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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/pa-delaware... Crozer Health lays off 215 people as part of ‘operational restructuring plan’ https://whyy.org/articles/crozer-heal... Crozer Health, Prospect unable to pay for ambulance repairs https://whyy.org/articles/pa-delaware... Piles of biohazard bags, delayed medications: inspection reports find ongoing problems at Crozer-Chester 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/wp-content/... - MUSIC: ‘Clutch,’ by Nicolas Major.