Finding and Vetting Replacements Michael J. Hart, MD Swedish Medical Center/Seattle

American Board of Surgery Sixty months of residency training at no more Sixty months of residency training at no more than three residency programs. than three residency programs. This limit applies regardless of whether an applicant completed clinical years as a non-designated preliminary or categorical resident. Individuals who completed their training at more than three programs will be required to repeat one or more years of training to comply with this limit. For applicants who trained at more than one program, documentation of satisfactory completion of years in prior programs from the appropriate program directors must be submitted.

RRC for Surgery Resident Transfers III.C.1. Before accepting a resident who is transferring from another program, the program director must obtain written or electronic verification of previous educational experiences and a summative competency-based performance evaluation of the transferring resident. III.C.2. A program director must provide timely verification of residency education and summative performance evaluations for residents who leave the program prior to completion.

Finding Candidates APDS Website Apds.org Residents Available Lists several hundred candidates seeking residency positions, including med school and training background, contact info, and U.S. citizenship/Visa status Lists several hundred candidates seeking residency positions, including med school and training background, contact info, and U.S. citizenship/Visa status

From: Tarpley, Margaret J Sent: Monday, March 05, :50 AM To: Subject: Posting for PGY3 The University of Mars General Surgery Residency Program is accepting applications for a categorical PG-3 position beginning July 1, Applications will be accepted until the position is filled. Applicants must have successfully completed PG-1 and -2 years in an ACGME-accredited general surgery residency program by July 1. Interested applicants should submit the following documents via to Lady Gaga, Program Coordinator, at Please scan and minimize the size into one folder: current CV, personal statement, USMLE Step I, II and III scores, medical school transcript, 3 letters of recommendations from current attending staff (including one from current program director), and PG-1 and -2 ABSITE score reports. International medical graduates must have a valid ECFMG certificate. We only accept J-1 visas - NO EXCEPTIONS! Any questions please inquire by at the above address.

Current CV Personal Statement USMLE Step I, II and III scores Medical School Transcript 3 Letters of Recommendations from current attending staff (including one from current Program Director) PG-1 and -2 ABSITE Score Reports ECFMG certificate

Where Do These People Come From? Non-Designated Preliminary R2’s Non-Designated Preliminary R2’s Escapees from the Research Year Escapees from the Research Year Disgruntled with Current Program Disgruntled with Current Program I’m not the right fit for the program I’m in and your program will make that all better. I’m not the right fit for the program I’m in and your program will make that all better. How do you pry out the truth? How do you pry out the truth?

3 Letters of Recommendation from current attending staff (including one from current Program Director)

Why go through all the bother? Living without a Replacement Living without a Replacement Pros Pros Greater Opportunity for Junior Residents Cons Increased Workload Uncovered Rotations Program Morale – What idiot would fire my buddy and make me work harder – New guy in town, What idiot would hire this dope

If you’ve seen one, you‘ve seen.….one.

The key to successful team management is to keep the five guys who hate you separate from the five who are undecided. Casey Stengel Casey Stengel