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does anyone know about USF anesthesia???
program is still on probation, waiting to hear decision this monthsweetdreams said:does anyone know about USF anesthesia???
USFgas said:In reply to USFans, I absolutely agree with everything mentioned, and also the post on scutwork.com. If I could go back in time I would never have even listed the USF anesthesia program in the match. It has to be one of the worst in the US, and they should not be allowed to continue as a residency.
Rather than opinion I will try to simply state facts :
1) Most days they make the residents work to 6-8pm. The 10 hr rule is often broken although they claim it is not but the time for preops and postops is not included. Fridays residents can work until 11pm even if you are not on call, and this will be on elective cases, not emergencies. This is the case because they dont have to worry about the ten hour rule then. Weekends on call are the same thing. Lots of elective money-making cases rather than emergencies.
2. Most programs use CRNAs to cover the most basic cases while residents hone their skills on the more difficult ones. This does not seem to be the case here. For example, recently a CRNA was given a phaeochromocytoma. Scenarios like this are the norm. CRNAs are treated like kings and queens here. They are often treated to extravagant parties by Mangar. It was only under protest that the residents were recently invited to the 2005 Christmas party.
3. Zero intraoperative teaching - Attendings mostly have no academic or teaching credentials and could not care less about teaching. A few do teach, especially some of the old USF attendings, but I get the feeling this is almost out of sympathy. ACGME rules state they should not be covering more than 2 residents at a time, but this is broken constantly, although they cover it up by getting other attendings to sign off on charts even when that attending may have nothing else to do with the case. Many of the attendings just lie around in the doctors lounge checking personal emails or watching TV.
4. Few breaks, residents are sometimes left in rooms for 6 hours or more without a break or someone checking on them, and if one asks for a break, the attendings will act like they are doing the resident a huge favor.
5. The semiannual AKT test which was meant to be done in January was never given probably because they were nervous of the poor results that would be shown.
6. Zero evaluations except at outlying hospitals. To be fair, hospitals like Moffitt Cancer Centre and All Childrens offer an excellent learning experiance and treat residents well the problem is anything to do with TGH or Mangars Gulf to Bay private practice group. The residents have not received any evaluations since November at TGH ( just before the ROC visit) but this was pure window dressing no one sat down with the residents to discuss the evaluations, we were just told to sign off on them.
7. At a recent meeting the Dean of Medicine, Peter Fabri, warned residents against writing any thing negative on scutwork or SDN. He said that that if the ROC closed the program, USF would simply reapply for a new accreditation. Apperently Yales surgical program did this recently. He stated the ROC is on a witchhunt, and that the USF program was perfect and needed no improvements. I know most of the residents feel that if he really believes this, it officially makes him the Dean of Medicine of Fantasyland University.
8. Dr Camporesi is listed as PD AND Chairman but the majority of his salary is paid by Dr Devanand Mangar, and his group Gulf to Bay. This is an enormous conflict of interest, and it also means that for the most part he is powerless to make any changes that are not approved by Mangar.
9. Minimal didactics. Grand Rounds are mostly resident presentations, or Dr. Mangar rambling on about one of his life cases for an hour. There is hardly ever any visiting speakers as USF is scared they might report back to the ROC as occurred previously before the program went on probation. Board review once a week is done by CA-2 and CA-3 residents who are paid by Mangar. This is because the attendings have no interest in spending their time teaching. Why would they, it doesnt make them any money.
10. The OR is regularly overscheduled, even weekends are mostly elective cases with the emergencies being squeezed in. This has resulted in PACU holds with a resident sitting with an extubated patient in an OR for up to an hour no worries, just means more money for anesthesia time. This also explains the excessive amount of lines placed, many unnecessary more billing. That is the name of the game at TGH MONEY. Im sorry, what was that? M-O-N-E-Y!!!
11. No dedicated trauma teaching, and very little oversight of residents, a CA-1 and a CA2 are sometimes left alone on weekends especially in dangerous and complex cases. At night, one attending is often covering ob, ER, codes, the OR and cardiac.
12. 70% of all patients are extubated with no attending present, and most of the intubations on weekends are done with only a CA-2 or 3 supervising. This is a major ACGME infraction but no-one seems to care.
The only positives here are the few caring attendings and anything not associated with Dr. Mangar and TGH, but so much of the training takes place at TGH so it makes it difficult to focus on the few highlights. If you come here you will indeed get more complex cases in a very short period of time than most programs, but for the most part you will do them on your own. You will also get little time to read up on them ( unless you can read in your sleep.)
I thought long and hard about writing this. If I am forced to stay here, it would not be in my best interest to be negative about my program, and I should be trying to boost its image. However, there is so much that is wrong about the TGH portion of the USF program that it really needs to be subjected to some public scrutiny. Perhaps this is the only way to motivate the powers that be to effect some positive change.
What USFanes states is also true regarding current residents. Many of the CA1s and even some CA2s, are quietly and desperately trying to transfer out. This would include me.
In short, if you can complete your residency at ANY other program, including the one I heard recently started in Uzebekistan, you should take it. This program does not deserve to get any quality candidates.
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USFgas said:Scenarios like this are the norm. CRNAs are treated like kings and queens here. They are often treated to extravagant parties by Mangar. It was only under protest that the residents were recently invited to the 2005 Christmas party.
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UTSouthwestern said:The question is whether to obje...ady, if you have to say you are, you're not."
USFanes said:sad to say, the program seems to be self-destructing. Seems like nothing but boring ass meetings about getting along, and "Oh, don't worry, we'll just re-apply for another anesthesia program in 2008" from Dr Fabri. Several residents are leaving, those that are CA-0s about to start anes are worried and also questioning whether to stay. Nobody here likes it, so we will see if it is even worth saving. Dr Fabri is on a mission by himself apparantly.
And yes, I know of someone who has contacted the newspaper, but no new story yet.
And as far as hiring out of town guys to teach and work, doubt it. mangar is too greedy. Why do you think they want sRNAs here? They just want to have someone sit in the rooms for them. Most attendings here act like they don't remember how to do that themselves...all they do is sit in the lounge.
Cali5921 said:This is absolutely sickening. This kind of thing not only hurts the residents at the program but it also hurts the field of anesthesia. Shame on Dr. Fabri for making the field of anesthesia look bad. Here you have a program that should be training and teaching their residents rather than trying to find sRNA's to do their work so they can sit in their offices and drink coffee. This just perpetuates the lazy anesthesiologist stereotype. This is also the kind of thing that CRNA's love to snicker about (and why shouldn't they). It just makes us look bad as a whole. I am glad that the residency program got revoked. The residents deserve better. I urge all of the residents there to contact the newspaper and then start contacting other programs so that you can transfer.
Disciple said:Are you sure it's that easy?
Wouldn't you at least want some verbal commitments from your "new blood" before doing something that drastic?
Disciple said:Are you sure it's that easy?
Wouldn't you at least want some verbal commitments from your "new blood" before doing something that drastic?
Faebinder said:you can't fire everyone at once
jetproppilot said:I humbly disagree, dude.
A savvy chancellor could line up his recruits before the hammer falls.
Let the hammer fall.
Then bring in the strategically alligned milleau.
Have them already licensed, waiting in the wind.
Geez.
I need to get into academics.
Cuz apparently the dudes in charge of some of these programs have their heads where the sun doesn't shine..........
know what? I just felt an epiphany....I'm callin' my buddy Allen Kaye and tellin' him of the potential opportunity at USF.
Notthin' like a dude with clout impinging on a failing program.....I'm dialing his number as we speak.
Noyac said:Let me know what happens with Kaye.
jetproppilot said:Alan is under the impression that the axe has already fallen and that it is too late for intervention.
jetproppilot said:I humbly disagree, dude.
A savvy chancellor could line up his recruits before the hammer falls.
Let the hammer fall.
Then bring in the strategically alligned milleau.
Have them already licensed, waiting in the wind.
Geez.
I need to get into academics.
Cuz apparently the dudes in charge of some of these programs have their heads where the sun doesn't shine..........
know what? I just felt an epiphany....I'm callin' my buddy Allen Kaye and tellin' him of the potential opportunity at USF.
Notthin' like a dude with clout impinging on a failing program.....I'm dialing his number as we speak.
adleyinga said:You are obviously NOT in academics and think like a private practice physician where decisions can be made rapidly and acted upon just as rapidly. In academics things NEVER move that simply
Then again lets look at this from the chancellors point of view
1. He has 10-20 universities to control( guessing)
2. Looking at 10-20 depts and each university now gives 100-400 depts.
3. He/She can possibly know the details of what is happening at individual dept level. Must relie unpon presidents who relies upon dean.
4. Chancellor is many steps away from the anes. dept. If dean says he can fix that the chancellor will let him.
5.If one dept goes under- no big deal. He is dealing with state budgets and lack of money for whole system.
The person who is truly responsible is the dean and apparently he is involved currently in process.
Lastly, given the budget drain many state ansthesia programs require (i.e.- we loose money) if a single program actually makes money using private practice then giving up the residency isn't so bad.
NOTHING IS EASY IN ACADEMICS.
If things were easy we would solve all academic problems this way- fire whole depts and bring new people in the next day. Deans would love it. My job security would suck since 1/3-1/2 of us loose money
I am all in favor of supporting the tampa program and Dr. Camporessi and in fact WAS recommending the program to some students as a future great program- not any more until the problems are resolved
jetproppilot said:HA!
Guess I'm too realistic....kinda like Mil and his frustrating posts about military medicine.
Anyone who supports a probationary program to the point of recommending said probationary program to students has their head up their a ss and is not looking out for said students.
Like I've said before to a previous poster who ranked a probationary program,
you are a pawn in this whole process and there are things in the residency milleau that are out of your control.
SO I REPEAT:
Unless you are a martyr, why would anyone rank a probationary program? And why would any academic MD who "truly cares" about their students recommend ranking a probationary program?
You're right, Dude.
I'm not in academics. your tone is saying I should bow down to the academic way, accept it's faults, and pass it on in a cult-like fashion to unknowingly naive med students/residents.
SORRY.
YOUR ACADEMIC WAY SUCKS.
WANNA ACCEPT IT PERSONALLY?
FINE. I RESPECT THAT.
JUST DON'T PASS ON ARCHAIC/RISKY BEHAVIORS ONTO NAIVE MED STUDENTS/RESIDENTS THAT MAY BE SCRAMBLING FOR A PGY-3 POSITION A FEW YEARS FROM NOW BECAUSE YOU RECOMMENDED THEY RANK A PROBATIONARY ANESTHESIA RESIDENCY.
jetproppilot said:Why would you risk your financial future on a probationary residency program?
It will be closing in 2008sweetdreams said:does anyone know about USF anesthesia???
Well, I disagree. Many good residents came from that class of 2005. Very competent and can pretty much do any case you can throw at them. 90% passed the written and so far not one has failed the orals. I can personally say that I think I am a very good anesthesiologist. Not to say that the complaints aren't true but many are exaggerated. And yes, I worked long hours(60-90 wk), like many other programs do. While I was there we went through several chairs (3) and that probably didn't help. However, the program is not as bad as many disgrungtled residents claim. I now work at a suppossed top anesthesia program and let me tell you, they cant do crap here. The training I recieved at USF was very good. Upon arriving to this new program thay were amazed at the level of training I recieved at USF and how deficient their program is.Noyac said:So they can't train residents for **** and they think they can train srna's? What a joke. Even if I were a nurse wanting to do anesthesia at any cost I would avoid this program b/c when you get out you will be bounced around from job to job do to lack of skills and knowledge.
md2k said:It will be closing in 2008
jetproppilot said:[How many anesthesia residencies are there in the US?
How close are you to closing this in-training chapter of your life?
Why would you risk your financial future on a probationary residency program?
cloud9 said:And the current and incoming residents? A friend of mine matched there. I assume they will make arrangements, right?
md2k said:I spoke with some of the residents there that are trying to leave and they cant because tampa general wont release the funds they allready recieved this year for the 2007 year. They said the money is spent????? Anyway, tell your friend to get his **** together b/c Fabri is not going to help him.
md2k said:I spoke with some of the residents there that are trying to leave and they cant because tampa general wont release the funds they allready recieved this year for the 2007 year. They said the money is spent????? Anyway, tell your friend to get his **** together b/c Fabri is not going to help him.
foxtrot said:I don't understand how they cannot let them leave. If you want to leave, you should be able to leave. This is America not some Nazi slave camp. Can you elaborate on this further?
foxtrot said:I don't understand how they cannot let them leave. If you want to leave, you should be able to leave. This is America not some Nazi slave camp. Can you elaborate on this further?
jetproppilot said:But BEFORE your residency-graduation day, while you are a resident, you are a cog in the wheel. You are a small part of a university-money-making-machine.
You are cheap labor.
They pay you 35-50 grand a year and, after the CA-1 year-learning-curve-days are gone, YOU become a money making machine.
You are being paid less than half a CRNAs salary to do whatever cases you are doing.
.