When the business of healthcare overshadows the value of academic faculty: A community's loss of a residency program

At the most largely attended medical staff meeting in recent hospital history, which was announced with only a few days' notice and occurred during a snow storm, more than 97% of attendants voted no confidence in the CEO and signed a letter to the hospital board urging his resignation [4] State and national education and professional organizations expressed concerns about the effect the poorly planned contract termination would have on the residency and the community. The health system CMO (wife of the CEO of the CMG) and the Chief Operating officer positions were eliminated by the interim CEO [10] 3 Effects on the residency In January 2016, The Accreditation Council of Graduate Medical Education (ACGME) performed a site visit. Faculty with significant involvement in teaching, EMS, and research must be part of the contract negotiations to ensure their interests are protected and the extent of their contributions to the success of the health care system are appreciated.5 Conclusion The replacement of well-established academic EM physician's with CMGs can be very appealing to CEO's looking to manage short term costs, but the result may have devastating unintended consequences within the health system, medical education, and the local community.