like EMTALA protections, but they don't fight for lower taxes. They also tend to not oppose or weakly support single payer options which drive up ED visits. Anything that increases ED utilization is good for CMGS as they get to collect billing/coding/malpractice on every single one of those patients, even if the physician isn't reimbursed much (or at all) for seeing them.
     
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  47. WilcoWorld

    WilcoWorld Senior Member

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    Agree with Veers. If you want to support SDG's, joining AAEM is probably a better move than joining NEMPAC.
     
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  48. Dr Mantis Toboggan

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    Completely awful, if true. And I have no reason to doubt WCI's sources. That's clearly an institution medical students would be wise to avoid ranking, in all specialties.
     
  49. goodoldalky

    goodoldalky Member

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    That's because your average ED doc does not contribute any time or money to the efforts of NEMPAC. If they did, and the PAC functioned based on the time and money of Joe Doc as opposed to the time and money of CMG, it's activity would more closely resemble the agenda of Joe Doc. Same with ACEP as a whole.

    This is a strange predicament to be in, caused by those of us who did or who are selling our specialty down the river a la CMG. The activity of PACs is extremely important legislatively, as evidenced by the current economic environment enjoyed by those represented by the largest specialty PAC (Ortho) and all of the reimbursement advantages that go into their current practice environment.

    I sympathize with the cause and stance of AAEM but find its influence to be limited. It's all rather maddening if you think about it.
     
  50. The White Coat Investor

    The White Coat Investor AKA ActiveDutyMD
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    I've spoken to residents in other specialties at the hospital. Their volume is way down because the ED volume is way down because EMS is taking the patients elsewhere (the EMS med directors were all SEA docs.)

    At any rate, it's in the 403(b) document, so that's the way it is. I doubt anyone ever thought about this when they drew up the document though.

    I noticed in this months Annals that there is a news article about the whole thing. You know, when everyone is talking about what you did, you did it wrong.
     
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  51. EctopicFetus

    EctopicFetus Keeping it funky enough

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    The money is tied to spots in the hospital not to those residents or even to EM residents.
     
  52. emnotsureanymore

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    So, just to prove a point, can we have the USACS people who helped destroy this residency program take the stupid AAMC professionalism video interview and see how they do? I just want to see the psychologist graders' thought process: " well, they did aggressively overtake a 40 year SDG and destroy a residency program, so they lose a half point, but their pupils were sufficiently dilated, and they had great posture and smile, so plus 2 points for that..."
     

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