。。。。。。。。。。。。。。。。。。。。

_Gandalf_
楼主 (北美华人网)
豁达,乐观,已经努力了这么久,只能继续努力
.土
你住美国几年了,大学高中在美国读的么? 你口语怎样,你是男是女? 之前你老师没和你谈过?
t
tele9999
之前有没有warning? Chief resident有没有找你谈过?给program director写一封言辞恳切的信,要求能否再给你一次机会再做2个月?有没有对你印象相对比较好的主治?能否请求帮助?找各个attending谈,自己交流方面到底有什么问题?认真执行。一定要多说。如果Intern已经做完,写信给其他PD看有没有其他位置。
againstwind
具体情况具体对待。这个住院医过程中因为leadership不好被开除的还真是少有。communication skill就很重要了,和同事的沟通,和护士的沟通,和病人的沟通。。。。没有具体无法给帮助啊
_Gandalf_
继续努力,人生还很长
_Gandalf_
回复 2楼.土的帖子

能拜托你删除一下引用吗?谢谢
lastunas
回复 1楼_Gandalf_的帖子

我们那里有个ER做了一年residency退出来,重新申请去了occupational medicine
_Gandalf_
继续努力,人生还很长
.土


Intern被顺利promote,最近带的一个白女intern和我医疗意见不合,有次没有consensus我直接order了检查,猜测是她打了小报告。。。

_Gandalf_ 发表于 12/3/2019 9:44:04 PM


你是女生我们知道,但白女就算打了报告上级也不可能就按这个采纳。肯定也是你其他方面做得不好,或者上级也觉得你不好。
.土
回复 2楼.土的帖子

能拜托你删除一下引用吗?谢谢
_Gandalf_ 发表于 12/3/2019 9:47:37 PM


可以的,现在才看到,对不起
.土
你是女生我们知道,但白女就算打了报告上级也不可能就按这个采纳。肯定也是你其他方面做得不好,或者上级也觉得你不好。
_Gandalf_
继续努力,人生还很长
HHW13
有没有事先警告?查一下ACGME的规定吧,看是不是需要先警告再dismiss. PD一点征兆都没给你吗?
sunnyfly


_Gandalf_ 发表于 12/3/2019 9:53:06 PM


所以你上面这段话是说大家开会讨论时,你在玩手机?(别人不知道你用手机做什么对吧?)每次都这样?
s
skyscraper
试着找PD谈谈吧。同时找找其他PGY2的Position. 应该不难找
j
jennyalger
communication skills可能真的不好,用中文都不能把前因后果很好的交代清楚,当然也可能是我理解力差。
s
skyscraper
或者向上面人说的,找个跟你关系不错的attending给说说情,椅子男之类的就更好了。appeal怕是没什么用
不是小羊甲315
你去的哪个人Program,太可怕了,一般发邮件之前都会找你谈话的啊,争取appeal,你的这个流程不对。去HR那里问问
Cherrychocolate
没太看懂楼主的原帖。楼主的身份是什么?主治吗?现在在带intern?
Nicaaaaaa
Intern被顺利promote? 难道不是第一年结束第二年就是resident了吗? 楼主能不能说详细点?不然大伙也不好分析啊出主意 如果按照你说的直接dismiss那流程不对,当然要去appeal。
sunnyfly
communication skills可能真的不好,用中文都不能把前因后果很好的交代清楚,当然也可能是我理解力差。

jennyalger 发表于 12/3/2019 11:09:11 PM

你不是一个人
Wmzq123
中文我都没全看明白。从没听说leadership 原因被开除的,communication skill要多差才会被terminate?我们program 赶走过人,都是因为performance 不meet expectations.赶走个人要经过faculty开会讨论,PD找 谈话给一段改正的时间和机会,ACGME office报备,一连串程序的。
金生水起
没看懂
_Gandalf_
继续努力,人生还很长
_Gandalf_
继续努力,人生还很长
againstwind

可能会给人比较冷漠的感觉有时候大家讨论我会用手机查updates但是真的从没有过任何病人投诉过,没有过任何clinical issues

_Gandalf_ 发表于 12/3/2019 9:53:06 PM

这么说吧,能到被program 开除的地步肯定不会是简单的平时待人冷漠,或者开会看手机或者带的intern不听你的这么简单。而且我相信肯定发生了几次事件你已经受到警告了,不太可能突然就没有任何前兆的就开除你。不过有些纽约的有些malignant program会开除intern...而且好像真的没有什么好办法,只能自己想办法transfer或者重新申请。
_Gandalf_
试着找PD谈谈吧。同时找找其他PGY2的Position. 应该不难找
skyscraper 发表于 12/3/2019 11:08:05 PM

谢谢你的意见!请问现在我怎么样才能最好找到其他PGY2的spot呢?
againstwind
你去的哪个人Program,太可怕了,一般发邮件之前都会找你谈话的啊,争取appeal,你的这个流程不对。去HR那里问问
不是小羊甲315 发表于 12/3/2019 11:16:50 PM

与HR 一点毛关系也没有。
againstwind
没太看懂楼主的原帖。楼主的身份是什么?主治吗?现在在带intern?
Cherrychocolate 发表于 12/3/2019 11:21:21 PM

PGY 2吧
_Gandalf_
继续努力,人生还很长
againstwind

我也很无奈,没有withhold任何信息。我收到的信件上面就是只提了这两点,不然有其他原则性错误的话program肯定会写出来保护他们自己,我现在也有pay到PGY2结束

_Gandalf_ 发表于 12/3/2019 11:57:26 PM


PGY2 还有半年才结束呢,你的意思是他们让你 finish PGY2到六月份?没有probation period?
againstwind
What Are My Options If I’ve Been Wrongfully Terminated from my Hospital Residency Program?

If you are discharged from a medical residency program it is important to examine the language contained in the hospital policies and procedure manual. In the manual it will explain the procedure for internal disciplinary action taken against hospital staff, which may require a mandatory board hearing depending on the alleged infraction. Prior to the board hearing, a neutral intermediary may be utilized so that direct communication between the hospital and the resident is limited. The disciplinary board may be comprised of a three-person panel where you can choose to present your defense. I would advise against signing any documents presented to you by the hospital after you have received written notice of the disciplinary hearing until you have spoken to an attorney with experience in health and employment law. The manual will state how many days the panel has to render its final decision regarding your status in the hospital residency program, and the method by which the panel used to render the final decision. There will also be a procedure for filing a timely appeal should you choose to do so after an unsuccessful initial board hearing.

Suspension, Termination, or Resignation

The panel may recommend suspension or termination from the hospital residency program. The length of suspension will vary depending on the circumstances. A board’s decision to suspend or terminate a resident should be determined objectively but it’s difficult to refute the fact that there is a subjective component. This is why one resident who committed similar bad acts may only be suspended while another resident may be terminated. Hospitals have the authority here to make that determination and unless there is clear employment discrimination a court is unlikely to undermine and overthrow the hospital’s decision.

In some instances, I have witnessed the hospital allow the resident to voluntarily withdraw or resign from the residency program so that it doesn’t diminish their chances of gaining acceptance to another residency program. The thought of starting anew in a different residency program is chilling, but given the circumstances this could be your best option. You must decide whether you want to explain why you resign from the program or you can let your records speak for themselves. If you elect to be terminated from the program and subsequently apply for admission into a different program you will be required to submit your records from your previous residency program. Additionally, the hospital residency program may ask for references where the details of your departure may come to light. Further, the hospital manual should be examined alongside your hospital residency employment contract.

Arbitration, Lawsuit, or Administrative Complaint

Your residency employment contract will contain the terms and conditions of your employment during the residency program. The contract will most likely bind you to a mandatory arbitration in the event that a legal matter arises between you and the hospital. Hospitals prefer arbitration because:

They are usually less expensive;
Parties can choose the arbitrator:
Parties can choose the time and place of the arbitration;
The proceedings are held privately behind closed doors; and
Its outcome does not become part of the public record.


Arbitration is not held in court but in a court-like setting complete with discovery proceedings and an arbitrator acting as a judge. Additionally, the arbitration is resolved much faster since the parties don’t have to wait for availability on the court’s docket, which can take months before you are actually heard by a judge. Final judgment by an arbitrator is binding and very difficult to successfully appeal.

Depending on the reason why you were fired you may be able to file a complaint with the Accreditation Council for Graduate Medical Education (“ACGME”) which is an organization that in part, helps physicians in graduate medical education receive fair solutions to residency/fellowship education-related concerns and formal complaints. Most residency programs are accredited by the ACGME. The ACGME requires that residents have a right to present their defense before a board or panel. The ACGME’s Resident Services division does not adjudicate disputes between individual persons and residency/fellowship programs or sponsoring institutions. Resident Services does not address issues regarding matters of admission, appointment, contract, credit, discrimination, promotion, or dismissal of faculty members, residents or fellows.

As such, depending on the facts and circumstances I advise residents against filing a lawsuit against the hospital unless you are terminated for an illegal reason. Illegal reasons can include, but are not limited to, discrimination based on race, gender, sexual orientation, country of origin, nationality, or religion. You may make a claim alleging discrimination under Title VII of the Civil Rights Act of 1964 and breach of contract if the facts could support such a claim. In cases where residents have successfully won lawsuits against the hospital for discrimination they introduced ample evidence from which it could be concluded that they were unlawfully discriminated against. Residents may try to obtain evidence of the following:

(a) testimony or affidavit from doctors in a direct supervisory position to attest to the satisfactory nature of your work;

(b) evidence to rebut other supervisor’s negative evaluations of you – the resident;

(c) evidence of other residents with low test scores and unfavorable evaluations who have been allowed to continue in the program; and

(d) evidence that you were able to successfully complete the residency requirements since leaving the hospital.

In some jurisdictions, direct evidence of discrimination is not required. A plaintiff may entitled to rely on circumstantial evidence to convince the trier of fact that an employer’s explanation for his discharge is pretextual and that his discharge was more likely than not motivated by discriminatory intent. However, more of today’s courts are less likely to rule in a resident’s favor unless the resident can show direct evidence of discrimination. In Zaklama, M.D. v. Mt. Sinai Medical Center, 842 F.2d 291, 296 (11th Cir.1988), Dr. Zaklama was able to obtain evidence of a-d above, but it took approximately six years for the case to be fully adjudicated and a lot of money in legal fees.
_Gandalf_
继续努力,人生还很长
Nicaaaaaa
回复 24楼_Gandalf_的帖子

我所知道的要repeat待观察的PGY1都是performance很差,平时风评就不好,同事之间名声早就臭了,要被开除或者要再干一年的rumor早就流传开了。平时你的communication这方面没有被提醒,警告过嘛?一点征兆都没有吗?program开除你就要再招人填补,想不通为什么这么草率的直接给dismiss.
Nicaaaaaa
回复 26楼againstwind的帖子

can't agree more. 也不是malignant项目才开人,每个项目总有招看走眼performance很差的被开除一个两个的,特别是招人比较多的项目
_Gandalf_
继续努力,人生还很长
Nicaaaaaa
回复 36楼_Gandalf_的帖子

退一万步说是你叔叔说的情况,那更要appeal和fight,不然以后各个program都知道哪些是软柿子可以随便开除。你既然有家里人是医生,可以让他帮你打听有没有哪里PGY3位置放出来,不少是内部消息。BTW,难道你们系头是印度人,要把一个被别处开除的印度人PGY2收来?就算如此,要开除也不是系头没证据没理由随便就开除吧,我实在想不通
Naoki18
你是啥specialty
nurulz
你作为pgy 2,平时rounding时有给intern和med student作teaching吗?pgy 2除了clinical要做好以外teaching也很重要啊。而且看手机update这种事情不应该在大家讨论的时候做,既没礼貌也会miss很多有价值的讨论。从你的描述看你不是一个好的team player,至少从attending角度看你没做好。
HHW13
Drexel关门事件已经科普过了,住院医培训经费是跟人走的,你走了你的经费就没有了。所以不太可能因为想安插别人而赶走你。别人想进你们program得自带经费。你要是有家人也是这个行业的赶紧帮你找找人分析一下,下一步该怎么走。另外方便透露一下program 情况吗?不用说名字。只说University 还是community program, AMG /IMG 比例,大location,说个州名或者大致地理方位。如果是Alabama这样的地区,有没有歧视的可能性存在。
美人的鱼
被residency program dismiss,原因是communication skill / effective leadership不足够
犹如晴天霹雳,请问我该怎么办?appeal成功性大吗?

补充: 我现在是PGY2,我话比较少,有时候大家讨论我会用手机查updates(仅限查房的时候)但是真的从没有过任何病人投诉过,没有过任何clinical issues。我自己也在积极改进和所有人的交流技巧只是别人看到的效果可能没有这么快。

我应该appeal吗?还是怎样去寻找其他position?

请勿引用,谢谢

P.S 修改了一下语言,希望能更好被理解。

_Gandalf_ 发表于 12/3/2019 9:22:45 PM [/url]


口语再不好应该也比我认识的几位前辈强,你这个communication skill得多不招他们喜欢啊…… 感觉另有隐情
.土
Drexel关门事件已经科普过了,住院医培训经费是跟人走的,你走了你的经费就没有了。所以不太可能因为想安插别人而赶走你。别人想进你们program得自带经费。你要是有家人也是这个行业的赶紧帮你找找人分析一下,下一步该怎么走。另外方便透露一下program 情况吗?不用说名字。只说University 还是community program, AMG /IMG 比例,大location,说个州名或者大致地理方位。如果是Alabama这样的地区,有没有歧视的可能性存在。

HHW13 发表于 12/4/2019 3:56:17 AM


虽然你说的歧视有这可能性。 可是为何知道很多口语不好口音很重的国内医生来美国转正成功呢? 学法律的老中国际学生也有,有些也口音的,也没被歧视啊。
_Gandalf_
回复 41楼美人的鱼的帖子

你好,可以麻烦你删除一下引用吗?非常感谢
s
skyscraper

谢谢你的意见!请问现在我怎么样才能最好找到其他PGY2的spot呢?

_Gandalf_ 发表于 12/3/2019 11:53:44 PM

我记得有个叫residency swap的网站什么的你搜搜。
HHW13
安慰一下,也许那里出了问题你不知道。就算最后被迫离开这个program, 也要找机会和 PD, 副PD, chief residents 好好谈一谈,不是要发泄或者纠缠,而是请他们客观的指出到底哪些地方做得不合适,你以后才能改进。做满36个月就可以申请行医执照了,你做完pgy-2就满24个月了,真是万里长征之差最后一步了。请家里的亲属,朋友帮忙,看看哪里有pgy-3的opening,还有半年时间找,寻找一切可能的机会。另外看看有没有新开的住院医项目,可能有opening.
做住院医真是很不容易,千辛万苦match上了,也不就是进了保险箱。今年已经听说好几个program关门,住院医要找下家的。training的每一天都战战兢兢的,生怕出错。祝你好运,千万挺住,一定还能找到机会的。
my1021
改行吧


豁达,乐观,已经努力了这么久,只能继续努力

_Gandalf_ 发表于 12/3/2019 21:22:00
jennifer111ar
继续努力,
.土
回复 41楼美人的鱼的帖子

你好,可以麻烦你删除一下引用吗?非常感谢
_Gandalf_ 发表于 12/4/2019 7:06:28 AM


你让我删了我就删了,别人还说我又发了一个帖疑问很mean,而这个 @美人的鱼 故意不删引用。 也没人说她mean。 不公平
_Gandalf_
安慰一下,也许那里出了问题你不知道。就算最后被迫离开这个program, 也要找机会和 PD, 副PD, chief residents 好好谈一谈,不是要发泄或者纠缠,而是请他们客观的指出到底哪些地方做得不合适,你以后才能改进。做满36个月就可以申请行医执照了,你做完pgy-2就满24个月了,真是万里长征之差最后一步了。请家里的亲属,朋友帮忙,看看哪里有pgy-3的opening,还有半年时间找,寻找一切可能的机会。另外看看有没有新开的住院医项目,可能有opening.
做住院医真是很不容易,千辛万苦match上了,也不就是进了保险箱。今年已经听说好几个program关门,住院医要找下家的。training的每一天都战战兢兢的,生怕出错。祝你好运,千万挺住,一定还能找到机会的。

HHW13 发表于 12/4/2019 8:06:52 AM


真的非常非常非常谢谢你说的话。