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Orthogate

  Thursday, 14 December 2006
  10 Replies
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The Detroit Medical Center and Providence Hospital
have joined to apply for accreditation of a new
Orthopaedic residency to start July 1, 2007.

The ACGME will notify us whether we will be accredited
on January 15, and if so, we will accept a class (PG-1)
or two classes (PG-1 and PG-2) to start July 2007.

Medical students: One of you asked this list of questions:

1)How many residents will be accepted per year?
Our application is for six per year, but the ACGME can change that before giving us accreditation.

2)Is there a curriculum schedule for each residency year?
Any program requesting accreditation must submit to the ACGME a schedule and curriculum (with goals and objectives of each rotation or experience) which meets or exceeds the requirements of the ACGME and the ABOS, and we have done that.

3)How many faculty members will there be?
Ralph Blasier, MD, Shoulder (Program Director)
Daniel Hoard, MD, General / Trauma
Charles C Stroud, MD, (Rotation Director) Foot ankle
Rahul Vaidya, MD, (Rotation Director) Trauma
Robert Colen, DO, Trauma
Alfred Faulkner, DO, Trauma
Edward Burke, DO, (Rotation Director) Hand
Richard Singer, MD, Hand
Richard Reynolds, MD (Rotation Director) Pediatric
Jerry Rosenberg, MD, Pediatric
David Markel, MD (Rotation Director) Arthroplasty
James Bolz, MD, General / Arthroscopy
Michael Haynes, MD, Arthroplasty
William Higginbotham III, MD, General / Arthroscopy / Arthroplasty
Jefferey Michaelson, MD, Sport
Peter Bono, DO, (Rotation Director) Spine
Roderick Claybrooks, MD , Spine
David Svinarich, PhD, (Rotation Director) Research
Robert Teitge, MD, (Rotation Director) Sport
Stephen Lemos, MD, Sport
Douglas Plagens, MD, Sport

The above are the faculty for Ortho PG-2 to PG-5.
There are additional faculty identified for the PG-1 rotations and basic science.

4)Will all orthopaedic subspecialties be represented?
Yes. See above.

5)Does the residency program have any academic affiliations or is it primarily community based?
At the moment, community-based. The future MAY include more academic affiliation.

6)Will there be opportunity for research?
The schedule includes six months of protected time for research for each resident, and there is a requirement to do a research project to graduate.

You can apply. Email <[email protected]> to get an applicatin blank.
19 years ago
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#52179
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I notice the list contains many of the practicing surgeons at Oakwood. Any insight as to why they shunned the idea of WSU forming a residency with Oakwood, but are willing to partner with the DMC for one?
19 years ago
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#52180
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I may be able to answer privately, but not publicly.

I would need to know to whom I am replying.

You may contact me at <[email protected]>
19 years ago
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#52181
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Depending on who you are I'm not sure if you've received an answer from Dr. Blasier. What I've been told is the agreement reached between WSU and DMC specifies certain residencies which are operated primarily by WSU and primarily by DMC and which ones are operated jointly. The agreement also prohibits the two parties from pursuing certain residencies with other institutions (such as Providence and Oakwood) and Orthopedics may be one of those.

As to the issue of Oakwood attendings being a part of the DMC program, there are those who have priveleges at both institutions and in fact, there are those who have priveleges at Oakwood, DMC and Providence. My understanding is that there are few to no orthopedists currently affiliated with WSU proper.

Additionally, an orthopedic residency partnering WSU and Oakwood is still a possibility and I believe has been applied for. Note accredidation has not been given yet for either of these proposals and realistically is not likely to happen for 2007. Could end up with both a DMC/Providence and a WSU/Oakwood program, could end up with one or the other, could end up with neither.
19 years ago
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#52182
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I think that those of you out there should know some of the things that went on in Detroit last year.

1) With the closure of the DMC-WSU residency, the DMC did not release the CMS funds to aid in the transfer of the junior residents to other institutions and severely limited their choices.

2) We were told that "we deserve this" when asked why the DMC would not be releasing this money. If they cared so much about education, then why didn't they help the 24 junior residents.

3) A contract agreement between WSU-DMC for the other contractual services was only reached a month ago. I invite you to look at some of the local newspapers to get an idea about the situation. Go to and and search DMC. It was long and drawn out and required the Governor of Michigan to step in and appoint a mediator. I'm not going to even get into the political connections between the Granholm (the governor), the DMC CEO (Duggan) and Fink (the mediator).

I will leave you with an email that Dr. Blasier (the proposed program director) sent out, as a liaison of the DMC, to the residents about the CMS funds.


The DMC will not be releasing CMS 'slots' to pay for your future education elsewhere.

Yesterday, during surgery,
I learned of much confusion on the part of
you residents about a critical issue.

This is the fact:

"The DMC will not be releasing CMS 'slots'
to accepting Programs to pay for
your future education elsewhere."

I thought you all understood this.
I thought I communicated this at the Monday 3/20 meeting.
I thought Malone confirmed this at the Monday 3/20 meeting.

I know some residents knew this before the Monday 3/20 meeting.



I welcome discussion on this issue--

its morality, appropriateness, practicality, effects, etc--

as long as the discussants realize that
the discussion will not change the fact.

--
Blasier Ralph
--


Just realize that you will not be academically affiliated, your ultimate boss will be a career politician with higher aspirations, and the likely affiliation that the rest of the DMC has with Wayne State will dramatically change in the next 3.5 years.
19 years ago
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#52183
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Since Dr. Robert Ference is an assistant professor at Wayne State is the medical school not allowing him to teach to residents in your program his MIS techniques that not even the Mayo Clinic, Cleveland Clinic, or Harvard can universally perform because they believe it is too technically difficult (Link 3, Video 2)?

Will he be part of the WSU/Oakwood program? Since he is an assistant professor and the Stryker corporation has certified him as a trainer it seems tragic to waste his gift from god (Link 1) and industry-endorsed ability to teach. This must be particularly troubling as he lists the chairman of the Grace Orthopedic Residency Program as his sole reference (Link2; "Dr. Ference's Bio")



19 years ago
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#52184
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I would love to see a reply from Blasier regarding the apparent fact that he hung the previous residents out to dry. Why was this done? Sounds like a dick move.
19 years ago
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#52185
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I know nothing about the WSU situation, but it sounds as though the junior residents got shafted by those in control. I was involved with another program in the throws of accredidation issues, and one thing became perfectly clear. Never make the assumption that either the RRC and especially the ACGME have the residents' best interest in mind when making their decisions. There are many political factors involved, and when it comes down to it, individual residents often get screwed. The absolute LAST thing you want is to be worring about accredidation issues on top of everything else you have to sweat about as a resident. One thing I did not consider when making my rank list was the stability of the programs and how connected they were with the RRC. I wasn't even really aware such issues existed at the time I was interviewing / ranking. I'm not talking about community versus academic, but the behind the scenes "old boys club" that exists between directors and the RRC. There are simply some programs that will never have to worry because of who their director and key staff are because of their political connections in the RRC, ABOS, AAOS, etc. I'm not saying they aren't good or even great programs, but other quality programs may be made to jump through additional hoops or be looked at with greater scrutiny come RRC time.

Although it should not dominate your criteria, all of you contemplating rank lists in a couple of months should try to find out how stable your top program choices are from an accredidation standpoint, as well as from a financial standpoint. I don't really know how you would go about doing that, but I'm sure others may have some suggestions.

Good luck to all,
ED
19 years ago
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#52186
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I also did not know that Dr. Ference was on faculty at WSU. I wish someone would explain that. It seems like it would be a shame to not utilize his knowledge of MIS arthroplasty techniques in training.

Also, I am curious as to the level of commitment from the various faculty as the word on the street is that one of the "rotation directors" is going back to another hospital, one already with a residency program. If that's true, than how certain can we be that the others are committed or have even seen this new PIF with their names on it?

Lastly, what did you mean when you told a group of residents that you wished that they had "chosen correctly" in regards to the initial proposed DMC program? Did we chose incorrectly because we didn't support a career politician with no concern for our education?
19 years ago
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#52187
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The silence of a formal response is deafening.
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