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Old 10-22-2003, 10:38 AM
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Clinical Sites

Looking on the website under CLINICAL MEDICAL SCIENCES FACULTY - U.S.A.
I put together a list of ACGME Accredited Programs offered by AUC.
The list of sites appears to be small. Does anyone have an updated clinical site list with all AUC clinics?
Also from the list I find that two required rotations Pediatrics & Psychiatry are not done in ACGME accredited programs.
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Old 10-22-2003, 11:42 AM
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According to Phil Green....

....who is our clinical coordinator, that list is 100% up to date.

And also according to him, all clinicals can be done in ACGME hospitals.

Obviously, you have discovered some flaws.... either in the lists or in the curriculum (no peds rotations are listed at all, no psych either). Obviously, if this were true, there would have been serious problems before now, as without these ACGME rotations, one cannot be licensed in some states, a problem we have not encountered before.

However, Phil Green is supposed to be here on-island next week, and I will try to make sure this is brought to his attention. Thank you for pointing out this glaring inaccuracy to us, it is certainly something that needs to be addressed.
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Old 10-22-2003, 12:12 PM
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AUC has rotations for peds and psyc but they are not at ACGME program sites. This is a problem in states like Pennsylvania who requires that all your rotations be in ACGME hospitals with ACGME programs in the rotation you are doing. The site for peds is at a hospital that has a ACGME program just not one in peds. This works for some states but not all. I thought AUC had more clinical sites in NY now that their approved.
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Old 10-22-2003, 12:17 PM
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Not completely true

California also requires all ACGME sites, but we have lots of people practicing there. I personally think Peds and Psych were just left off the list for one reason or another, but that there are ACGME sites for them. I dunno.

Either way, I will make certain all my clinicals are good, I am prolly going to set up my own once I get back from England. I don't trust anyone else to look out for my future as well as I will look out for it. It has been done, it isn't that hard, and it's well worth it, in my opinion.
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Old 10-22-2003, 12:50 PM
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My input

Supposedly, if a hospital is a teaching hospital and has an FP program that will suffice even if the hospital doesn't have a residency in Peds or Pscyh. For instance, Kern has no Peds or Psych residency, yet the FP prgram somehow satisfies the fact you're doing rotations at a hospital in a specialty that doesn't have that particular residency program. It's probably because the FP's rotate through Peds and Psych just like a Peds or Psych residency, just much smaller. So, look for the ACGME approved FP program and you're good.
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Old 10-22-2003, 01:06 PM
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"Supposedly, if a hospital is a teaching hospital and has an FP program that will suffice even if the hospital doesn't have a residency in Peds or Pscyh. For instance, Kern has no Peds or Psych residency, yet the FP prgram somehow satisfies the fact you're doing rotations at a hospital in a specialty that doesn't have that particular residency program. It's probably because the FP's rotate through Peds and Psych just like a Peds or Psych residency, just much smaller. So, look for the ACGME approved FP program and you're good."

While this is true for some states, certain states (CA, PA, TX and OH off the top of my head) require an ACGME residency in the area of the rotation. For California purposes, a rotation done in Peds in a hospital with only a FP residency won't count and they won't license you.
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Old 10-22-2003, 07:46 PM
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California is one of the stricest states, yet FP still satisfies the requirement.

Kern Medical Center where I rotate is in California and having a FP residency instead of Peds or Psych still satisfies the requirement. The people at KMC seem to be on top of all the regs for licensure and nobody I know of that rotates there or has rotated there is having any problems with licensure. (and most students rotating through Kern are from California including DO schools in CA)i If what you say were true there are hundreds, if not thousands of grads that are illegally licensed and practicing in California that rotated through Kern!
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Old 10-22-2003, 08:28 PM
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Clinical Sites

for those who are overly concerned about whether they will be able to do all their rotations at ACGME-approved sites, England would be a good choice for you for core rotations. This way you won't need to worry about whether a hospital is ACGME approved for licensing purposes.
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Old 10-22-2003, 09:52 PM
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Quote:
Kern Medical Center where I rotate is in California and having a FP residency instead of Peds or Psych still satisfies the requirement. The people at KMC seem to be on top of all the regs for licensure and nobody I know of that rotates there or has rotated there is having any problems with licensure. (and most students rotating through Kern are from California including DO schools in CA)i If what you say were true there are hundreds, if not thousands of grads that are illegally licensed and practicing in California that rotated through Kern!
Actually, this is not true. Yes, Kern county's rotations count as ACGME approved rotations, BUT NOT BECAUSE OF THEIR FP PROGRAM. I am familiar with this because we are in the process of trying to set up additional rotations at our hospital (too premature to go into details as to what rotations, so I won't go into details here.)

But here's how it works -- California definitely requires that clinical rotations be done in hospitals with ACGME-approved residency programs in that specialty. Kern does NOT have Peds or Psych residency programs itself. However, being an UCSF affiliated hospital, UCSF's Ped's and Psych residency programs can (and must have done so already) "extend" its coverage to Kern County by signing agreements with Kern to list Kern as one of it's affiliated institutions UCSF Ped's and Psych residents can rotate through for their training... and UCSF has also appointed clinical faculties in Peds and Psych at Kern as a part of its residency programs in Peds and Kern. So, this is why Kern's Peds and Psych count as ACGME rotations. I can list two other specific examples of this -- San Joaquin county does not have a psych residency program, but it offers psych rotation for SGU because as an UC Davis affiliate, UC Davis has extended their Psych residency umbella to cover San Joaquin. UC Davis, however, has not extended Peds or OB/GYN residency programs to cover SJGH, so dispite having an FP residency program at SJGH, foreign students may not rotate through SJGH for peds and ob/gyn.

Oh, BTW, Pennsylvania has one additional catch -- PA requires that IMG's do their clinical rotations only at hospitals that have formal affiliation agreements with the medical school, dispite ACGME approval. So, it adds another loop to jump through.

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Old 10-23-2003, 01:23 AM
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From the Website

This is from the FAQ portion of the website.

Are AUC's clinical programs ACGME approved?
All of AUC's clinical programs in the U.S.A. are ACGME accredited and are conducted in hospitals that are affiliated with a U.S. medical school. AUC's medical students participate in the same clinical clerkships as U.S. medical students, with the same supervision and controls.
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