In January, the ACGME notified the Crozer Chester Medical Center that their general surgery residency program had to shut down in four days. What happened to get there and what has happened since? This is a story not just about one residency program but a story about power and greed that highlights a number of things that are wrong about residency training, the American health care system, and maybe even America at large.



NOTES:

1) The news articles I mentioned on Crozer’s financial struggles:

Unpaid bills: Prospect, Crozer Health struggling to pay vendors for vital hospital services
https://whyy.org/articles/padelaware...


Crozer Health lays off 215 people as part of ‘operational restructuring plan’
https://whyy.org/articles/crozerheal...


Crozer Health, Prospect unable to pay for ambulance repairs
https://whyy.org/articles/padelaware...


Piles of biohazard bags, delayed medications: inspection reports find ongoing problems at CrozerChester
https://www.inquirer.com/health/croze...



2) For more on ‘withdrawal of accreditation under special circumstances’, see the ACGME Policies and Procedures manual:
https://www.acgme.org/globalassets/ab...



3) If you missed my video on resident physician financials (which includes discussion of Medicare DGME and IME payments):

How Much Are Resident Physicians Worth?
   • What are Resident Physicians Worth?  



4) For additional information on Prospect Medical Holdings, Leonard Green & Partners, and the private equity playbook, check out Eileen O’Grady’s excellent report here:

How Private Equity Raided Safety Net Hospitals and Left Communities Holding the Bag
https://pestakeholder.org/wpcontent/...


MUSIC:
‘Clutch,’ by Nicolas Major.