What's my options?

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futuredo32 said:
We had a PGY 1 who got kicked out of her OB/Gyn residency in my first psych residency program. The PD is no longer there, but there are a lot of people who change from one field to psych. But being a DO, and doing a DO intern year you don't have the luxury of using your PGY1 year for an MD PGY2 (I don't think).

If you TRULY want to do psych, the one associated with LECOM in PA went unmatched pretty much the year I matched. I recall them calling and emailing like crazy before the match and I told them I wasn't ranking them. That PD left so perhaps it is more competitive now but they were dying for any warm bodies at the time.
They could let you use at least part of your PGY1 for psych and may have an open spot. A lot of people leave psych their third year to do child psych making room in psych residencies to take an extra resident. I agree with also looking at the newer programs and taking Step 3. Detroit Wayne County Health Authority (Authority Health) GME Consortium Program used to advertise to people who had some red flags on their application.
Are you sure you want to do psych? I am a psychiatrist who will be applying for a second residency in FP next year. (and a second residency isn't easy to get due to funding).

Good luck to you.
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Yes I would love to do Psych if I could! I just feel it is a lot better suited for me . Out of curiosity - why are you applying a second residency in FP?
 
OKAY , I am confused - do email all these MD psych programs before or after the match? I already emailed the DO ones, they either said they are filled or waiting on the MD match to fill their seats. What would be the purpose of emailing the MD programs now when they all stopped interviewing by now?
 
Your in a odd predicament. The DO programs on that list are not new programs per se. All DO programs will be under ACGME. So they need to get that accreditation. So the DO programs on the list have residents, they are just transitioning to be recognized by the ACGME. The new programs will be the ones with accreditation after Feb or Mar and they will likely be MD. The list adds new programs that have no residents starting in Feb or March.. Usually a bunch of programs under a particular specialty gets added on a random day. It could be sometime in April or March too. So you need to keep looking at the list daily to see if new programs get added to the list. Then contact them immediately.
 
SadNutellaGirl said:
My program is in Pre-accreditation right now =/ . So if there is actually a PGY2 open , they wouldn't be able to take me even if they wanted to?
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I believe pre-accreditation grants coverage for residents. you need to ask pd's about this personally and not assume that someone on this thread or you, knows the answer
 
SadNutellaGirl said:
Yes I would love to do Psych if I could! I just feel it is a lot better suited for me . Out of curiosity - why are you applying a second residency in FP?
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I miss the rest of medicine. I use so little of what I learned in med school. I like psych but it gets really monotonous. I could use it as an FP and treat other illnesses. I'm bored to death just doing psych
 
Guess what guys - I do have ADHD! And in my psych eval also said anxiety and severe depression. Not that my residency cares.... 🙁
 
Do not give up. Do take STEP 3. U world is really helpful as a study resource for the test.

You can do this.
 
SadNutellaGirl said:
Now guess what?! My program is getting shut down!!!
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Did you ever see "Real Genius" (1985)?

"I am happy for you, and sad for you."

Bummer that the program is going belly up, but you may be classified as an "orphan resident". That would mean that you bring your funding with you. However, I do not recall all of the details from this thread. They might just be vindictive, and, despite going out of business, still tell you to take a walk.
 
SadNutellaGirl said:
Well they originally were allowing me to stay for the rest of year. I am re


Well there was already non-renewal of contract. they originally agreed to let me finish the year and approved me to take the boards. Main plan was kick ass on boards, get a medical license and get the hell out. I was thinking possibly preventive med ( I called a bunch of places and it seems pre-accredited status is okay)...but idk what to do now. I know the others I guess are orphan residents and they are gonna help them get a residency somewhere else....but I dont think I'm an orphan....right? The PD hinted too, that if the CEO wants to cut cost, I may not be able to finish the year.....and that would totally suck. Im gonna do whatever I can to stay...only 3 more months!
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i do't know if they can do that - go back and forth. if they communicate a certain action - ie - that they will let you finish i think they have to. But I wonder if since they are getting shut down whether you can make a case. Why are they shutting down?
 
Piebaldi said:
i do't know if they can do that - go back and forth. if they communicate a certain action - ie - that they will let you finish i think they have to. But I wonder if since they are getting shut down whether you can make a case. Why are they shutting down?
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Not entirely sure why they are shutting down - i think budget cuts and probably rotations weren't all set up. How can I make a case with it shutting down?
 
SadNutellaGirl said:
Not entirely sure why they are shutting down - i think budget cuts and probably rotations weren't all set up. How can I make a case with it shutting down?
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I would try to politely "bargain" - I mean it's not every day that a program shuts down. There has to be something wrong going on I would imagine. I doubt it's just "budget cuts" - so I would see if they can possibly make you an orphan resident
 
Piebaldi said:
I would try to politely "bargain" - I mean it's not every day that a program shuts down. There has to be something wrong going on I would imagine. I doubt it's just "budget cuts" - so I would see if they can possibly make you an orphan resident
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That would pretty much mean that they would have to throw out the non-renewal of contract, right?
 
SadNutellaGirl said:
That would pretty much mean that they would have to throw out the non-renewal of contract, right?
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Actually, no. When the program shuts down, everyone's contract ends.

The question is what's happening at the institution. When the program shuts down, the funding for your program's slots ends. The institution can re-purpose those slots to another GME program -- so if a program has both an FM and IM program and shuts one of them down, they could decide to increase the size of the other with the freed up slots (they would need permission from the RRC, from an educational perspective, to increase size). If the program doesn't recycle the slots, or if this is the only GME program so there's nothing to recycle them into, then you're an orphaned resident.

What you'd need is to find another program that's willing to take you. If orphaned, then your funding goes with you -- so any program that has room and accepts you gets to claim your funding. This could be any field. They will only get what you have left -- if you're in FP and have completed 1 year, they will get 2 years of funding.

If your program's evaluation is poor, you may have difficulty getting other programs to take you. And since they only get what funding is left, if they take you and have you repeat any time, you'll ultimately run out of funding. But some programs run over their funding cap anyway, so it may not matter.
 
So, the answer is complicated. And my para above isn't exactly correct.

First, read this thread: Residency closing

The bottom line is that the program must voluntarily transfer your slot to someone else. It's not under your control. If your program feels you are a bad fit for FM, they might just decide not to do so. If you convince your program that you want to go into PM and they think that's a reasonable choice, they migt be willing to do it. But at the end of the day, it's their choice.

Regarding the end of your post, having ADHD and/or depression is a serious issue, but it's not an excuse for poor performance. If your health issues were interfering with your performance, you had the options of asking for accommodations (which might or might not have been granted), or taking an LOA (which they would have to grant under FMLA, and/or medical disability). I say this not to insult you, but so that you don't try to use that as an excuse when you're talking to your program.
 
aProgDirector said:
So, the answer is complicated. And my para above isn't exactly correct.

First, read this thread: Residency closing

The bottom line is that the program must voluntarily transfer your slot to someone else. It's not under your control. If your program feels you are a bad fit for FM, they might just decide not to do so. If you convince your program that you want to go into PM and they think that's a reasonable choice, they migt be willing to do it. But at the end of the day, it's their choice.

Regarding the end of your post, having ADHD and/or depression is a serious issue, but it's not an excuse for poor performance. If your health issues were interfering with your performance, you had the options of asking for accommodations (which might or might not have been granted), or taking an LOA (which they would have to grant under FMLA, and/or medical disability). I say this not to insult you, but so that you don't try to use that as an excuse when you're talking to your program.
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Thanks for replying. So yes, I am going to go with asking for support for PM - but that doesn't make an orphan status, right? The PD has to grant me an orphan status .Not sure how my PD will feel about PM but it doesn't hurt to ask. And I agree it is not an excuse for poor performance, I had issues with med deficiencies but I know the depression and undiagnosed ADHD made it extremely difficult to catch up. Unfortunately the ADHD final diagnosis came after the meeting with them about non-renewal. I was supposed to have month left of probation, so I thought I had time to ask for accommodations or LOA which I was definitely planning on doing ( I did not want to ask until I knew for sure - probably my biggest mistake was not mentioning earlier that I am being evaluated for it). I did not know that would have to grant me LOA - I definitely could have used it then. When I did mention I'm being evaluated at the non renewal meeting, it seemed too late . I'm doing easier rotations now and finally got the treatment that I needed , so I don't need it now - but yeah back then , I felt a LOA could've made huge difference and I might've actually had a chance to succeed.
 
Good luck. You are correct that it appears your program has to voluntarily reassign your funding to a new program, so you need their support. This happens so rarely it's unclear how it all happens.
 
SadNutellaGirl said:
So am I automatically an orphan resident since everyone's contracts ended? From my understanding of what's going on is that everyone in the program has been granted an orphan status....except for me. They already been set up with interviews to other hospitals via our program director. They also can apply to other programs and like you said if they accept them as orphan status, the funding goes with them. So basically i'm not being vouched for since they were not planning on re-newing my contract to begin with. I honestly have no plans to go back to family medicine , it really isn't the right field for me. But I have been doing a public health rotation and have been looking more into a preventive medicine and feel as if it would be much better fit for me. I can go either non-clinical or clinical with that. I can apply as a PGY2 ( so no funding issues)...most programs need Step 3/ Level 3 which unfortunately I don't have, but if I can at least apply for the next year - that would be great. Problem is that I need credit for PGY1. I am having a meeting with my PD in 2-3 weeks and was hoping to ask him give me a supportive LOR and credit for the PGY1 and emphasize maybe that I want to go into non-clinical career after getting board certified ( since they weren't too happy with my performance anyways so I don't how comfortable he would be to make me an orphan resident that can potentially apply for FM PGY2). Does this seem like the way to go? Is a letter of appeal necessary? Honestly was struggling a lot with depression and undiagnosed ADHD during the probation months. They knew I was going to counseling for depression but from the written meeting scripts it seems like it was never recorded that I was going. They don't have the evaluation from my psychologist that I have been diagnosed with adhd ( the eval came like 2 weeks after told about the non-renewal of contract but I did tell them at that meeting I was being evaluated for it.)
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aPD makes a good point above, but I would also point out that what you describe is why it is really important that when you report having health issues to your employer, that you do not only do so verbally. It must be in writing, it must be clearly documented in a way that will hold up in court.

The decision about whether or not you need an LOA or need accommodations is never going to just be in the resident's court - it only makes sense that it's also up to a program's judgement, at least in part, what could be the nature of the performance issues and what might be done to address them. They are, after all, supposed to be the experts in gauging resident performance and response to training. Of course, they can't be expected to do this well if they aren't notified.

I won't speculate that perhaps with some employers, they don't think to document that you mentioned health issues, because, well, why? That does more to help you than it does to help them, for the most part.

It's difficult to wrap your mind around the idea that when you are struggling and physically unwell, and you sit down to have a meeting with your employer, that the meeting is not about helping you. Not in the least. It's about what is the least amount of effort that is needed for you to be the least amount of PITA. But maybe it's less difficult to wrap your mind around it when you consider what training is actually like.

Being unwell is not an excuse for performance issues, no. However, and this is precisely where ADA law does actually come in and provide some modicum of protection when it is indeed a protected disability at play, if you can prove that your employer was aware of your condition, and there is evidence to support that this may account for some of the issues, then the ball is in their court to some small extent. No punitive action can take place. It will then be up to them to provide input on whether or not you are put on leave, accommodated, probated, remediated. They can still fire you, but it will have to be for reasons that are unrelated to your illness. They will have to show they accounted for your illness and that they made reasonable attempts to keep you. They will have to establish that the steps they take that are disciplinary in nature are not related to your health.

Here's the thing. Given what I just said, can you see why maybe you don't want to leave it up to an employer to document that you made them aware? Look at what it puts them on the hook for.

Common wisdom for medical students/residents is to hide all forms of physical/mental "weakness" and illness as much as possible. I will always reiterate that wisdom, except that as it turns out there are a few instances where the silence is more deadly to your career.

Sorry, this was just a point I wanted to make about health disclosure to an employer when you're having performance issues. You need to make them aware of all the facts and document.

As always though, the most important thing you will ever do as a troubled resident is kiss ass & document. That's all I can say about that.
 
Crayola227 said:
aPD makes a good point above, but I would also point out that what you describe is why it is really important that when you report having health issues to your employer, that you do not only do so verbally. It must be in writing, it must be clearly documented in a way that will hold up in court.

The decision about whether or not you need an LOA or need accommodations is never going to just be in the resident's court - it only makes sense that it's also up to a program's judgement, at least in part, what could be the nature of the performance issues and what might be done to address them. They are, after all, supposed to be the experts in gauging resident performance and response to training. Of course, they can't be expected to do this well if they aren't notified.

I won't speculate that perhaps with some employers, they don't think to document that you mentioned health issues, because, well, why? That does more to help you than it does to help them, for the most part.

It's difficult to wrap your mind around the idea that when you are struggling and physically unwell, and you sit down to have a meeting with your employer, that the meeting is not about helping you. Not in the least. It's about what is the least amount of effort that is needed for you to be the least amount of PITA. But maybe it's less difficult to wrap your mind around it when you consider what training is actually like.

Being unwell is not an excuse for performance issues, no. However, and this is precisely where ADA law does actually come in and provide some modicum of protection when it is indeed a protected disability at play, if you can prove that your employer was aware of your condition, and there is evidence to support that this may account for some of the issues, then the ball is in their court to some small extent. No punitive action can take place. It will then be up to them to provide input on whether or not you are put on leave, accommodated, probated, remediated. They can still fire you, but it will have to be for reasons that are unrelated to your illness. They will have to show they accounted for your illness and that they made reasonable attempts to keep you. They will have to establish that the steps they take that are disciplinary in nature are not related to your health.

Here's the thing. Given what I just said, can you see why maybe you don't want to leave it up to an employer to document that you made them aware? Look at what it puts them on the hook for.

Common wisdom for medical students/residents is to hide all forms of physical/mental "weakness" and illness as much as possible. I will always reiterate that wisdom, except that as it turns out there are a few instances where the silence is more deadly to your career.

Sorry, this was just a point I wanted to make about health disclosure to an employer when you're having performance issues. You need to make them aware of all the facts and document.

As always though, the most important thing you will ever do as a troubled resident is kiss ass & document. That's all I can say about that.
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Hey thanks for taking time to respond. Lol yes I don't want to be a PITA but I do want to CYA. In here you are right, residency was aware I was going to counseling for depression but unfortunately no documentation on their side - I did not ask for any LOA or any accommodations.....because I did not think that 's something you could get it for unless I made a suicidal statement or had a major psychotic breakdown. . Unfortunately depression and burnout in residency is so common place that residents prescribe each other antidepressants and move on - I didn't think residency would take it seriously. I only asked about accommodations/LOA when I was being terminated but only in regards to ADHD because I knew of the ADA protection. I was hoping they would reconsider but they didn't. I did have a panic attack a couple of months ago and my adviser sent me to the ER at the hospital - so that would be the only record in my residency that I had some kind of problem. Now I do have plenty of documentation from psychologist , with all the dates I have gone, including eval for adhd and that I was actually recommended to her by a residency committee member- I just did not have my psychologist release this info to the residency. Now moving forward.....should I have my psychologist release my record to them? Will this benefit me in anyway or just make things worse? I was just thinking about in the future for any interviews....that this will at least be proof that the residency was aware ( or I guess at least "aware" now) I have gone and sought treatment. Or none of this really matters cuz my residency is going downhill anyways?
 
SadNutellaGirl said:
Hey thanks for taking time to respond. Lol yes I don't want to be a PITA but I do want to CYA. In here you are right, residency was aware I was going to counseling for depression but unfortunately no documentation on their side - I did not ask for any LOA or any accommodations.....because I did not think that 's something you could get it for unless I made a suicidal statement or had a major psychotic breakdown. . Unfortunately depression and burnout in residency is so common place that residents prescribe each other antidepressants and move on - I didn't think residency would take it seriously. I only asked about accommodations/LOA when I was being terminated but only in regards to ADHD because I knew of the ADA protection. I was hoping they would reconsider but they didn't. I did have a panic attack a couple of months ago and my adviser sent me to the ER at the hospital - so that would be the only record in my residency that I had some kind of problem. Now I do have plenty of documentation from psychologist , with all the dates I have gone, including eval for adhd and that I was actually recommended to her by a residency committee member- I just did not have my psychologist release this info to the residency. Now moving forward.....should I have my psychologist release my record to them? Will this benefit me in anyway or just make things worse? I was just thinking about in the future for any interviews....that this will at least be proof that the residency was aware ( or I guess at least "aware" now) I have gone and sought treatment. Or none of this really matters cuz my residency is going downhill anyways?
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There is no reversing course. I would not provide them with any confidential or personal information.

As far as making a case to a different program, that's a different ball of wax and has to be handled very carefully.
 
Well another twist of events, apparently since we are a new program, there is no funding that can be provided for the resident. No one is being orphaned and can only apply to nonexistent open spots....
257688
 
SadNutellaGirl said:
Well another twist of events, apparently since we are a new program, there is no funding that can be provided for the resident. No one is being orphaned and can only apply to nonexistent open spots....
View attachment 257688
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This is a new program that doesn't have ACGME or AOA accreditation? This is tangentially related, and maybe @aProgDirector can answer this, but how does a program without any form of accreditation get residents? The match? Separate process?
 
BoardingDoc said:
This is a new program that doesn't have ACGME or AOA accreditation? This is tangentially related, and maybe @aProgDirector can answer this, but how does a program without any form of accreditation get residents? The match? Separate process?
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It's a AOA residency that is in pre-accreditation status for ACGME....correction - was.
 
rokshana said:
Sounds like they never had official accreditation but was in the process of getting ACGME accreditation and did t succeed
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I thought that residency funding was provided by medicare not only to ACGME programs but to AOA programs as well. Doesn't that mean that there should still be funding for OP out there?
 
rokshana said:
Sounds like they never had official accreditation but was in the process of getting ACGME accreditation and did t succeed
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Maybe i'm ignorant in this - but isn't not getting accreddited a pretty big/bad thing? And how can they take residents if they are not accredited?

By the way- does anyone agree that this interface is far worse than the previous one/
 
It's not clear from SNG's posts what's exactly going on.

AOA programs switching to ACGME get "pre-accredited" while they are going through the process. They can keep recruiting residents, and all training "counts". If they don't pass the accreditation process then they would be shut down by the ACGME, but they try to avoid doing this, give programs lots of chances, and sometimes allow programs to "finish out" the residents they have rather than shut them down.

Programs might decide to close because they think that getting ACGME accreditation is just hopeless. They might get a site visit report that just would be too hard to fix. Or, they might just decide to close down for financial or any other reason.

As far as funding is concerned, if this was a brand new AOA program (i.e. opened in the last 5 years or so), they might still be in the process of defining their cap. When a new program opens, they get funding for as many residents as they have. After some run in period of 3-5 years, Medicare "locks in" their total number of residents. if they hadn't been "locked in" yet, when they close they might not have any official quota to hand off to other programs. I have no idea if this is the real case here, and I've never seen that situation so I don't know what would happen.
 
aProgDirector said:
It's not clear from SNG's posts what's exactly going on.

AOA programs switching to ACGME get "pre-accredited" while they are going through the process. They can keep recruiting residents, and all training "counts". If they don't pass the accreditation process then they would be shut down by the ACGME, but they try to avoid doing this, give programs lots of chances, and sometimes allow programs to "finish out" the residents they have rather than shut them down.

Programs might decide to close because they think that getting ACGME accreditation is just hopeless. They might get a site visit report that just would be too hard to fix. Or, they might just decide to close down for financial or any other reason.

As far as funding is concerned, if this was a brand new AOA program (i.e. opened in the last 5 years or so), they might still be in the process of defining their cap. When a new program opens, they get funding for as many residents as they have. After some run in period of 3-5 years, Medicare "locks in" their total number of residents. if they hadn't been "locked in" yet, when they close they might not have any official quota to hand off to other programs. I have no idea if this is the real case here, and I've never seen that situation so I don't know what would happen.
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From what I am hearing from others, the residency closing may actually be due to financial reasons and not due to not getting the ACGME accreditation . It may be the case that the "lock in" didn't happen.....but shouldn't this be known to us beforehand, at least in the contract that there is a possibility that if the program shuts down that no one might be orphaned? This isn't affecting me really other than the fact that I can't even try asking for orphan status ( which kinda sucks...) , but I feel really terrible for the rest of the residents who may have to wait a whole year before they can finish residency.
 
SadNutellaGirl said:
It's a AOA residency that is in pre-accreditation status for ACGME....correction - was.
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You will be able to take COMLEX 3 right? And if you pass that, you can get a medical license in some states. So in the worst case scenario, you can still get some type of medical job and strengthen you medical knowledge.

Then while you work, apply to residency again.

This may be a blessing in disguise as when you apply, you can truthfully say that your program shut down instead of talking about your struggles.
 
AD04 said:
You will be able to take COMLEX 3 right? And if you pass that, you can get a medical license in some states. So in the worst case scenario, you can still get some type of medical job and strengthen you medical knowledge.

Then while you work, apply to residency again.

This may be a blessing in disguise as when you apply, you can truthfully say that your program shut down instead of talking about your struggles.
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I am still able to take COMLEX. I mean yeah that would be great if I can just not mention my struggles and say my program shut down....but can I actually do that? I don't know anything of residency transfers....so I don't know what is written in the record ( like how do I or even other programs know what rotations I got credit for?), if they will contact the old PD even after program closure , if in the ERAS application it asks if you were dismissed from program....
 
Hey guys, I had a meeting with my PD to talk about preventive med, that I want full credit for the year so I can apply as PGY2 ,and that I want to go in a non clinical direction. He pretty much said he can give me credit for all the months except two months of inpatient medicine which he said I did not pass. I asked how can I get completion of PGY1 , and he said I would have to remediate those two months....except my hospital is being closed down....so I asked to placed on inpatient next week, but he is hesitant...saying it has to be administrative decision...

Anyways he also mentioned about that I wouldn't be able to get medical license without this "completion of year" - is that true? I thought I just had to finish the PGY1 year and pass comlex to be eligible. Is this state dependent? That's pretty much the reason I stayed.....
 
SadNutellaGirl said:
Hey guys, I had a meeting with my PD to talk about preventive med, that I want full credit for the year so I can apply as PGY2 ,and that I want to go in a non clinical direction. He pretty much said he can give me credit for all the months except two months of inpatient medicine which he said I did not pass. I asked how can I get completion of PGY1 , and he said I would have to remediate those two months....except my hospital is being closed down....so I asked to placed on inpatient next week, but he is hesitant...saying it has to be administrative decision...

Anyways he also mentioned about that I wouldn't be able to get medical license without this "completion of year" - is that true? I thought I just had to finish the PGY1 year and pass comlex to be eligible. Is this state dependent? That's pretty much the reason I stayed.....
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You have to complete the PGY1 year... And receive credit for it. Every single state will ask someone from your old program to certify you satisfactorily completed the year before they issue you a license.

Even if the program shuts down, those records will be kept somewhere.
 
Raryn said:
You have to complete the PGY1 year... And receive credit for it. Every single state will ask someone from your old program to certify you satisfactorily completed the year before they issue you a license.

Even if the program shuts down, those records will be kept somewhere.
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Oh wow, I don't even know what's the point of taking COMLEX 3 then.....
 
Ironheme said:
Another option is to find a program willing to remediate those 2 months...if they're short a PGY-2, OP has 10 out of 12 months.
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Is that possible? That just for two months they would allow me to do so? Who would fund me? I even told my PD that I would pay out of pocket if I have to but he said it doesn't work that way.

I don't know why my PD is hesitating...he knows how many years I'll be held back if I don't get credit for this. From what he is saying, it sounds like that I didn't pass the summer months ( one before and after remediation) , but I passed the winter months. The decision to not renew my contract was done suddenly because I was reported by a senior resident that I was not placing orders correctly or didnt read some EKG correctly. I'm so mad, I wish the resident came to me and talked about what I am doing wrong before going to them - pretty much ruining my life.

I think I have a right to be able to remediate those two months - there is enough time if I start by Monday. I was untreated for mental health issues....after 3 months of proper treatment, I feel now I can be properly evaluated during remediation. It seems very unfair - I was never informed of my right to appeal or even specifically what I was being dismissed for ( according to the manual -this must be in writing, signed an reviewed with me), PD had no contact with me for 3 months except for 2 brief phone calls and they put me in outpatient rotations so I had no interaction with the residency anymore, there was plenty of negligence on their part, they didn't even follow the remediation plan they provided me with

I feel like I have enough to write a letter of appeal, but I was hoping to avoid that and resolve this peacefully
 
SadNutellaGirl said:
Is that possible? That just for two months they would allow me to do so? Who would fund me? I even told my PD that I would pay out of pocket if I have to but he said it doesn't work that way.

I don't know why my PD is hesitating...he knows how many years I'll be held back if I don't get credit for this. From what he is saying, it sounds like that I didn't pass the summer months ( one before and after remediation) , but I passed the winter months. The decision to not renew my contract was done suddenly because I was reported by a senior resident that I was not placing orders correctly or didnt read some EKG correctly. I'm so mad, I wish the resident came to me and talked about what I am doing wrong before going to them - pretty much ruining my life.

I think I have a right to be able to remediate those two months - there is enough time if I start by Monday. I was untreated for mental health issues....after 3 months of proper treatment, I feel now I can be properly evaluated during remediation. It seems very unfair - I was never informed of my right to appeal or even specifically what I was being dismissed for ( according to the manual -this must be in writing, signed an reviewed with me), PD had no contact with me for 3 months except for 2 brief phone calls and they put me in outpatient rotations so I had no interaction with the residency anymore, there was plenty of negligence on their part, they didn't even follow the remediation plan they provided me with

I feel like I have enough to write a letter of appeal, but I was hoping to avoid that and resolve this peacefully
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it's innappropriate for them to do you a solid and pass you for months that you didn't perform to standard.

The argument about if you were to standard or not is of course a different discussion
 
Gastrapathy said:
Push him to remediate you and get credit.
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This Exactly. the program is getting shut down for goodness sake. Be polite, but I would try to find a way to get credit for PGY1. That woud be a life saver for you. Were you allowed to remediate ? If not they screwed up the process. The process goes: Some sort of notice that you have not clinically passed well, then remdiation which does not go on record then probation then if probation is not successful, firing. They can't legally fire you without remediating you!! If so they open themselves up to a bunch of troubles. So they just remediate you!!! How much longer will the hospital/program be open? They need to give you taht opportunity, and it has to be a specific plan - not some random oh yeah we'll remediate you. Thre is no reason why you could not be remeadited especially if it's just 1 months and you'll go nonclinical.
 
Your problem is the fact that your program is closing...there is no way to remediate you even if the PD wanted to...and you were dismissed so technically they don’t even have to do that.
Hopefully your PD will feel for you and give you a decent LoR...
 
SadNutellaGirl said:
Oh wow, I don't even know what's the point of taking COMLEX 3 then.....
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Well you might be able to get into a different PGY-1 worse come to worse - so can't get a license without it. you need to take comlex 3 at some point
 
Piebaldi said:
This Exactly. the program is getting shut down for goodness sake. Be polite, but I would try to find a way to get credit for PGY1. That woud be a life saver for you. Were you allowed to remediate ? If not they screwed up the process. The process goes: Some sort of notice that you have not clinically passed well, then remdiation which does not go on record then probation then if probation is not successful, firing. They can't legally fire you without remediating you!! If so they open themselves up to a bunch of troubles. So they just remediate you!!! How much longer will the hospital/program be open? They need to give you taht opportunity, and it has to be a specific plan - not some random oh yeah we'll remediate you. Thre is no reason why you could not be remeadited especially if it's just 1 months and you'll go nonclinical.
Click to expand...

If I stay until June, I get 10 months of credit. I was in remediation. I didn't pass two inpatient months. One month prior to beginning of remediation. The other I guess was the one right after. I am getting credit for the later two inpatient months I did that was during remediation. I requested that I be re-evaluated for a fair 2 month remediation, especially since I was not medically treated and undiagnosed at that time. Program is closing on last week of June, so technically they could fit 2 months of inpatient.

I am a bit confused though, even if they let me remediate those 2 months, would I even get credit for those 12 months? Or is that there is 2 months of core requirements I have to do to finish the year in June and 2 month remediation? For Family medicine, Idk if there is mandatory requirement that must be done during the first year or it must be completed during 3 years. I know one of the 2nd years who was doing obgyn first time in 2nd year when it is usually first year . I wasn't sure if this FM year can be converted into just a general PGY1 intern year. For preventive medicine - all they required was 10 months of direct patient care - does not matter what rotations as long as primary care. But in order to be accepted, I need to get full credit for the year.
 
SadNutellaGirl said:
If I stay until June, I get 10 months of credit. I was in remediation. I didn't pass two inpatient months. One month prior to beginning of remediation. The other I guess was the one right after. I am getting credit for the later two inpatient months I did that was during remediation. I requested that I be re-evaluated for a fair 2 month remediation, especially since I was not medically treated and undiagnosed at that time. Program is closing on last week of June, so technically they could fit 2 months of inpatient.

I am a bit confused though, even if they let me remediate those 2 months, would I even get credit for those 12 months? Or is that there is 2 months of core requirements I have to do to finish the year in June and 2 month remediation? For Family medicine, Idk if there is mandatory requirement that must be done during the first year or it must be completed during 3 years. I know one of the 2nd years who was doing obgyn first time in 2nd year when it is usually first year . I wasn't sure if this FM year can be converted into just a general PGY1 intern year. For preventive medicine - all they required was 10 months of direct patient care - does not matter what rotations as long as primary care. But in order to be accepted, I need to get full credit for the year.
Click to expand...

I am not quite following your situation. You were in remediation but you failed the remediation? I would try to make your case and plead nicely for them to allow you to make up the 2 months somehow and say you are going nonclinical.
 
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