Post by CarolinePost by JorangerPost by CarolineIf Abby fails her boards, then some hospital somewhere is going to be short a
resident. Kerry did wrong, but I still consider her interests to be the welfare
of the patients, and in this instance, that showed.
By trying to subvert the match and jeopardizing the entire residency program?
I don't know who put out this notion that Kerry's action would shut down the ER
residency program. I'm not buying it.
If found out, Kerry would be reprimanded in some way, but I'm not seeing the
disciplinary action going furthe than this. Too much of a need for the County
ER.
snip
Post by Joranger("possibly" because Abby could very well pass her boards
before the residency is due to start.)
That this last is a possibility is not at all clear from what has been
presented. On the contrary.
Hospitals are not awarded residency programs on the basis of need, but on
the basis of whether they can provide the proper education and training for
the residents. The National Residency Matching Program really doesn't give
a cr** whether County has enough watm bodies to see patients. If they
decline to include County in the match this year, then Kerry will have to
scramble to find interns who didn't go through the match (since applicants
who match are contractually required to accept their match), or County will
have to hire more attendings, PA's, etc. at much higher expense to fill the
void or they will be shorthanded all year.
From the NRMP web site, penalties for programs violating the match:
9.2.2 Programs
If the NRMP's investigation of an alleged violation by a program confirms
that a program has committed a material violation of this Agreement or the
Match Participation Agreement, the processing of the program's rank order
list may be interrupted. If the parties agree to cure the violation prior to
either the rank order list certification deadline or Match Day, the NRMP
will work with the parties to help them cure the violation. If the violation
is not cured in a timely manner, as determined by the NRMP, the NRMP at its
discretion may withdraw the program from the Matching Program.
The final NRMP report on the confirmed violation will be delivered to:
(1) the NRMP institutional official for transmittal to the institution's
graduate medical education committee
(2) the Accreditation Council for Graduate Medical Education for
distribution to the respective Program's Residency Review Committee (RRC)
and the Institutional Review Committee
(3) the respective specialty program director association
(4) the party who originally reported the violation
(5) the NRMP Executive Committee
(6) any parties whom the NRMP has determined are relevant to its
investigation
In addition, the program may be identified as a match violator in the NRMP
Registration, Ranking, and Results System on the Match Site in subsequent
NRMP matches for up to three years, as determined by the NRMP.
To sum it up: if the violation is discovered, the penalty for not
correcting it is to drop County's ER residency from the match program for
that year, ie, no interns. In addition, the NRMP will advise every
applicant for up to 3 years that County violated its match in the ER
program. No med student in their right mind is going to apply to a
residency that has recently violated the rules. When I was matching, I
didn't know anyone who would even apply to, let alone, interview or list a
program with a history of match violations. There are too many options out
there to risk getting caught up in a scandal, which means County is no
longer competing for the top students but settling for the dregs. So if
Kerry is reported for violating the match and penalized, County's ER program
is in the crapper for up to 4 years. Residency programs have shut down over
less.
Doc Sharon
http://www.nrmp.org/res_match/policies/map_institution.html#comm_confidential