(02-16-2018, 01:40 PM)Guest Wrote: (02-16-2018, 01:31 PM)Guest Wrote: (02-16-2018, 11:40 AM)Guest Wrote: (02-16-2018, 06:53 AM)Guest Wrote: Guest
What’s happening to Utah’s intern?
Bump
They had some really malignant seniors who threw her under the bus and got her into a bit of trouble with the program early on. There was talk of them potentially not moving on to next year. They fired a PGY-2 a couple years back under the pretext of visa issues. Just an unfortunate situation all around.
Sounds like neither of them were able to sufficiently do the job. Don't fault the program for poor protoasm.
Idk man. I feel like we have a problem in our field. One of my best friends is a cardiac fellow right now after going through the gen surg route and he says it's just unheard of for anyone to be let go in cardiac surgery either in the normal fellowship or I-6. Ortho is the same way with like a 0.3% attrition rate, as is trauma surgery.
Are we really saying that neurosurg is that much more demanding than those other fields? Or that we somehow, year after year, get less competent residents who aren't able to sufficiently do the job in a demanding field? Somehow we're the only field in all of medicine where it's absolutely routine for residents to be fired and no one really bats an eye (including at my own program a few years back). In any other field it would be a huge fucking deal.
Neurosurgery has big problems!
I think we have more sociopaths per capita than any other field in medicine. Some of those people need to be fired and some of them cause others to be fired/quit. Also, the high stakes nature of the field where the mistakes of a resident can have a high probability of causing a patient harm leads to a low tolerance for incompetence.
Regarding cardiac... fellows have made it through residency and not likely to be fired. At my institution integrated cardiac has lost a few people , though I don’t really know the circumstances, but I doubt cardiac will be that different once fully integrated.
Many neurosurgeons are insecure overachievers.
(02-15-2018, 01:10 PM)Guest Wrote: (02-15-2018, 12:03 PM)Guest Wrote: (02-15-2018, 05:51 AM)Guest Wrote: (02-15-2018, 12:30 AM)Guest Wrote: (02-14-2018, 03:51 PM)Guest Wrote: You're very lucky then. The vast majority of my colleagues went through very similar things for years, from both residents and senior attendings. Report to the ACGME and then what? You make a bunch of enemies and get fired or your own program gets put on probation/unaccredited and you won't be a neurosurgeon. Congratulations.
correction - a program goes down from probation, all the residents can get positions elsewhere. for the other programs, it's a boon. it's ultimately the program that loses out. check out loma linda
False. Programs that go down from this sort of thing are borderline to begin with. A quick look at the roster of faculty and residents will demonstrate this with the number of nobodies, prior transfers, and FMGs. If it was hard to find a spot after getting canned from the first program you got in to, try doing it again. True, the second time you have the GME blessing to go above the compliment and your funding comes with you. Even so, most PDs look at these residents as the red-headed bastard step children when they do show up. Only rarely will an exceptional resident be picked up through these means.
you just refuted your statement. if it were so hard that PD's look at resident transfers as "bastard step children" then it wouldn't have been so easy for the loma linda residents to get jobs at the top institutions where they ended up. and yes, programs do get a GME blessing to go above their complement. more manpower in your program.
What top institutions did they end up?
uci, cleveland clinic, cedars, brigham, usf
(02-22-2018, 10:16 AM)Guest Wrote: (02-15-2018, 01:10 PM)Guest Wrote: (02-15-2018, 12:03 PM)Guest Wrote: (02-15-2018, 05:51 AM)Guest Wrote: (02-15-2018, 12:30 AM)Guest Wrote: correction - a program goes down from probation, all the residents can get positions elsewhere. for the other programs, it's a boon. it's ultimately the program that loses out. check out loma linda
False. Programs that go down from this sort of thing are borderline to begin with. A quick look at the roster of faculty and residents will demonstrate this with the number of nobodies, prior transfers, and FMGs. If it was hard to find a spot after getting canned from the first program you got in to, try doing it again. True, the second time you have the GME blessing to go above the compliment and your funding comes with you. Even so, most PDs look at these residents as the red-headed bastard step children when they do show up. Only rarely will an exceptional resident be picked up through these means.
you just refuted your statement. if it were so hard that PD's look at resident transfers as "bastard step children" then it wouldn't have been so easy for the loma linda residents to get jobs at the top institutions where they ended up. and yes, programs do get a GME blessing to go above their complement. more manpower in your program.
What top institutions did they end up?
uci, cleveland clinic, cedars, brigham, usf
Ah, when are you going to mention the top ones?
(02-22-2018, 10:43 AM)Guest Wrote: (02-22-2018, 10:16 AM)Guest Wrote: (02-15-2018, 01:10 PM)Guest Wrote: (02-15-2018, 12:03 PM)Guest Wrote: (02-15-2018, 05:51 AM)Guest Wrote: False. Programs that go down from this sort of thing are borderline to begin with. A quick look at the roster of faculty and residents will demonstrate this with the number of nobodies, prior transfers, and FMGs. If it was hard to find a spot after getting canned from the first program you got in to, try doing it again. True, the second time you have the GME blessing to go above the compliment and your funding comes with you. Even so, most PDs look at these residents as the red-headed bastard step children when they do show up. Only rarely will an exceptional resident be picked up through these means.
you just refuted your statement. if it were so hard that PD's look at resident transfers as "bastard step children" then it wouldn't have been so easy for the loma linda residents to get jobs at the top institutions where they ended up. and yes, programs do get a GME blessing to go above their complement. more manpower in your program.
What top institutions did they end up?
uci, cleveland clinic, cedars, brigham, usf
Ah, when are you going to mention the top ones?
ok hotshot
To OP, I had an abuse resident 1 yr ahead of me, and my chief(s) over the years enjoyed the drama. I finished the toughest underdog yr and decided to confront my PD and chair abt it. In reality, there was nothing they could do but dictated we meet with an ombudsman. Then, I also had new addition to my family so I decided to spend time with ppl that matter rather than wasting my life with so called “family” away from home. No one gave a ?’s arse abt you or any of these ppl on this forum. Everyone only has their own interest at heart, and it would be the same at any other program. The nature of beast is that this is a carnaging field. I went into Anesthesia, now I am in interventional pain, enjoying time with my family and children. In reality no one gives a ? if you are an Neurosurgeon when you are out of the hospital, or as a matter of fact no one gives a ? aside those in your Dept, it’s a self propagated myth they are the Kings and Queens of the food chain. When you start to deal with the endless fusion/revision washouts/extensions, poor outcome skullbase ops/shunt placement/revision, that go horribly wrong but patient’s family just didn’t know better that you messed up, then you wish you wouldn’t a part of it or you may not feel this way because it’s just another day of your life. Good luck finding another program and all the best!
To all these people with stories of being abused, I'm sorry you had to go through that, but why didn't you just jack your abuser in the face?
(03-11-2018, 11:39 AM)Guest Wrote: To OP, I had an abuse resident 1 yr ahead of me, and my chief(s) over the years enjoyed the drama. I finished the toughest underdog yr and decided to confront my PD and chair abt it. In reality, there was nothing they could do but dictated we meet with an ombudsman. Then, I also had new addition to my family so I decided to spend time with ppl that matter rather than wasting my life with so called “family” away from home. No one gave a ?’s arse abt you or any of these ppl on this forum. Everyone only has their own interest at heart, and it would be the same at any other program. The nature of beast is that this is a carnaging field. I went into Anesthesia, now I am in interventional pain, enjoying time with my family and children. In reality no one gives a ? if you are an Neurosurgeon when you are out of the hospital, or as a matter of fact no one gives a ? aside those in your Dept, it’s a self propagated myth they are the Kings and Queens of the food chain. When you start to deal with the endless fusion/revision washouts/extensions, poor outcome skullbase ops/shunt placement/revision, that go horribly wrong but patient’s family just didn’t know better that you messed up, then you wish you wouldn’t a part of it or you may not feel this way because it’s just another day of your life. Good luck finding another program and all the best!
Man, you don't sound jaded at all
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