U of Wisconsin Program Status

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FrankMD

Ophthalmologist Wanna Be
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Anyone else get this email from U of Wisconsin?? Anyone know how serious this is???

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Dear Applicant:


Thank you for your interest in our ophthalmology residency program. We have received your application and will be advising you whether or not it would be mutually beneficial for you to interview with us. A development regarding our residency program has occurred which we are required to bring to your attention.

As you may know, all residency programs are periodically evaluated by a Residency Review Committee (RRC), an arm of the Accreditation Council for Graduate Medical Education (ACGME), to be certain that residents receive proper training. In 1998, we were reviewed and received full accreditation, with anticipation of another review in four years. In March 2003, an RRC representative reviewed our program. In August 2004, we were advised that our residency was placed on a probationary accreditation status, with a subsequent re-review planned in 2006. This status means that training of residents can continue, but we are to be revisited in two years to consider whether or not the perceived deficiencies had been corrected. If the training were then deemed satisfactory, the probationary status would be removed, and the usual subsequent reviews of the program would occur. If the flaws had not been adequately corrected, continued probationary approval might occur, or in the worst case scenario, accreditation for training residents would not be granted, and subsequent graduates of the program would not be eligible to gain certification by the American Board of Ophthalmology.

Our faculty recognizes that this is a serious matter and is highly motivated to do what is needed to reverse the conclusion of the RRC as soon as possible. We are aware of other good residency programs that had been placed on probation for a time, but were able to reverse that status at an expedited re-review. We are concerned about this development, but believe that it is extremely unlikely that the ultimate result will be the loss of accreditation of our residency program. More likely is that our faculty’s and current residents’ concentrated attention to making the training as excellent as possible will strengthen what we believe has been a good residency program, and we believe that we are making substantial progress in this direction. Please feel free to contact me by phone at (608) 263-8964 or by e-mail at [email protected] if you have questions about this situation.
 
Yep, I got the same one. I had heard some good things about Wisconsin. No idea what to make of this...😕
 
I had this same question last year as I was interviewing and ultimately decided that Madison is simply too strong a program to ever allow accreditation to be taken away. I will now be a PGY-2 Ophthalmology resident there next July.

The Residency Review Committee (RRC) routinely and systematically reviews the training that programs provide. Because of the concerns raised by the ACGME, programs are constantly improving on their training. I believe that Madison will soon rise back to the ranks of the top ten programs that it was at a mere 3 years ago (look at Ophthalmology times 2003: http://www.ophthalmologytimes.com/o...chString="wilmer wins again in annual survey")

If you are offered an interview I recommend that you go there and see for yourself. I am sure that you will be gladly surprised by how strong a clinical and research program it is. Also, the residency review committee is scheduled to review the program sometime in October. So, all of this might be resolved well before you have to submit your rank list (check it out for yourselves at http://www.acgme.org/adspublic/)

Again, Madison is an awesome program in a great city. I am sure that if you ask any of your ophthalmology attendings at your institutions they will agree.

At the end of the day, the more programs you interview at the more informed you will be when it comes time to prepare your rank list.

JC
http://nieto.juan.c.googlepages.com/
 
The acgme link was broken. Here's the list of ophthalmology programs currently on probation.

1. Tulane
2. NYMC/St. Vincent's
3. Virginia Commonwealth Univ
4. Wisconsin

If you want to see the list for yourself, go to http://www.acgme.org/adspublic/default.asp, click on "Accreditation Decisions", and choose "Programs Currently with Unfavorable Decisions" from the drop-down list.
 
i got the same email from Wisc...i was worried, but i just got an interview offer there and after reading this, i guess i will take it and see for myself.
 
I'm currently a fellow at U of W. From what I understand, the reasons the RRC put Wisconsin on probation are either somewhat petty or no longer valid. There was previously an issue with an away rotation that residents did in Arizona because of possibly insufficient teaching/oversight but residents don't do that rotation any more. The other problems that my attendings discussed with me seemed pretty minor to me, and I was surprised at how big a deal were made of them. Since I'm a fellow, the issues don't really apply to me (or I just don't complain as much) so I personally don't think it's a big deal. I believe there is a meeting tomorrow with the RRC of some type, so this may get resolved soon. I very much doubt that the program is going to lose accreditation.
 
anyone know the outcome? as the review, according to the ACGME website, was today.
 
i'm in my 2nd year at Madison. we had the site review this past wednesday. the site reviewer had a lunch meeting with the residents and went over each of the issues point by point to review the changes that have been made and to see if we felt the issues had been fully addressed. i can tell you there is no freakin' way that we won't be fully accredited after their review. unfortunately, for those applying this year, they won't announce it until after the match.

the main 2 citations: taking call at a hospital we didn't receive training at (we no longer take call there and haven't for 2 years now) and the new mexico rotation, which we no longer do. i have many friends in other ophthalmology programs in the country, a number at great programs and i have no idea how madison ever got put on probation. it is a fantastic program and the citation has only made the program better. our cataract numbers went UP since doing away with new mexico. last years class had 140 ave.

i applied before we were put on probation. i found out about the probation 6 months after the match and needless to say, i was quite shocked and disappointed since it had been my #2 choice among some of the top programs in the country. i am extremely happy here and am extremely happy with the program, staff, and city. i honestly don't think there could be a more enjoyable program in a better city, working with better people. call is great. you spend almost all of your time (except when at the VA) in specialty clinics with the attendings. you always see the patient first, write them up and then the attending sees them. you get instant feedback. there's none of this, "see all the non-insurance immigrants in the basement and give them their glasses and if anything looks wrong, send them upstairs to one of us." i'm on a first name basis with most of the attendings i work with. it's just a great program. i could go on and on, but i'll stop. i'd be happy to answer any specific questions, however, i don't check this site very often anymore, so there may be a delay in my response.

good luck to all of you applying this year. ophthalmology is fantastic, you won't regret it!
 
My 2 cents about UofW.
Great location, huge department but I would be cautious, lots of faculty at wisconsin are just affiliated to the department because they dont want to take call. It is also a good place to go if you are interested in retina, great retina service.
BUT...cataract numbers are on the low side..i talked with graduate from 2 yrs ago...that person did 60-80 cataract and at that time they were going to New Mexico. I was told that numbers will be LOWER once they stop going there since they only got cataract at the VA in Wiscon. and every other clinic had private patients and they didnt get to touch them!
So if you are interested in subspecialty and esp retina, its a good place to go but dont expect to do a lot of surgeries in your residency, not a great place to be for general ophtho or someone interested in more surgical volume.

Johnnyboy - how are cataract numbers higher now?
 
As a recent applicant and upcoming UW resident the cataract numbers are now in the 140s (higher than they were 2 years ago). The New Mexico rotation was replaced with a rotation at one of the local Madison hospitals where a huge number of cataracts are performed (I believe it's Meriter hospital, but Jonhnnyboy will correct me if I'm wrong). A lot of people were concerned that cataract numbers would decrease with the New Mexico change, but the numbers have actually increased dramatically -- a testament to the fact that the changes that have been made over the last 2 years will continue to make Madison an even stronger program.

Again, if you are offered an interview, accept and evaluate for yourselves. Don't just go by hearsay. That should be true about any ophthalmology program you look at.

JC
 
csme and JC are correct in that madison is a great city and has a large department. the vast majority of the faculty are completely UW faculty. there are 3 faculty members that have their own private practice, but that is only 3 of about 40 clinical faculty members (there are many, many more researchers). (they became part of UW because of a merger approx 5 years ago-they had the option to stay private or join UW and they decided to join UW and become clinical instructors--some did chose not to and left). those 3 that have their private practice take their own call. we do not take call for their patients. the faculty is extremely dedicated to residency training.

i agree UW is especially strong in retina, oculoplastics (somewhere in the 99% for primary plastics surgeries), and peds. glaucoma is somewhere near average. cornea just added a new faculty member a little over a year ago and is likely on the above average scale. neuro-op is great (if anyone really cares).

in terms of cataracts, the average for the past 10 years is 110. last year was the first year that they didn't go to NM and the average of the 3 residents was 142. we have added a comprehensive rotation (in place of NM) where the resident operates with multiple different comprehensive attendings (approx 5). the UW has added 2 full time comprehensive attendings recently and will be adding another at the end of this year. most are private patients, but the faculty are here to train, not because they want to be private practice machines. additionally, we do cataracts on the corneal, glaucoma, and VA service. The VA and comprehensive cataracts are the majority.

one criticism of UW in the past has been the comprehensive training we get. in reality, who really needs/wants to refract more myopes and follow more glaucoma suspects. the learning yield is typically quite a bit less in these type of patients. however, like i mentioned above, they have/are adding more comprehensive faculty members to the department to offer more comprehensive training.

overall, i think the training is fantastic. the surgical volume is fantastic, especially for retina, oculoplastics and peds. glaucoma surgery is good, and cataracts is good. the average cataracts nation-wide is right around 110, which we will likely continue to surprass since doing away with NM.
 
As mentioned above, you have to look at why the program was put on probation, and then you have to look at what they're doing to fix it. Some of the ACGME reasons for going on probation can be pretty nitpicky, and wouldn't significantly affect your training. It sounds like they're being upfront about it, which is promising.

One program I interviewed at a few years ago was on probation (I found out after I had accepted the interview), and they did their best to hide it and skirt around any questions about the subject. That significantly knocked them down my rank list.
 
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