help info on greenbook core rotations needed

[orvosmacko]

hello everyone,
can anyone share their knowledge or experience with the issue of doing CORE rotations in greenbook hospitals or not? all my core rotations were done in acgme or acgme affiliated hospitals.....except surgery. i've yet to do that. even though i dont want to go into surgical residency....i still would like to do surgery in a nice greenbook hospital but unfortunately cant find any place to do that. does anyone know what complications i might have if i end up doing surgery in a normal teaching hospital (nongreenbook)?

[neilc]

some states require that any rotation done inside the US must be done at a hospital with ACGME residency in that specialty (eg. for surgery, you must do it at a hospital with an approved surgical residency). that being said, some states do not require this. for example, California only requires that your rotations are done in a hospital with a ACGME family practice rotation.

another option is to do it outside of the US at a hospital affiliated with a med school. I am doing a surgery rotation in south africa that will qualify in any state..

the best bet is to do it at an ACGME or outside of the US. that way you will not be limited where you can obtain a license or do a residency. if you can't arrange it yourself, go to pgy1md.com or clinical-coordinator.com and they will hook you up for a price.

[studentMD]

You need to figure that out to get the most realistic answer.
While neilc is right. ideally acgme is preferred, it may not apply to you depending on where you want to practice.

Once you have made that decision call the respective state medical boards and find out directly from them what their requirements are. You may be fine with doing surgery at a teaching facility instead of greenbook.

[circus]

Orvosmacko,

From the information I collected, the states that require all clerkships be done in ACGME "green book" hospitals only are:

DE, LO, MA, MI, MS, NH, NC, OK, PA

also, in addition to this, some states require that the hospital verify your clerkships in writing to them for licensing. These states are:
AL, AR, CN, NC

I am sure that I am missing some states, but this is from the states I went through.

One thing to keep in mind is that the states that require ACGME rotations require them not only for all CORE rotations, but for all ELECTIVES as well. So it isn't useful to do your core's in green book and your electives in community hospitals. Every site has to be a valid teaching site.

[studentMD]

does anyone know anything about this situation...

for example in PA state law it stated i dont remember the exact words.. but it was to the effect that.. u have to have all acgme approved rotations OR an ECFMG certificate...

i called the state board.. and they told me if i have an ecfmg certificate then it will not matter if my us rotations are not acgme approved...


that being said.. ppl that have tried to get licensed in PA.. what ive heard word of mouth.. has been that PA is picky and it does have to be acgme approved...


so which one is it???


its all just one big mess i dont get it...
i think ill be forever confused lol

[neilc]

i have heard that PA is the worst for getting a license...i think i would trust what the PA board gives you in writing, and nothing else.

[Infiri]

Please all the information on Florida state boards... I want to practice in Florida. Thanks for all of the help that you guy can give me....
Carlos

[ResearchingGuy]

This is slightly out of thread, but you can go to the Florida Med Board's web page to their "License Advisory System". You will be prompted to answer a series of questions and will be told if you are eligible for licensure in Florida. Go to:

http://www.doh.state.fl.us/irm00las/IndexFR.asp

A disclaimer on the page says that you may still be denied a license.

The best thing to do is call the state board and find out from an individual. Like Neil said, get it in writing.

Best of Luck!

[Doc]

ValueMD has already registered a member of the Medical Board of California who is graciously willing to provide some information about that state. We are currently in the process of extending this invitation to other state medical boards as well to help provide further information on State Licensing Information. Please be patient and we'll keep you posted.

[teratos]

Why take a chance. Make sure you do it at an ACGME/greenbook program. Maybe now you don't really want to practice in a state that requires you to go that route, but what if you meet a very hot girl who wants to marry you, but really wants to live in a state that requires it. Then you are hosed. You never know what your situation will be, and the broader your options the better off you are. Also many states SAY one thing, but in reality they expect something else. There are lots of nuances in terms of licensure. One stupid thing I can think of is if you do rotations in Texas you have a hard time getting TX licensure. Isn't that dumb? I think you need to take the most compatible route, the one that will give you the least amount of potential problems in the future. Just my 2 cents. G

[orvosmacko]

well, im still trying to find a decent place to get my last and only core rotation (surgery) to be setup in a acgme affiliated/greenbook hospital. regarding the previously mentioned issue of certain states requiring ALL rotations (electives and cores) to be greenbook...i think they mean that for electives that as long as its in a teching hospital. so, if you do electives at a family practice teaching hospital...or a hospital that has a residency on some field....its ok. if this isnt the case...then what do these states expect?!?!?! for example, if a student wants to do a cardio elective, then he/she has to do it only at a place where there are cardiology fellows willing to teach and work with students? i think thats absurd and not to mention almost impossible for img's to achieve. nothing's impossible but feability is an important issue here. how many img's...or even amg students can setup electives in places where they have fellows in gi, cardio, pulmonology, id, neuro? if i am mistaken in anyway...then please help me out.