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  • pulmdoc
    replied
    They have to scramble to try and find a program who is willing to accomodate them halfway through. If they can't find a spot, their options are to repeat match or try to find a job without board eligibility. A humongous kick in the crotch no matter what.

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  • Modulus
    replied
    So what happens to the residents who are half way through their programs?

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  • nolamd84
    replied
    @jpa, students tend to underestimate the competency of a well-trained NP. You may also ask why we let residents take care of patients in the ICU. Both are effective when well-trained and well-supervised.

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  • pulmdoc
    replied
    Ok, Summa isn't replacing ICU docs with NP's, they're replacing a private practice group with an employed group that uses NP's. It's a model that could work, assuming well-trained NP's (ex ICU RN's most likely) where each NP has a small cadre of patients that they manage and the MD is ultimately in charge, similar to the attending/resident model at academic centers. It stinks for the private practice group but is hardly unheard of.

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  • jpa
    replied
    I'm only a student, but I've seen enough on rotations that I can't understand why the hospital employed physicians would agree to be the collaborating physician for NP's in an ICU setting? It seems like a lawsuit just waiting to happen.

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  • VagabondMD
    replied




    Can provide a link, Vagabond? I do not find that particular flavor of foolishness on Sermo at the moment.
    Click to expand...


    http://www.ohio.com/news/local/summa-opts-against-renewing-contract-with-critical-care-specialists-1.738357

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  • pulmdoc
    replied
    Can provide a link, Vagabond? I do not find that particular flavor of foolishness on Sermo at the moment.

    Leave a comment:


  • VagabondMD
    replied
    I just read on Sermo that Summa dumped their pulmonary/critical care group and replaced them with NPs!  :x

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  • pulmdoc
    replied
    Wow, just wow. Sounds like a lose-lose situation all around. Read the ACEP interviews and it sounds like both sides decided to play chicken. Not starting negotiations until Thanksgiving when SEA wanted to get out of/get stipends for multiple money losing ED's seems foolish, it takes time to do these negotiations. Asking for a 15 year contract isn't productive. Obviously not having a face to face meeting until 5 days before expiration and already having negotiated with USACS is bad faith. So everybody looks bad, SEA docs are out of a job, CEO resigns, residency program dies.

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  • jhwkr542
    replied
    Sad fallout for these ER residents who are getting a crash course in the business side of medicine:

    http://www.ohio.com/news/local/summa-health-loses-accreditation-for-emergency-medicine-residency-program-1.746245

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  • Zaphod
    replied




    Looks like the residents and other staff at Summa have made an impact…

    Summa CEO Thomas Malone resigns http://www.ohio.com/business/summa-ceo-thomas-malone-resigns-1.743267
    Click to expand...


    Im really surprised the board allowed this huge conflict of interest from the wife/ceo whatever connection at the other corporate ER group. that is just inviting disaster, and this CEO paid for it, but probably wont be the extent of it. Especially as it seems the person on the board is the one that has real explaining to do. CEO ousts are quite often for show. Then to have this conflict of interest lead to basically what appeared from the outside as a middle of the night coup? I mean what we're they thinking? That no one would say anything or put up a stink. Just bad decision making all around.

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  • GXA
    replied
    Looks like the residents and other staff at Summa have made an impact...

    Summa CEO Thomas Malone resigns http://www.ohio.com/business/summa-ceo-thomas-malone-resigns-1.743267

    Leave a comment:


  • Zaphod
    replied
    Their first offer was a 15 year contract? Why something so outrageous and what sounds like out of standard practice? Their talks per that article with the other company happened almost two weeks after the first round of negotiations. This kind of pitting of groups against each other until all pay is lowered is likely to continue in all fields I fear.

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  • The White Coat Investor
    replied
    Here's a bit of an update, published in ACEP NOW. I'm told it's "mostly accurate."

    http://www.acepnow.com/article/summa-transition-directly-principals/

    I think it's pretty clear who the guilty parties are. They basically never met face to face with the group until they had already met with the corporate EM group CEO (who happened to be married to the hospital CMO.)

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  • GoBills
    replied
    Don't believe any of these rumors.  My understanding is that the current group was very demanding during negotiations, demanding a 10 year non-revocable contract, which is unheard of.  The standard contract in er is for three years. Hospital got angry when talks turned sour, and asked for competing bids from several companies in the last week of December, and USACs bid when asked.  when calmer heads prevail they will realize that the last thing anyone would want would be to pick up an er contract where they have to staff several ers on only 3 day notice, over the holidays.  The whole situation is a mess, but clearly something went very bad between the old group and the hospital for this to happen.

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