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Reflections on a Crisis in Graduate Medical Education: The Closure of Hahnemann University Hospital
被引:8
|作者:
Berns, Jeffrey S.
[1
,2
]
Coull, Susan
[3
,4
,5
]
Paskin, David
[6
,7
]
Spevetz, Antoinette
[8
,9
]
Boyer, William C.
[10
,11
]
机构:
[1] Univ Penn, Grad Med Educ, Perelman Sch Med, Philadelphia, PA 19104 USA
[2] Univ Penn Hlth Syst, Philadelphia, PA USA
[3] Temple Univ Hlth Syst, Philadelphia, PA USA
[4] Temple Univ Hosp & Med Sch, Med Educ, Philadelphia, PA 19140 USA
[5] Temple Univ, Grad Med Educ & Undergrad Med Educ, Lewis Katz Sch Med, Philadelphia, PA 19122 USA
[6] Thomas Jefferson Univ, Sidney Kimmel Med Coll, Philadelphia, PA 19107 USA
[7] Thomas Jefferson Univ Hosp, Philadelphia, PA 19107 USA
[8] Rowan Univ, Cooper Univ Hlth, Camden, NJ USA
[9] Rowan Univ, Cooper Med Sch, Camden, NJ USA
[10] Med Coll Penn & Hahnemann Univ, Philadelphia, PA 19102 USA
[11] Crozer Keystone Hlth Syst, Upland, PA USA
关键词:
D O I:
10.1097/ACM.0000000000003156
中图分类号:
G40 [教育学];
学科分类号:
040101 ;
120403 ;
摘要:
In June 2019, Hahnemann University Hospital (HUH) in Philadelphia became the largest U.S. teaching hospital to announce its closure and the closure of all of its graduate medical education (GME) programs, which displaced more than 550 residents, fellows, and other trainees. In addition to the displaced trainees, the HUH closure involved many stakeholders at both the closing hospital and hospitals willing to accept transferred residents and fellows-program directors and coordinators, designated institutional officials (DIOs), and hospital executives-as well as the Accreditation Council for Graduate Medical Education, the Centers for Medicare and Medicaid Services, the National Resident Matching Program, and other organizations. Given the rarity of such events, those involved had little experience or expertise in dealing with the closure of so many GME programs at one time. In this Invited Commentary, the DIOs of HUH and 4 other area teaching hospitals detail their experiences working to find new training opportunities for the displaced residents and fellows, discussing lessons learned and providing recommendations to prepare for any future teaching hospital closures. Stakeholder organizations should work together to develop a "playbook" for use during future closures so that the chaos that occurred this time can be avoided.
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页码:499 / 502
页数:4
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