NY hospital to shutter radiology residency program

[rmorelan]

This is one reason way Canadian residency spots are better than US ones (placed residents are simply laid off for no reason related to their performance).

 

http://www.auntminnie.com/index.aspx?sec=sup⊂=res&pag=dis&ItemID=102467&wf=5307

 

I am kind of shocked that sort of thing could even happen.

[rmorelan]

here is the text in case that is blocked

 

February 13, 2013 -- A New York City hospital on Monday moved to terminate its radiology residency program, leaving 11 residents without a program or funding to continue beyond the current program year ending June 30. Funding for the program is being shifted to pay for more spots for primary care residents.

 

In a February 11 letter to radiology residents, St. Barnabas Hospital Senior Vice President Keith Wolf said the institution had decided to end its osteopathic radiology residency program, and that it would not renew any resident contracts beyond June 30.

 

"The hospital will assist the affected residents in their endeavors to continue their education," Wolf wrote in the letter, a copy of which was obtained by AuntMinnie.com.

 

Hospital spokesperson Steven Carter told AuntMinnie.com that the hospital has decided to reallocate the money from radiology to fund new residencies in primary care, with an eye toward the anticipated need for more primary care physicians going forward, especially in the hospital's core area of the Bronx.

 

Under the Patient Protection and Affordable Care Act (PPACA), more people are expected to become insured and to seek primary medical care, driving the need for more primary care physicians. At St. Barnabas, the decision was based more on the perceived need to reallocate resources than to save money, Carter said.

St. Barnabas Hospital

St. Barnabas has decided to end its radiology residency program. Image courtesy of St. Barnabas Hospital.

 

"Although financial implications were considered when making the decision, we were very motivated by the desire to place more training slots into areas where the healthcare focus is these days, such as primary care," Carter wrote in an email. "This decision was not based on any real or perceived oversaturation of radiologists in the market. We will move the slots to other programs to support the shift in healthcare, especially in the Bronx, where primary care is a significant need."

 

The decision to shut the program will not affect any graduating residents, but it will affect 11 residents currently in the program: three postgraduate year 1 (PGY-1) residents (interns), three PGY-2 residents, three PGY-3 residents, and two PGY-4 residents.

 

The hospital in January discussed the possibility of closing the program with a representative of the Committee of Interns and Residents, a national union representing residents and interns, and also briefly discussed it at a meeting on January 29 before sending out the formal notice on February 11, Carter said.

 

High and dry

 

But residents have complained, both on the AuntMinnie.com Residents Forum and by telephone, that the hospital has left them high and dry -- and perhaps even unemployable, because it declined to transfer the funding to another residency program that could potentially pick them up, committing the money instead to other residency subspecialties within the hospital.

 

"If we're not receiving our funding, we're in a bind because what hospital is going to take us without our funding?" said third-year resident Dr. Nirav Shelat in an interview with AuntMinnie.com. "They would have to pay not only our salary, but our malpractice and all of that, so it just seems unreasonable."

 

Part of the money earmarked for residencies comes from the federal government, and residency programs that are ending typically transfer funds to other schools that are willing to accept the residents so they can complete their education. In this case, however, St. Barnabas chose to keep the money and repurpose the funds "one for one," to new residency slots in primary care.

 

"The money is being shifted to another specialty, so it's not like the hospital is taking the money and pocketing it," Carter said. "If a hospital closes and a resident is discontinued there, as I understand it, it becomes sort of an orphan spot that the new hospital can now assume. So if you had eight radiology residents and they went to a different hospital, they would bring with them a spot, and the money would be there for it, but that's only if the hospital closes. So it's really shifting the [funds] to what the hospital thinks is a more important need, which is primary care."

 

This won't help the residents whose program is being terminated, he acknowledged, but he said the hospital will do what it can to help place the residents in new programs. The New York Colleges of Osteopathic Medicine Educational Consortium (NYCOMEC), accredited by the American Osteopathic Association (AOA) to oversee osteopathic residencies in the state, also said it will do what it can to help find new programs for the residents. But for now the situation looks grim.

 

"We signed on to our residency program thinking that five years from now we would be radiologists, and now, to have the rug pulled out from under us -- we're all stunned, and we don't know what our next steps are," Shelat said. "They told us that we're not going to get our funding, and that's what shocked us all the most. Why would a hospital take on a radiology resident's salary at $60,000 a year plus malpractice and the cost to train him?"

 

"It's unfortunate, but the money doesn't come with them," Carter said.

[nauru]

Where's the lawsuit? I mean come on, this is America.

[Karma]

WOW, shocking, really.

[future_doc]

The lawsuit may come and will take years but won't be a solution to the practical problem these residents face.

[rmorelan]

The lawsuit may come and will take years but won't be a solution to the practical problem these residents face.

 

Exactly - sure they might get the associated money (minus of course legal fees), but they still have to somehow get on with their lives. I am not up to speed on US law but I bet if they manage to find another residency program to complete their training it would actually weaken part of their current case of lost future income.

[future_doc]

Yes, they then would have mitigated their damages. And this would be far better than any potential gain from a lawsuit. After all, they want to carry on with their careers.

[medigeek]

The interns got lucky it seems and PGY1s didn't get much bad luck.

 

Sucks a lot for the PGY3s and PGY4s, what can you really do from there?

[leviathan]

How cruel and heartless are the administrators involved when they could have simply stopped funding FUTURE radiology training positions for PGY-1s and allowed the current residents to finish.

[DeeDoc]

How cruel and heartless are the administrators involved when they could have simply stopped funding FUTURE radiology training positions for PGY-1s and allowed the current residents to finish.

 

This.

 

I am deeply disappointed to hear this. It makes me scared for our residency spots in the future...

[future_doc]

This is in USA, not Canada.

[Dayne67]

Yeah, you got to be careful with some of these AOA (osteopathic) residencies that pop up at low funded hospitals for higher end stuff like ophtho and I guess even rads. Sometimes they just suddenly close up shop. So it can be risky to go there.