The Merger of Two Pediatric Residency Programs: Lessons Learned

Lovejoy, Frederick H.; Nathan, David G.; Zuckerman, Barry; Pizzo, Philip A.; Fleisher, Gary; Vinci, Robert J.

doi:10.1016/j.jpeds.2008.07.036

Cited by 7 publications

(4 citation statements)

References 15 publications

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“…29 An initiative targeted toward pediatrics training in an urban setting sought to enhance resident participation in community child health activities, and the 5-year follow-up demonstrated that more graduates were involved in community pediatrics compared to a control group. 30 Universitybased pediatrics programs often have residents rotate at community-oriented sites, 31 producing the interesting finding that there are now more than twice as many hospitals with pediatrics residents as pediatrics residency programs. 22 In surgery, many community programs have their residents complete specialty rotations not available at their home institution (burn surgery, transplant surgery, and pediatric surgery) at university hospitals.…”

Section: Benefits Of Combining Attributes Of Both Modelsmentioning

confidence: 99%

University- Versus Community-Based Residency Programs: Does the Distinction Matter?

Chen

Saïdi

Rivkees

et al. 2017

Journal of Graduate Medical Education

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Section: Benefits Of Combining Attributes Of Both Modelsmentioning

confidence: 99%

University- Versus Community-Based Residency Programs: Does the Distinction Matter?

Chen

Saïdi

Rivkees

et al. 2017

Journal of Graduate Medical Education

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“…• How did you sell the idea of the merger to multiple departments? [3][4][5][6][7][8][9][10][11][12]. The combination of the interviews with DIOs and the literature review led to a working lessons learned document.…”

Section: Methodsmentioning

confidence: 99%

“…The merger rate doubled within two years of the passage of the ACA compared to pre-ACA values [1,2]. There are little data on the effects these post-1990 mergers had on GME programs, including a complete absence of case studies in the merger of internal medicine residency programs [3][4][5][6][7][8][9][10][11][12]. Although the decision to merge institutions will be made at a level generally much higher than that of a department chair or program director in internal medicine (IM), it will be up to department chairs and program directors to operationalize the mergeror argue for continued independence.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the potential merger of two internal medicine residency programs: process and recommendations

Alweis

Goodermote

Mayo

2019

Journal of Community Hospital Internal Medicine Perspectives

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Background: Economic forces have led to significant consolidation within the health-care sector, but the effects of hospital mergers on graduate medical education programs are not well studied. Academic leaders may be expected to operationalize an institutional merger through educational program consolidation. Through a case study of our potential GME program consolidation, the authors present a helpful model for assessing the practicality of a program consolidation and share lessons learned. Methods: A novel exploratory process assessed the viability of four levels of integration for two internal medicine programs within a merged health system. Focused interviews with outside organizations, literature review, SWOT analysis by stakeholders, and a semi-quantitative scoring system resulted in the final recommendation to health system administration. Results: The two internal medicine programs will pursue educational and administrative synergies but will not merge. Discussion: Common challenges facing GME leadership in assessing the viability of a merger include: different organizational culture, mistrust of intentions, lack of a shared vision, lack of communication, and managing the pace of change to prevent erosion of the learning environment. Overcoming these challenges is best accomplished by establishing shared values, recognizing synergies and estimating organizational compatibility. Maximizing faculty and resident interactions while performing combined QI projects, research, or didactics can build trust over time and change the cultural norm. Early successes are vital to the process. Finally, even if residency programs do not merge, they should have common salaries and benefits so that disparities do not engender further distrust.

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“…There is limited literature available regarding residency mergers, but the most widely referenced specialties include pediatrics [6], psychiatry [5], family medicine [7], and surgery [8]. For the most part, the publications generally present the process behind the merged programs, the challenges they faced throughout the process, and the advice they offer for future mergers.…”

Section: History Of Residency Mergersmentioning

confidence: 99%

Graduate Medical Education Program Mergers: Key Aspects and Considerations

Gotsch¹,

Harrison²

2022

Contemporary Topics in Graduate Medical Education - Volume 2

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The recent restructuring of the healthcare reimbursement system has led to financial pressure on all aspects of healthcare delivery. Naturally, this financial pressure will also trickle down to graduate medical education, resulting in mergers of residency programs. Historical examples of residency mergers will be presented and discussed in this chapter. Guidelines for merging residencies will be suggested for those programs undertaking this difficult process. These guidelines will address aspects of organization and leadership, educational philosophies and environment, program goals, culture, interpersonal relationships, communication, day-to-day operations, and finances. Special considerations for program mergers will also be discussed, including cultural differences, medical students, and surgical programs. The chapter concludes with a discussion on the relevancy of this information and important key concepts.

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The Merger of Two Pediatric Residency Programs: Lessons Learned

Cited by 7 publications

References 15 publications

University- Versus Community-Based Residency Programs: Does the Distinction Matter?

University- Versus Community-Based Residency Programs: Does the Distinction Matter?

Evaluating the potential merger of two internal medicine residency programs: process and recommendations

Graduate Medical Education Program Mergers: Key Aspects and Considerations

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