is termination same as volunteer resignation.
No. I don't remember where my posts are on this, but I explain in exquisite detail.
Don't take offense but I am sure that we all feel that the reasons for termination or forced resignation were unfair.
Yes, the best thing you can ever do when any relationship sours is introspection. You take you wherever you go and you cannot control for the world or blame it as unfair. Some of it is unfair and what is done is done. Deserved or not, looking at yourself is the only way you can grow, improve, and ever expect a different outcome. I was glad to see the maturity in you acknowledging that there are always lessons to be learned from termination/resignation.
I have sent out some applications to PGY3 slots but nothing and when I even called some programs I was told they did not feel I was a good match for their program, no explanation, nothing.
While everyone is overworked and too busy, it is a shame. Medicine and its practitioners really do need feedback, even if it's to say why they don't want you. How else will you know to improve or when to quit trying and move on? Lack of feedback = for shame!
Somehow, we need to be able to break the communications barrier, these days I think programs are so afraid of conflict adn lawsuits that they are ultra conservative. Especially if the previous PD is unwilling for whatever reason to write a letter, even if it contains thing you should work on. Again I think the issue is fear of a lawsuit.
If termination/resignation wasn't such a career death sentence, there was any balance of power between resident employee/program employer, I would venture less attorney involvement. If one accounting firm wants to let me go because they hate me, fine, I don't want to work where I'm not wanted if I can just apply and get another job. Sure that example would be tough, but I know less shtty than what happens.with residents.
beyond gross patient endangerment I find it hard that after medical school, USMLE exams, PhD training (in my case) 1, 2,3 years of residency we have no worth salvaging our careers.
I'm inclined to agree. I can see the argument that having survived all that it should follow that you should not then have difficulty in residency leading to termination, you must not "have the stuff".
I think the legal system, and the GME funding system, general lack of resources are the big contributors to letting salvageable residents go.
I'd like to post here on behalf of my friend.She just started residency and has been terminated on 10th day without warning and no probation...... As the first few days of residency are overwhelming and stressful, she was anxious and during rounds she was very nervous and therefore in order to cover herself, she lied something like, she took the vitals where she actually took but forgot the reading and therefore the attending thought she lied. similarly such situations happed 3 or 4 more time and finally she was suspended on unpaid basis on day 10th and was not allowed to come to the campus till hearing. in the hearing, the decision was made to terminate her!
Thank you
There is always a due process and appeal system for terminations, that being said, certain infractions lead a resident down the fast track of termination. My favorite example is if you take a knife and stab an attending to death. They can rightly say that is not a remediable issue, and immediate danger to others will get a resident put down as fast as a dog.
So I don't know the process or details of her case, but yes a program can get rid of you that fast.
I just want to be clear on language here. It sounds like she did actually take the vitals. My question is, when she was asked did she honestly think she remembered it and spit out the wrong value? You would still be in trouble for poor recall, but having no intent to lie does make a difference. Saying "I think it was __, but I'm not sure," is still bad because they will have to decide how important trackiing that down right away is or moving on, and no one will like the poor recall, and annoyance will likely outweigh respect for your honesty, but again recall is a skill, lying is a choice and reflects on character.and professionalism in a much worse way than, "I don't remember," or "I don't remember exactly the number but I do remember it wasn't worh remembering as.it was normal." If every instance of poor recall you are truthful, and times times you say "I don't know" but it is ballpark figure or normal as you say, then trust will still.be built that you just don't remember let's say, temp number when you know patient is afebrile. Trust will be built that you know what you know, and what you don't know or is vague is being accurately represented. What you say must be true, if only to trust that YOU can keep track of yourself as far as what you know or don't know.
I just want to be clear, lie implies intent whereas if you reported something you honestly thought to be true but were wrong, that would be a dumb mistake. The first one, lie, can get you the first time. The second one, maybe more chances, but maybe not ten. At some point with a mistake, you will need to address it so it doesn't continue or that will be damning despite not being a severe flaw of character. If it were me, and I was consistently forgetting something (that would happen to me with respiratory exam findings for some reason, so I created a paper on rounds where I could literally checkbox the finding, took 0.1 sec to record in realtime bedside) than I would be expected to correct that. No matter how busy the first days of residency, you should know how to keep track of vitals in some fashion, even if not efficiently as you can improve that as you go.
The only thing that can help her is if this was not "I don't know" being covered with a lie scenario, but just a brain fart "I thought I did but I didn't." A liar telling me they won't lie is hard to trust, I may give a.second chance to someone forgetful if they identify the problem and its solution, because.while I may still have doubts on their ability to execute, I can still at least buy into their intent because they are not a liar or someone willfully misrepresenting. So maybe that's advice for your friend.
