Yes AMC is on Probation.
Originally, when the ACGME reviewed the site, there were several citations that were noted that needed to be corrected, so AMC was put on probation, the major ones:
1. Research - at the time of the review, on paper there was not a dedicated research director, even though the residents were required to put forth a publishable project yearly to be presented at a conference held annually at AMC. This deficiency has been corrected with the addition of the old research director who came back to AMC after leaving for a while. He is dedicated to the program, and has worked incredibly hard at bettering the program in many regards. AMC also has in the works a very nice research/training facility that should be open within a year or so. The resources for research at AMC are many: we have access to biomechanical labs at Georgia Tech, animal labs at Emory, and have access to a great research director and media person to assist us with out research projects and presentations. The program supports and encourages research, and will pay for you to attend conferences/meetings where your papers get published/accepted.
2. Trauma- AMC is a level 2 trauma center, but apparantly when reviewed it was suggested that a fellowship trained traumatologist be on staff because we were doing the volume of a level 1 trauma center. We get tons of blunt trauma, and the attendings at AMC were doing the acetabulums, etc. like they have been doing for years, but the ACGME recommended a fellowship trained traumatologist be on staff. I believe this was one of the biggest violations we had.
This has been addressed with the addition of our new program director/chairman Dr. Robert Harris, fellowship trained in trauma at UTSW, extensive military trauma experience, shock trauma/grady/miami.
3. Recent Chairman Change - this ALWAYS apparantly gets a program placed on probation, so I have heard. Our recent chair was replaced with Dr. Harris, and a manditory extension of our probation followed. Dr. Harris and the staff have worked hard at correcting the deficiencies on paper, and we should be off probation at our next review.
So in a nutshell, the research, staffing, and chairman issues have all been resolved, and improved upon. I think probation makes a program look at itself with intense scrutiny, and can only better a program. The internal review process has brought quite a few changes here at AMC, and the program remains a strong program where early operative experience and a large volume of cases are the cornerstones of the program.