3. The Rise of Acellular Dermal Matrix: Cost Consciousness, Industry Payments, and Publication Productivity

Abstract

PRS Global Open • 2023 supportiveness. Questions were also asked regarding effects of relocation on affected trainees' personal lives. RESULTS:The response rate was 14/23 (61%). Only half of respondents were informed of closure by program leadership (n=7). Five residents were never given formal notice; 3 of them discovered the closure via the ACGME website. No incoming intern was aware of potential program closure prior to submitting rank-lists. Nearly all displaced residents reported lack of support and/or outright antagonism from their faculty, program directors, and chairs. In contrast, ASPS and ACGME were most often considered neither helpful nor hurtful, and ACAPS was most often considered supportive but not proactive. The median relocation cost was $8,000 (IQR $15,125). No residents required additional loans, but 6/10 residents who owned homes were forced to sell. All residents reported moderate (n=6, 43%) or severe (n=8, 57%) mental health burden from displacement. In free-text responses (n=10, 71%), residents reported that programs did not allow them to step out for interviews, and threatened non-promotion if residents attempted to use vacation time to relocate prior to the end of the academic year. Receiving-institution GME offices were unsure how to intake relocating residents, causing delays.