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  Wednesday, 13 September 2006
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I am writing to let everyone know an update in regards to the Fort Wayne program. I am currently a 4th year for everyone's perspective.

As some of you might know our program was under attack by the Residency Review Committee unjustly (in our/my opinion) for the last 2-3 years. The committee recommended closure of our program by 6/2007. We recently appealed the decision this past July 2006. We just found out today that the Appeals committee and ACGME reversed the decision. We have been placed on probation (as we expected) and up for rereview sometime in the future (likely next year). The reasoning for the original "death sentence" was based on subjective views of our program not objective findings.

Through all this tragedy we managed to match 2 interns (after knowing that we had been "withdrawn") despite the "death sentence". We are looking forward to putting this all behind us. We are looking forward to finally recruiting again without an ugly cloud over our head.

If you read adaman's post regarding Hamot in Erie, PA it is nearly a mirror image of our program. We have 2 residents a year (though we are very likely going to apply for another). We have around 30 volunteer faculty that are great teachers and eager to have residents. We have multiple staff fellowship trained in every subspecialty except tumor. Our one peds guy is semiretired. Early operative experience is abundant depending on staff comfort level. We do have part of our peds rotation in Indianapolis at St Vincents children hospital with former IU Riley Staff (Didelot/kayes/bellflower). This occurs during our 4th year. There is talk of adding a tumor rotation in the future in Indy as well. We are here to learn. We are not used as mere labor. This place could function without us (though probably not as well!) We are treated like junior staff though expected to learn and be self motivated. We do well every year on OITE. We get didactics every thursday. We are unique in that we have an entire Thursday every week devoted to didactics with fracture conference, staff lectures, resident lectures, MRI conferences, cadaver dissection, OITE review, etc. That day is free of clinical responsbility other than the call person starting at 5 pm. We are strong in sports, joints, and spine. Our chiefs (prior to the 80 hour rule) averaged over 2500 cases. I am on stride to reach around 2200-2400 cases. There is plenty of clinical research for those interested (especially spine). We are not an academic mecca so this is not a place to come to put out multiple, multiple research projects. We have very liberal abilities to go to conferences. This program puts out residents who are more than ready to take care of patients after their chief year. Most do fellowships for job placements reasons.

We all spend time together and hang out outside of "work". Most of us our married. A few with kids. Benefits here abound.

I interviewed at multiple academic and community programs. I felt i woud fit best at a community program. I felt that i would be happy at any of the community programs i interviewd at. They all seem to be similiar. Those were Ft Wayne, Akron General, Grand Rapids, St Mary's San Francisco, Orlando, and Beaumont. I know that Akron Summa, Kalamazoo, Flint, Mount Carmel, and Erie all are very similiar to those above from what i have heard.

Please don't hesistate to contact me with any questions. I would be happy to answer anyone questions regarding this whole process and our future. Email [url=mailto][email protected][/url].

ATCnMD
19 years ago
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#51837
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glad to hear you guys wont be going under. There IS a bias against community programs on the RRC. Some of them just dont "get it".

I do have a question for you though. The RRC is notoriously tight with handing out new spots, and you guys are on probation now. Do you really think they will be forthcoming giving you more spots when they were on the verge of shutting you down?
we have not had any luck getting more spots and each time we make the changes the RRC suggest they still wont do it. I know that Carolina med center also got shot down to go from 3 to 5 spots this year, and they have a lot of research and "big name" staff.
19 years ago
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#51838
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I had the same feelings that you have regarding the new spots. Our director and medical education director feel like this is a good opportunity to at least try (now that we have there attention!). My gut feeling is that they will continue to pull the same old crap in regards to community programs not getting added complement.... but we shall see i guess.

I know this also takes a little pressure off your program (as well as a few others in your area)! Hopefully community programs finally get some represenatation on the RRC on a more regular basis.
19 years ago
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#51839
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What is the stance of the program with releasing funding if the program is closed so residents can attend other programs? I feel this is a large issue with attending this program given its uncertain future. If they plan on releasing the funds will they put it on paper?

I have heard in the past some programs have denied releasing the funds to other programs essentially screwing the residents.
INtj
19 years ago
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#51840
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I don't have a good answer to that question. We had the same question over the last year or so. We understood that there is no mechanism for the funds to follow you. Apparently it has something to do with the government's medicaid/medicare funds that pay our salary/stipend as well as resident complement numbers. I was told at some point that your program would have to voluntarily send your portion of the government funding to the program you were transferrring to. I would suggest you get in touch with the ACGME for that specific information.

Good luck getting anything on paper. The ACGME is suppose to look out for "the resident(s)' best interest" as we were told many times but we felt like we were all getting the shaft in some form or another if our program was to close. They supposedly "assist" you in finding a spot if your program is to close but they make no guarantees on paper from our understanding.

In regards to the programs not letting their money go...I assume you are referring to Wayne State and what they apparently did to there outgoing residents. They somehow held on to all their money. The ACGME apparently was uncertain how they could do this the last i had heard even with their program definitively closed. I know some of the programs that the wayne residents ended up at were potentially going to sue Detroit medical center for this reason? I am just passing on hearsay...in no way is this absolutely fact. It may be all fiction for all i know.

Hope this helps. We all lived with these exact thoughts for the last year.
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