Ranking

[Guest]

. Anyone else that was let go? What year are these people and what are some of the reasons they are fired.

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That's a good question, anyone fired this year? What years are these people?

[VUMC]

We lost an intern at Vanderbilt at the end of last year. The person wanted to be able to spend more time with family and realized NSGY was not a good fit. Faculty were supportive and helped them secure an Ophtho position.

These things happen.

[Guest]

I have a feeling most programs are just ranking us by our step 1 scores anyway....doesn't really matter on the applicant end unless you are have an astronomical score

[Focus]

bni fired someone a year or two ago. Hopkins has lost 3 or 4 in the last few years. Columbia lost two after a decade long streak of 100 graduations Bottome line, everyone loses someone now and then. Attrition rates are, what, 15% or so in neurosurgery reaidency?

[virgil]

I would not recommend you put a ton of weight on a resident attrition at a program. Perhaps if there is a demonstrable pattern of lost residents or residents transferring, but attrition happens at a rate of roughly 20% in neurosurgery (matched interns vs graduating chiefs at 6-7 years). I would agree with the example from "VUMC" above in that most of the time it is because a resident realizes they'd be happier doing something else or priorities change due to illness/marriage/kids/etc. It is much less common for a resident to be fired for cause than to leave of their own free will - not that the former does not happen, it does. If you look back at 10-years of classes among the biggest name, most programs will have at least one attrition. FWIW maybe the bigger thing to focus on is, after a resident decided to change fields, was the department supportive or not? Did the departing resident get a spot in another specialty or leave medicine entirely?

[Guest]

(02-09-2017, 12:21 AM)virgil Wrote: I would not recommend you put a ton of weight on a resident attrition at a program. Perhaps if there is a demonstrable pattern of lost residents or residents transferring, but attrition happens at a rate of roughly 20% in neurosurgery (matched interns vs graduating chiefs at 6-7 years).  I would agree with the example from "VUMC" above in that most of the time it is because a resident realizes they'd be happier doing something else or priorities change due to illness/marriage/kids/etc. It is much less common for a resident to be fired for cause than to leave of their own free will - not that the former does not happen, it does.  If you look back at 10-years of classes among the biggest name, most programs will have at least one attrition.  FWIW maybe the bigger thing to focus on is, after a resident decided to change fields, was the department supportive or not? Did the departing resident get a spot in another specialty or leave medicine entirely?

I disagree.  You can sugar coat firings by saying they had a change of heart, but the reality is many programs demonstrate a pattern of malignancy by failing to adequately address issues that arise during residency, firing residents, or pushing them to other fields.

[Guest]

(01-31-2017, 08:30 PM)Guest Wrote:

(01-31-2017, 06:34 PM)TBI Wrote: In finalizing our rank list, I want to see which programs have had a resident fired or relocated in the past 5 years and why? Are there programs who are liberal with resident firing?

(01-31-2017, 08:04 PM)Guest Wrote: Vanderbilt, Arkansas, Duke, Penn State, MUSC, USC, Wake, Brigham.  There are plenty more.

The list is incomplete without UVA.

last person who left UVA was 2012, none since

[Guest]

Any reports of firings so far this year?

[Guest]

When did Missouri lose a resident?

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Someone had also mentioned NYMC had a couple of firings on the old forum. Not sure if true or not, as it didn't seem malignant at interview.

[guest]

(02-12-2017, 06:45 PM)Guest Wrote:

(02-09-2017, 12:21 AM)virgil Wrote: I would not recommend you put a ton of weight on a resident attrition at a program. Perhaps if there is a demonstrable pattern of lost residents or residents transferring, but attrition happens at a rate of roughly 20% in neurosurgery (matched interns vs graduating chiefs at 6-7 years).  I would agree with the example from "VUMC" above in that most of the time it is because a resident realizes they'd be happier doing something else or priorities change due to illness/marriage/kids/etc. It is much less common for a resident to be fired for cause than to leave of their own free will - not that the former does not happen, it does.  If you look back at 10-years of classes among the biggest name, most programs will have at least one attrition.  FWIW maybe the bigger thing to focus on is, after a resident decided to change fields, was the department supportive or not? Did the departing resident get a spot in another specialty or leave medicine entirely?

I disagree.  You can sugar coat firings by saying they had a change of heart, but the reality is many programs demonstrate a pattern of malignancy by failing to adequately address issues that arise during residency, firing residents, or pushing them to other fields.

Agree Hershey has fired 7 residents in the past 5 years and is a shitty program at best. Check the facts heard while rotating there. Residents hate each other