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I mean to ask how good can their recommendations be if the don’t like him enough to give him a space in their program?What do you mean?
We were together and he just told me to post it. He will likely be making his own account. He is a USMD. She will send him available positions and tell him to apply, but says there is not availability in their program. You may be right and I may not know 100% of the story. When you say something else is at play, what do you mean?
As far as he has told me, he says she will offer positive remarks if programs need to speak to her, but there just isn't an opening in their program. She has offered to potentially help him towards an anesthesia spot at their institution (or nearby), but that is LAST resort as surgery is his dream.
He will have to finish his general surgery training in order to practice as a burn surgeon. Burn fellows are available to GS residents who have completed at least 2 years of training.
The goal was obviously a categorical spot out of medschool, but he did not land it. He did not end up taking step 3 until after so that may have had something to do with it. He also did an MD/MPH program, he won a scholarship where he was abroad for 1 year of medical school implementing a public health program. I believe that also ended up interfering with match when he returned.
Does reentering match for a cat PGY1 or going into a new specialty really even a genuine possibility at this point?
I replied to this in another thread, but thought it would be worthwhile adding here in case anyone else involved with the thread above knows something different regarding this:
I don't like being the bearer of bad news, but here it goes...
In order to be board eligible in general surgery you can not complete your training at more than three institutions. Statement straight from ABS:
If I'm reading this right, he's already been through three programs. I find it highly unlikely any general surgery program will take someone that is no longer board eligible. Maybe others can comment about that aspect who have more experience with it.
- The ABS instituted in 2007 a new limit on the number of programs by which an applicant for general surgery certification may complete residency training.
- Effective with residents graduating in the 2007-2008 academic year or thereafter, the 5 years of progressive general surgery residency training (PGY 1-5) must be accomplished at no more than 3 residency programs for an individual's application for certification to be accepted.
They will have to pay him...ACGME doesn’t allow for residents not to be paid...the money would have to come from the hospital and not from cms funds.Thank you for your thorough explanation. The burn surgery aside... since it is not contributing to "general surgery residency"... he has done 2 PGY1 prelim years and 1 PGY2 prelim year... making it 3 prelim years. From what I understand, you are stating that the federal government will only pay for 5 years of residency. This means that if he was to get a categorical year 3 position for next year... he would only have an income for his 3rd and 4th years. For his final year, PGY5, he would not be given an income. (Which I think would be the least of his worries in the grand scheme of things, right now. He does have really good savings & hopefully can get his finances sorted out in advance before it got to that point..)
That being said, I am still not 100% certain where the information written puts him in terms of being able to finish residency & become board certified. He has done his two prelim PGY1 years at two different institutions & did his prelim PGY2 year at a third institution... making it 3 different institutions, thus far. If he was able to secure categorical year 3 spot at a new institution (and remain there until he graduates) will he have a problem from the board because it ends up being 4 institutions? If yes, Is his only option to try and secure a spot at one of these 3 institutions he has been at? Or.... will he be fine as long as he is able to land a categorical 3rd year somewhere for next year?
Are there any differences with the statements you gave/im asking about based on prelim vs. categorical? I would think the rules may be slightly different, no?
Unfortunately his entire heart and soul is set on surgery. I have seriously never seen someone so passionate about something. And I believe with all my heart he would make an exceptional surgeon, but has had some really bad luck. Nonetheless, I do agree with you that that souls searching is always a positive and good thing to do as well.
what board? his ABSITE? High score should help but I can't imagine he was able to sit for the Surgical boards...you have to be a chief resident (4/5th year)to qualify for those...Thank you so much for your thorough response. You must be in surgery yourself, everything you said was correct! Regarding his logs, he says he has all of his cases necessary logged. More than he needs really... More than 300 and he says he didn't even log all of them. He took his board this year and recently got his results back. He says he got in the 80th or 90th percentile so I think that should really help him.
It is certainly a super tough and stressful situation, he is checking the sites as much as he can. His heart is set on surgery, but not many spots. I think it is going to take a lot for him to change to anything else. I admire the dedication so much. But I am trying to keep him open minded as well.... Hoping a higher power can help him get to where he is meant to be.
Amazing. God is good and things really do work out.UPDATE: he got a categorical surgery spot!!!!! He is in a good surgery program & he’s doing great!!
It all finally worked out in his favor & he finally got the opportunity he always deserved!
x be well!