u/Individual-Maybe3445

Can someone please explain how does academic probation affect future job search, state licensing and life after fellowship?

Fellowship : Heme-Onc

Probation Period: 3 months

Cause of probation : Not showing "sufficient" improvement in acgme domains ( patient care) during remediation period.

I appealed the decision and as expected it was denied. I can appeal to the next level. Contemplating if I should do this. I am in third year. I have a network of mentors who continues to advocate on my behalf. Once the evaluations from outpatient setting has turned up consistently become positive, the focus quickly shifted to inpatient. Always had good patient rapport.

I used to be very happy person once upon a time being able to train at a good academic institution. But being through all this, I have realized that rules are different for people and pedigree matters. I have like 8 months to graduate and at this point, just want to graduate with some grace and leave.

PGY7 Heme- Onc here. I am in a very tough situation and need some guidance from people who may understand the situation. I am on J1 visa and matched to a well reputed program for Hemeonc. My residency training was from a small brand new community program where clinical training and exposure was nowhere comparable. I learned all this first year of fellowship.

PGY4 - We were expecting a baby. The program modified my schedule to somehow get me to delivery in April. I did not do leukemia/ BMT rotation that I need for minimum requirement to graduate.

PGY5 - Upon return from 6 week maternity ( 2/6 weeks was my vacation) the program placed me on remediation for 4 months and subsequently another 3 month extended remediation through 2025 end. In May 2926, the CCC wanted to place me on formal "academic probation" but due to my J1 visa being renewed, the PD called it extended remediation.

PGY6 started off and now based on last 3 months.evals, asked to be on probation. The acgme domains are now consolidated around patient care domain and on inpatient side. They keep saying what a wonderful hardworking person I am and yet somehow I am here facing all this with a small baby.

The proposed probation plan is also 3 months and its 2 months inpatient and 1 month clinic. I am asked to do the service with another fellow. Which means you never get full case load and it is always called as a "reduced" workload.

I asked program if I can just single board in oncology since every evaluation period, heme seems to drag everything down significantly. ( awaiting GME input into this as PD/ aPDs were supportive but GME needs to confirm)

I asked if I can just do an away rotation at another progrqm for the required 1 month BMT/ malignant heme block - they said not when someone is on probation ( which means technically this was possible before but I did not know if I could ask about this option)

I realize that being on probation is a reportable when we apply for jobs. What else are the consequences. I would like to formally go through GME appeal process but also feel scared that would ruffle feathers. I have a professional and cordial relationship with program leadership. I do have supportive group of mentors who continues to.advocate on these CCC meetings but at the end of the day, we all know that the decision largely remains with PD.

What else should I do at this point? I love being an oncologist and at this point no longer desires hematology. I cannot see myself as a hospitalist. At the very least, there is industry positions in Oncology if I could graduate by June 2027.

I am currently working with a mentor/ coach through GME. Now , I have an oncology and hematology mentor assigned through the course of all.

The only required rotation pending towards graduation is BMT which the program refuse to schedule me.

Your input and time is appreciated. I have a very supportive spouse and a very happy baby as support system. We are not quitters. But I wonder if I am just going through the system and no matter what I improve, ultimately the end result seems to be disappointing.

Please drop high value pearls that people should review this week. At this point, those of you who took the exam will likely pass comfortably. We would rather see a useful post than ones freaking out and spreading panic.

Taking boards in August - Looking to find a study buddy who has MKSAP 20 and want to do it together. I already did UW/MKSAP 19. I can teach as we do questions if it is useful for you.

Taking boards in August - Looking to find a study buddy who has MKSAP 20 and want to do it together. I already did UW/MKSAP 19. I can teach as we do questions if it is useful for you.

Is there anyway chat GPT could provide a document with just the "Dont be tricked" points on MKSAP Board basics ? If anyone could help out with this please share. Thank you ( your friendly hemeonc fellow)

Retaking this exam again. I struggle with test taking skills historically. Last year I was able to move the score but fell short. I am in a tough hemeonc fellowship and will get 3 weeks before exam in August. I worked all year and now off for 5 weeks to study. My weak areas were cardio/ endo/ GI. I focused on redoing these areas again while reviewing.

I finished u world once ( 63%)

Mksap 19 [ 75%]

Doing 1to1 tutoring once a week

Doing daily 20 questions with friends

Doing Dr Fishers abim course end of May.

Am I missing anything else at this point? I feel like I will get some breather from fellowship after passing this exam. Any wise advice is much appreciated. ​

looking for a reliable study bud to do daily MKSAP question bank. I am in Cali time zone. Prefer to do evening as I am in a fellowship.

Mixed Mode ( 25 questions/read key learning point)

** I completed first bout of learning and uworld

If anyone is willing to share how they approach questions and tips/tricks that is useful to effectively tackle multiple choice questions on ABIM - drop your pearls. Thank you.

I am taking boards in August. I have uworld and mksap. Looking for a cardio loving resident who can tutor/go over uworld questions with me. I am in a tough fellowship and needs some extra help to get through this exam. Please DM if anyone is interested.