10 December 2011

TEDx San Juan: We're Not Alone

Oh yeah, I was wrong.

TEDx San Juan was a rousing success. As I tweeted: I'll eat some of My words, happily.

Let Me dismiss My off-targets first: I sill don't agree with hiding the speakers line-up until just before the event. Sharing of anything is enhanced by symmetry and symmetry means We have the same or as much of the same (information) as possible. I would have gone to TEDx San Juan no matter the line-up, and...

Given that over 1,000 people applied and only 100 were allowed (My second point) by TED guidelines (for a first event), then there would have been no problem filling up the event. Only 100 was a stipulation, not a whim: I would have liked to know that beforehand. So picking Me to attend was not a mistake (I don't know what criteria applied), but a a pondered decision that actually honors Me.

Now for the positives: TEDx San Juan is the first event I have ever attended locally that exceeded My expectations. My biggest Congratulations go to the organizing team: Ramphis Castro, Iván Ríos, Marcos Polanco, José Padilla, Arelys Rosado and Héctor Ramos. They did a magnificent job.

A special Congratulations goes to Marcos Polanco for coordinating the speakers. I understand the selection was made by a group, but Marcos had the direct responsibility for the line-up and the agenda and his choices in both regards were impeccable.

Another special shout-out goes to Jenial Friend Luis Herrero as his company was in charge of the video and livestreaming, which I understand was world-class.

The speakers deserve their own recognition, to wit:

Justo Méndez, Nuestra Escuela: Born from the tragic loss by auto accident of his daughter, Nuestra Escuela takes in troubled kids and gives them back their capacity to dream and reach that dream.

Fernando Lloveras described why he created an organization to rescue Puerto Rico's rapidly-diminishing land area, preserving it for Our future.

Jorge Rigau presented his two proposals, a Metropolitan Walking Paths project that could easily and economically provide San Juan with some 3,000 miles of "urban walking paths," rescuing little-used spaces and a project, already done once, to convert a 35-kilometer irrigation canals infrastructure into a passive recreation/tourism attraction.

Dr. Daniel Colón talked about the exponential impact and importance of basic research, so strongly-maligned now, in healthcare and broad-based public benefits.

Tara Rodríguez described her Department of Food company, linking organic farm products with urban and suburban deliveries of high-quality vegetables and fruits.

Jorge Gaskins spoke about microalgae and the enormous potential they have for both food and fuel. Key number: microalgae can produce over 10,600 gallons of biofuel per acre per year; no plant can produce more than 780 gallons per acre per year.

Noel Quiñones spoke about and showed excerpts of his documentary about a school in Maricao that after 9 years of failing the standardized department-wide tests, and facing closure if it failed again, dramatically rocketed its scores to pass the tests...in 60 days.

Lawrence La-Fountain spoke of "sexiles," Puerto Ricans who leave the Island or are marginalized because of their homosexuality and how they respond through artistic expression to that exclusion.

Andrea Pérez (daughter of My Friend Lovely Laura) spoke about her personal decision to truly give, consciously developing sustainable charitable work, based on her experiences in Sudan (yes, Sudan) and Haiti.

Giovanni Rodríguez reconnected with his Puerto Rican roots and described his path to becoming a (cheer)leader for social engagement, social media use that foments change amongst Latinos, the "original retweeters." (In joke...)

Mayra Santos, accomplished writer and teacher, told Us two powerful truths: We need to lose Our fear of literature (We don't read enough) in order to tell the world Our stories, for without Our stories, the world and Us are diminished from full potential.

Four videos were shown: Emiliano Salinas on the attitude change needed to properly face up to the horrendous crime wave in his native Mexico; the Khan Academy's re-framing of education; Joan Halifax on the powerful nature of compassion and a brief video with Joachim de Posada indicating that delayed gratification--not eating the marshmallow for 15 minutes (watch the video)--is an almsot 100% predictor of success.

Three artistic presentations, a TED conference requirement, had strong impact as well: Y No Había Luz, Andanza and Time Machine Squad.

For My money, every speaker was a huge hit. I was especially moved by Andrea Pérez, Noel Quiñones and Lawrence La-Fountain, intrigued by Fernando Lloveras, Jorge Rigau and Jorge Gaskins and I fell in love with Mayra Santos (who is a sex symbol and rightly so.)

I must give a special thanks to Dana Montenegro who served as an energetic, quirky and hugely engaging emcee. I can offer no greater praise than "I couldn't have done it better."

Suggestions? Tables so attendees can sit and share, better monitoring of time so We can start/finish and explore with each other during the event and some stronger form of "connecting," like maybe setting up the tables with names so that you end up sitting with a group of (hopefully) strangers that you can then engage with.

But these are minor quibbles, at best. TEDx San Juan was interesting, dynamic, moving and impressive. Three thoughts came together during the event:

1) I'm so used to events like these being "what could have been" that I have become too cynical about "what could be." I won't do that again.

2) I, and We, are not alone. There are plenty of My Brethren who not only want to make a difference, they actually are making a difference.

3) The next TEDx has already begun. And it will be even better than this one.

The Jenius Has Spoken.

[Update: 11 December 2011: Videos of the TEDx San Juan speakers are here.]

08 December 2011

TEDX San Juan: Stale Cracker Or Artisan Bread?

As I write this, TEDx San Juan, first edition, is to start in 17 hours.

I have no idea who's speaking. Or what they'll talk about.

The only information I have is that the theme is "Bursting the Bubble," referring to My Brethren who are pushing the envelope, boricuas breaking new ground. Good. Marvelous. But to be blunt: so what?

Now for the two of you who don't know what the TED events are, they refer to a series of brief (10-20 minute) presentations on topics related to technology, education and design--TED. (Careful: the website is addicting to curious minds. The average statehooder will be bored.) The driving force behind the concept is to bring to light new ideas and have them create synergies. For that to happen, information must flow...so not sharing information defeats the whole purpose of TEDx.

Let Me point out something else: to be able to attend TEDx San Juan, you had to be selected. By who knows who based on who knows what. My feelings about this are best defined by quoting Marx: "I don't want to belong to a club that would have me as a member." What's the idea behind this? (And the Marx quoted was Groucho.)

If the purpose is to "create a better atmosphere/event," then it begs the question: Better for what? And for whose benefit? With no criteria/explanation/definition/reason/plausible excuse offered, then I think the only reason for this little exercise in pedantry is ego: the organizers want to exert a "zero-sum" level of control over an event that is meant to be the total antithesis of that (poor) posture.

More proof? No agenda yet, a "You can't prepare for this until we say you can" gambit.

Now maybe, as friend Kevin has pointed out, the idea is to enhance the event's appeal or manage expectations by using "surprise" as a marketing tool. I give these a 3 on a scale of 1-10 for marketing ideas, with 1 being tossing a dead cat on the salad bar. I don't buy these as good marketing, much less for a TEDx-caliber event. On the other hand, I've also been told that I shouldn't seek conspiracy where incompetence can be the answer.

I know two of the lead organizers of the event; one I have direct negative experiences with and the other I know only through e-mail exchanges. Of the one I know well, this petty power play seems quite in character, the kind of action a low-level bureaucrat would take in office politics. Given his background of several years in government, where his endeavors labeled him as nothing more than a stale cracker in an artisan bread convention, I can see where TEDx is shaping up to be a severe letdown.

(Clarification: The government of Puerto Rico is by no stretch anywhere near being as good or as productive as an artisan bread convention. I was using the analogy so I could write "stale cracker." My blog, My rules.)

So Jenius, if you're so down on the event, why are you going?

Because I could be wrong. I could be wrong that the agenda, when it is finally revealed, will be a flop, a collection of butt-buddies brought in to present a skewed shadow of "Bursting the Bubble" excellence. I could be wrong that the speakers chosen qualified more as "personal networking" for the Speaker Coordinator than as the antithetical proof that We don't need to live with a zero-sum mentality. I could be wrong that TEDx San Juan has a somewhat hand-picked audience solely/primarily in order to establish a power-base for one or more of the organizers. I could be wrong that I shouldn't have been "selected" to go (and buy a $20 ticket) over others I'm aware were told "You aren't worthy." I could be wrong that this event will fail to coalesce its enormous potential and become another in a long line of "what should have beens."

For those of you not deemed worthy and who believe that not sharing basic information is cool, you can tune into the live stream of the event.

And don't bother looking for @GilTheJenius tweets or live-blogging during the event. I'm not going as a reporter, though I can. I'm not going as a social media user, or even as a blogger: I'm going for My sake, to see if My vision of what's possible in Puerto Rico has been discovered by TEDx San Juan.

If their intent was to control the event to manage My expectations, they failed: I have My own. Always have, always will. Bottom line now is that the organizers have to prove to Me that they can live up to Mine.

Good luck.

The Jenius Has Spoken.

02 December 2011

Yocasta Brugal Has Screwed 570 People...And Counting

So the San Juan Bautista Hospital has fired 300 employees as part of the $5.1 million bankruptcy buyout by Menonita Hospital Group.

That's what Brugal MendDacious and her lying liars were hiding: that the bankruptcy deal would leave 300 professionals without a job, many of whom had not been paid in months.

What a piece of work this Yocasta Brugal, huh? Screwed the hell out of 270 students by being so massively incompetent and possibly criminal that the San Juan Bautista School of Medicine lost its accreditation (and got it back only by going to court) and now her """leadership""" has royally screwed 300 employees of the Hospital she claims she "didn't run," but made practically every major decision for.

Let Me ask this, finally: Why the hell is this Brugal thing in that position? What the fuck is going on that a woman so demonstrably and viciously incompetent (see the list below) is nevertheless allowed to continue screwing people?

Here's what's on Brugal MenDacious' resumé, since she took over and squatted at the SJB School and Hospital in 2007:

* BOTH the School and Hospital lost accreditation and regained it only only by outside intervention, i.e., not because she and her lying liars did anything to improve either institution.

* The Hospital went even deeper into debt to the point of tossing it into bankruptcy, with no debt reduction perceived in 4+ years.

* Hundreds of employees were treated no better than slaves by having their paychecks unilaterally curtailed or cut off. And now they're fired.

* And as detailed in My previous post, the SJB had received almost $23 million in federal funding over a 5-year period UNTIL 2007-2008, when--you got it--Brugal MenDacious plopped her incompetent fundament at the helm and suddenly...no more funds.

A summary looks like this:

* The SJB School: Lost accreditation, now on probation.
* The Hospital: Lost accreditation, got it back because the local Health Department intervened directly, no debt reduction causes bankruptcy and a sale for $5.1 million, with 300 employees fired.
* Federal funds: Down from $22.8 million to $78,000. And under investigation for possible commingling of funds.

Okay, I'll ask it again: What the fuck keeps this incompetent lump in her job?

If she were a politician, her record would be "average." Ask The Larva, who tried to buy police votes with lies. As an administrator, her record proves she has the Sadim touch--the opposite of the Midas touch: everything Brugal MenDacious touches turns to shit.

The School? A shitstorm with the loss of accreditation that Brugal MenDacious caused and then hid from the students.

The Hospital? A shit sandwich diet shoved for years down the throats of 300 employees, fired today.

Federal funds? A shitfest that's about to hit the fan.

Again: Why is Brugal Sadim still at the helm of the SJB? Why hasn't the Board of Trustees--also known as the Mon(k)ey Cage--fired her incompetent Sadim ass? How long are the employees and students of the SJB School of Medicine going to sit back and watch the (bull)shit fly into their faces? Are they going to react only when the whole crapload is thrust down their gullets, like the Hospital employees?

And now I can turn My attention to the Menonita Hospital Group, who I considered blameless in a straight-up deal But this is not a straight-up deal. The Menonita Hospital Group (MHG) is no better than a self-righteous pimp exploiting a crack whore and calling that "missionary work." Taking over the Hospital is a good thing: knowingly doing so at the expense of 300 employees is wrong. All the MHG has shown here is that it is willing to descend to Brugal's level in dealing with employees, the mushroom level: keep 'em in the dark and shovel shit on them.

So here's what I want to see:

Brugal MenDacious and her lying liars fired. Now.

The Menonita Hospital Group dragged to court and spending $5.1 million to defend itself...and losing the case.

But first steps first: Fire Brugal MenDacious and her lying liars now. Am I sounding like a broken record? That's only because Brugal MenDacious and her lying liars are the very epitome of a broken--a very broken--record.

The Jenius Has Spoken.

26 November 2011

22,848,733 Reasons To Fire Yocasta Brugal & The SJBullshitters

In 2002, the San Juan Bautista Medical Center was awarded $5,986,306.

In 2003, the SJBMC received a $6,233,513 grant.

In 2006, the SJBMC received another grant, this one for $5,660,545.

In 2007, the SJBMC received a $4,968,329 grant.

It seems that the 2002 award was deemed a good start and the 2007 award was the crashing end. (Kind of like what happened with the accreditation thing.)

So what happened with that $22,848,733?

Let's close a circle around that question, shall We? For comparisons in funding, between 2000 and 2008, the SJBMC received exactly four federal fund awards, for the total of $22,848,733 over that span. Now granted (pun intended), this is not revenue with a lot of profit, but it does denote an institutional ability to get jobs done.

In that time span, tracking only the two other private medical schools in Puerto Rico, you will find the following awards:

Ponce School of Medicine -- $5,008,075.

Universidad Central del Caribe Medical School -- $6,092,289.

Universidad Central del Caribe -- $550,289 and $5,576,264.

Ponce School of Medicine -- $5,317,538.

Universidad Central del Caribe -- $237,740 and $332,844 and $7,765,360.

Ponce School of Medicine -- $7,672,536.

Universidad Central del Caribe: -- $208,935 and $251,951 and $7,584,175.

Ponce School of Medicine -- $7,417,070.

Universidad Central del Caribe -- $262,394 and $392,541 and $6,349,547.

Ponce School of Medicine -- $8,045,161.

Universidad Central del Caribe -- $358,970 and $6,972,037.

Ponce School of Medicine - $5,793,999.

Universidad Central del Caribe -- $5,994,906.

Ponce School of Medicine -- $7,088,814.

Ponce School of Medicine -- $5,220,078.

Universidad Central del Caribe -- $6,505,781.

2008 (only Quarters 1 & 2):
Ponce School of Medicine -- $497,469.

Over the same time span, the other two private medical schools in Puerto Rico had at least the following totals:

Ponce School of Medicine:  $41,735,127 (averaging $5,216,890 a year).

Universidad Central del Caribe:   $55,436,323 (averaging $6,092,297 a year).

So SJBullshitters: What happened to that money stream?

What happened with the federal fund stream that pumped $22,848,733 into the SJBMC over a 5-year period?

Why did the federal fund stream dry out around 2007, when the School received its accreditation? 

How is it that the School listed for the LCME Status Report (covering 2010 data) only $78,220 in federal funding for 2010? Yet it also declared a total revenue of $7,657,164, with $5,319,348 in expenses, leaving a gross profit of $2,337,816.

What happened to that profit, SJBullshitters?

While the other medical schools add $5.2 million and $6.1 million a year to their revenue stream, the SJBullshitters can only claim $78,220 for one year. No wonder the School gets 70% of its revenue from students: Brugal MenDacious and the SJBullshitters fucked up the SJBSOM's federal funding potential.

So how did they do it? Could it be that the SJBullshitters--as a commenter suggested--were caught commingling funds, robing Sam to pay Pedro, or Enrique or Marta or someone who shouldn't have been paid with federal funds? Or did they violate some other financial, legal and/or ethical standard? Again?

And another thing: how bad is the SJbullshitters' incompetence? Even when they were allowed to compete for federal funds, they were unable to match the other local private medical schools in leveraging the three huge advantages they share for federal funding:

1) A region with higher poverty levels than almost anywhere in the States.

2) Minority (Hispanic) status, with the concomitant sociocultural angles.

3) Unique (in the U.S. of part of A.) socio-economic demographics and health-care infrastructure.

[I'm not saying these are good things, only that they are relevant to every aspect of procuring federal funds.]

How much would $4 million a year, less than the other two schools average, help the SJB School of Medicine? How much would it have helped to avoid the precarious situation the School has been since 2007, culminating in the loss of accreditation? Why isn't that funding making a difference now? 

Because these questions are fundamentally relevant to firing the SJBullshitterss, We have to ask Brugal MenDacious and her lying liars, loudly, insistently and with ferocious intensity: What happened to take the reality and potential of federal funding away from the SJBSOM?

The Jenius Has Spoken. 

[Update: 28 Nov 2011: San Juan Bautista Hospital employees protest that their jobs are about to be terminated under the new deal with the Menonita Hospital group. At this time (5:44 PM), no SJBullshitter has responded to either employee requests for information nor provided a written response to a local TV news department (WAPA-TV), as they said they would. Lying liars need to be hit. Hard.] 

25 November 2011

If True, Then Kick Yocasta Brugal & The Board Out NOW

From the Comments to My previous post Stiff Yocasta Brugal & Her Lying Liars concerning the situation at the San Juan Bautista School of Medicine (SJB):

One little known fact is that the chairman of the Board Aracelis (sic) Roque hired her son to be the lead attorney for SJB...  

Feds are looking into a commingling of funds problem...  

Fraud, misrepresentation lawsuits being prepared, SJB has to be taken over in order to survive, the name should be changed and a new identity given by a reputable institution of higher learning.

The anonymous commenter has left Us with a few points to ponder. Let's take the first one, that the Chairman of the Board of Trustees Aracelys Arroyo de Roque hired her son to work with the SJB.

First of all, Arroyo might be the Chairman of the Board, but she's listed only as a member of the Board (along with legendary golfer Chi Chi Rodríguez) in the 2008-2010 SJB catalog. That would mean she rose to the Chairmanship after 2007, in other words, after the SJB received its accreditation.

Why is this significant? Because it means that Arroyo has been privy to what the SJB administrators, particularly Yocasta Brugal MenDacious, have been saying or doing for the past 4 years, the period covering denied accreditation/granted on appeal/withdrawal of accreditation/placed on probation after appeal. Toss in the Hospital fiasco and you have a log that looks like the last 8 hours of the Titanic...only with barely enough lifeboats.

This places Arroyo in a position of full--let Me repeat that--full responsibility for what has happened in the SJB and for what the SJBullshitters have wrought. If from that position she has committed a serious ethical breach along the lines of hiring her own son to be the legal counsel for the School, then she not only confirms what We've been thinking about the SJB and its pusillanimous Board (and what I've been saying with sneering contempt), she has placed herself and the Board squarely in the argument of "Dump them as part of the SJBullshitters."

Point two. Commingling of funds is not proper financial management, crossing legal and ethical lines. It simply means using money entrusted for one purpose on another.  In the case of the comment above, one needs to stress that federal funds are never--repeat, never--to be commingled. Quoting: "The federal government especially forbids commingling their funds with other funds because they want federal grants to be used only for the purposes intended by Congress... If you do...they will pull the plug on the program and take their money back plus a penalty."

The commingling issue is made very clear at every step of the federal funding process, from RFP to grant award to funding award and subsequent audits. If the commenter is accurate, then We have further potential confirmation that the SJBullshitters did a shitty job with money management and federal funds, causing the School to lose potential monies that nearly every other medical school uses broadly. That incompetence led to decisions like straining already over-used clinical resources by bringing in students from other Caribbean med schools in a desperate search for cash flow...a key issue in the subsequent loss of accreditation.

So is the commenter's closing paragraph any surprise? Is there any doubt that the shadow spasms of incompetence desperate to cover their baboon asses is emerging into sharper focus? And is there any doubt that pushing the SJBullshitters out NOW is the only way to truly correct the chaos?

The Jenius Has Spoken.

24 November 2011

Stiff Yocasta Brugal & Her Lying Liars

Happy Thanksgving! Thank you for visiting The Jenius any day of the year. 

In a surprise announcement, the San Juan Bautista Hospital (SJBH), affiliated in some nebulous way with the San Juan Bautista School of Medicine (SJBSOM), incompetently run by the SJBullshitters (SJBullshitters), reports it is to be purchased by the privately-owned Menonita Hospital Group.

In one action, the SJBSOM's lack of clinical resources could--could--be improved. Given that the School is on probation now, after a fulminating loss of accreditation in early October, strengthening an obvious weak point, a vital component for accreditation, seems like the right move.


The Menonita Group purchase of the SJB Hospital might be honest...from the Menonita's side. They currently operate two successful hospitals in nearby Cayey and Aibonito, as well as a handful of clinics in the same areas. A geographic expansion into a larger regional city, albeit with a troubled hospital, is a good move. But is this as clear as it appears to be, the straight-up salvaging of a weak hospital?

Let's be objective:

1) It is possible that the Menonita Group (MG) was already negotiating with Brugal MenDacious before the LCME arrived in March after finding out--from a press report--that the SJBH had filed for bankruptcy in February. Maybe placing it in bankruptcy was part of the "sweetening" of the deal to make the Hospital more appealing to the MG. (It happens.) But if that is the case, and given the enormous weight the LCME gave to the SJB's very weak clinical resources since 2007, why didn't Brugal MenDacious and her lying liars not mention any of this potential deal in their """defense""" of the School's accreditation? 

The Menonita Group would benefit more from the School being accredited, the Hospital would be more valuable to the LCME (for SJBSOM accreditation purposes) under MG than under the SJBullshitter's fecal-foolish follies and the deal could conceivably have bought the School time and not lose its accreditation. Any of these reasons would make at least mentioning the potential deal an absolute must, never mind all three--but only if the deal was already in the works.

2) Conclusion: the MG deal is recent, at least no older than late September. Why? Because the Appeal Panel hearing was in mid-September, and if--a huge "if"--Brugal MenDacious had the brains God gave a gangrenous bone(-headed) tumor she might have anticipated the School getting hammered badly and opened a channel to the MG as early as mid-September. But that would be giving her credit she hasn't shown she deserves. Ergo, the deal dates from after the loss of accreditation letter on October 3rd, meaning that Brugal MenDacious and whatever lying liar she used as a go-between (I'd look to the Board of Trustees on this one...) basically put this deal together in about 6 weeks.

Think about it: if Brugal MenDacious were operating from a basis of honesty and good faith at the (broken) helm of the SJBSOM and Board VP of the SJBH, would she have any reason to not talk about the Menonita Group? If she were operating in the best interests of the SJBSOM and the SJBH--a postulate with about as much evidence behind it as creationism--(a) couldn't she have avoided the loss of accreditation mess and (b) wouldn't the timing of this deal be different, i.e., earlier?

3) Given these premises, doesn't it seem that the deal is not exactly a godsend, but is probably another "trick" in the lengthy "Cover Lying Asses" saga of the SJBSOM and the SJBullshitters? To wit: what did the SJBH and the SJBSOM give up to close the deal? Note I'm not accusing the MG of any wrongdoing; Let's face it, they don't have to do anything even remotely off-center to get this hospital because the urgency is entirely on the other side. It's a buyer's market...and the seller is a desperate group of shitheads.

Did the SJBSOM get a good deal? Depends. The students should benefit from an expected exponential improvement in the Hospital, as well as having additional clinical resources. But is the School better off? What's going to replace the roughly $1.7 million revenue the SJBH gave the SJBSOM, an amount so significant that Brugal MenDacious made a point of including it in the Status Report appeal to "prove" that the School didn't receive 70% of its total revenue from student registration and fees, but only 50%...when the national average is 4%.

What exactly did the SJBSOM give up? What exactly are they hiding with this deal? And for those of you objective (or foolish) enough to ask "Why would they be hiding anything, Jenius?", let Me reply: read every Jenius post and comment made on this issue, as well as the Status Report and other documents. They hid the hospital's bankruptcy. They hid the loss of accreditation. They hid(e) the Status Report. They hid(e) their finances. The SJBullshitters have earned that nickname repeatedly. What makes anyone think they are changing stripes now?

So here's My call: Stiff Yocasta Brugal and her lying liars. (And that's funny because Brugal MenDacious is a forensic specialist, or as Jerry called them, a deadhead. Please feel free to chuckle at leisure.) Students, don't register until Brugal MenDacious and her lying liars are fired. Dumped. Tossed out like garbage. Their argument, and that of their feeble-minded apologists, that the School needs money now that it is on probation is facetious at best and fraudulent at worst. The School always needs money, but a well-run School earns it: no need for begging. And without a trustworthy administration, collecting student registrations and fees for a semester that could knowingly end in disaster is tantamount to theft on their part and outright foolishness on yours.

Put the pressure on Brugal MenDacious and her lying liars. Get her out of her fouled nest before she and her lying liars leave on her own terms, gained at your expense and that of equally-mistreated employees. Do it now...or watch as the whole lying house of cards collapses in the coming months.

As one of My commenters said, in closing: You have been warned.

The Jenius Has Spoken

21 November 2011

Yocasta Brugal: Fire Her Now

In a surprising development, the Liaison Commission on Medical Education (LCME) reversed the San Juan Bautista School of Medicine's loss of accreditation (Public Announcement, 18 November, 2011). The SJBSOM is now under probation, pending a visit by the LCME in late January/early February 2012. The good news: The students, including Mrs. Jenius, can continue or complete their studies under accreditation, a huge academic and professional difference. The bad news: I was wrong about the possibility of a reversal, but I can take that because the right decision was made and I have been right about everything else.

Which brings Us to worst news: Yocasta Brugal MenDacious and her lying liars are still at the head of the SJBullshitters. And the possibility that they will get kicked out on their fat asses anytime soon seems remote. My guess is that they won't be kicked out before the LCME visit and I would LOVE to be wrong about that.

But I won't be.

The reasons to kick these incompetent lumps of uselessness out are legion, and many of them have been detailed in previous Jenius posts and the comments. (Check out "Yocanda Brugal: Incompetence Recognized" for a lengthy comment thread.) There are plenty of reasons, in truth, a veritable excess of plenty of reasons why Brugal MenDacious and her ilk have to go. The disease is diagnosed, the remedy is obvious and has proven quite often to be the successful cure for the disease. But the will to act is missing. And without the will, the action doesn't exist.

The will can only come from two collective minds: the Board of Trustees, a gang of monkeys with the total integrity of a frog's cloaca. Their interests--based on their inaction so far--seem to be deeply intertwined with that of Brugal MenDacious and the lying liars, so the incentive to dump their partner/ally/crony/shield/protector/benefactor is virtually nil.

The second group is composed of the students. If the students raise their voices in clear objections to giving the S.S.JBullshitters back to the captain and crew that piloted the leaky vessel into rocks, eventually that captain and crew will be replaced. Staying silent, acquiescing, granting approval by simply continuing with business as usual will doom the SJBSOM to lose its accreditation in 2o12. And this time, it will be for a very long time. I have absolutely no doubt on that point.

A comment on the post linked above called for the students to refuse to register for classes until Brugal MenDacious and her lying liars leave. Good start. But more needs to be done. There are three flanks to attack:

1) Revenue: Why is the SJBSOM begging for scraps from Antigua and the Dominican Republic?

2) Federal grant funding: Why is the SJBSOM so utterly useless in securing funding that nearly every other private medical school receives in bulk?

3) Clinical services: In a nation with a huge population density and complex widespread health problems, why can't the SJBSOM develop alliances and programs strong enough to secure accreditation?

Here's the crux of the matter: the SJBSOM is a miserable failure as a healthcare resource, and its recent actions prove it is also a miserable failure as a school. For the students, some 30-40 of whom have already chosen to leave, the battle must be seen as more than "getting Mine now": it has to be seen as "getting better for all Our sakes."

The chance to turn the SJBSOM from a pigsty run by retarded barnyard rejects into a worthy institution has to be won now...for if it isn't, if the animal farm is allowed to continue its manure-dumping ways, then the SJBSOM will quickly become shuttered, ignored by everyone as it closes its doors.

At that point, it would be very much like locking the door after the horse is gone, so why don't We focus on kicking the horses' asses out first and then making sure the barn is run by competent people?

The Jenius Has Spoken.

12 November 2011

It's My Birthday!!

Yes. It's that magical tiME of the year (and those who know ME know I MEan "almost all the year") when the world celebrates My Birthday! The cakes have been baked, the candles have been warehoused in hangars (very funny, people) and the chili's hot enough to strip chroME from a new bumper. So We are ready!

What can I say about a year that saw ME get married and be happy? Well, for one thing, I can say: Thank You, Mrs. Jenius! I love you!

What can I say about a year that saw My Son excel in school (MEdals enough to start a museum) and on the basketball court (All Star selection and solid MVP candidate)? I can say: Well done! You're admirable in so many ways! I love you!

What can I say about a year that saw true friends step up and others lose the label "friends" as they pulled away in haste? To My Friends: you're all gifts from the Universe. To the others: I'm giving you back to the Universe. I expect refunds.

What can I say about a year that saw My Family struggle to deal with daily life and eMErge tempered? Family is the heart of a society, and as for My Family, its heart beats strong.

What can I say about a year where My Island sinks ever lower into a morass of violence and corruption? I can issue a warning: the reckoning is coming, jackals. It won't be pretty. For any of Us.

What can I say about life in general as I tack on another digit to My age? That it is tiME for a fundaMEntal change in My life. The groundwork has been laid for Me to move on to new challenges, to wholeheartedly pursue My ambition and push My talents to the utmost.

To My chagrin, I haven't challenged Myself seriously in almost four years. That's just wrong. What's the point of Life if not to tackle new challenges and explore new horizons. "Life is either a grand adventure or it is nothing." Helen Keller said that. And if she could pull that off, why can't I? Why can't We?

So here's to Me, to My Birthday and the chance to whoop it up with loved ones near and far. And here's to facing Life's challenges, from the personal to societal, with verve, will and integrity. It has been--overall--a great year for Me; I can foresee next year being even greater.

Hopefully greater for all of Us.

The Jenius Has Spoken.

10 November 2011

Yocasta Brugal Should be Fired

Yes, I've been fairly quiet lately. Steaming, if you want to know. But I have some announcements to make, so here they are:

1) Yocasta Brugal should have been fired as Head Dissembler of the San Juan Bautista School of Medicine.

2) That the SJBSOM's Board of Trustees has not done that is because they are cowards, "spineless sea cucumbers" I called them, whose lack of integrity is another cesspool in the SJBullshitter's arsenal. (Think about it and you'll agree I'm right. Again.)

3) I have read the LCME's Status Report that triggered the decision to take away the SJBSOM's accreditation in June of this year. Doubt Me? Here's a quote that has not appeared (as far as I know) in the public documents of the case: The financial health of the school of medicine depends heavily on student tuition/fees. Aside from one contract to provide mental health services to the Commonwealth's correctional facilities, there are essentially no other revenue sources.

Furthermore, a quick bit of research indicated that the average revenue percentage a private medical school receives as student tuition/fees is 4%; at the SJBSOM, it was 70%.

Seventy. Percent.

Where are the service contracts for the SJBSOM? Is providing mental health to cons the only thing the SJBSOM is good for? Apparently so, according to Brugal MenDacious.

Where are the federal funds that support research and community-based studies, a bread-and-butter staple of nearly all private medical schools? Is the SJBSOM somehow unable to access these funds? If so, why? Could it be lack of resources? Could it be a lack of initiative, talent, imagination and competence by the SJBullshitters, led by Brugal MenDacious? Or is it that in some way the SJBSOM is barred from seeking and securing federal funds?

Where is the decisive action from the Board of Trustees? Again, quoting Me: "Their job is to ensure that the SJB stays on track, legally, ethically, academically and financially." It is beyond ANY doubt that Brugal MenDacious and her raving band of deluded lunatics have failed to protect the SJBSOM academically. In doing so, they have seriously transgressed ethical bounds, have seemingly gutted the school's finances (the stated "Net Revenue" of the SJBSOM for FY 2009-2010, Total Revenue minus Total Expenditures amounted to $2,337,816--that's gross profits people) and have, through their demonstrable incompetence and venality exposed the School to massive legal action. So why hasn't the Board acted?

Because they are useless. Or they are part of the abject failure. Or most likely, both. "Thick as thieves," as Theodore Hook would say.

Yocasta Brugal should have been fired. Summarily. That "summarily" also goes with "executed" is nothing but a conscious choice on My part.

This coming Monday, the 14th, something called a Dr. Márquez will lead the (cough-chuckle-spit noisily) """charge""" to rescue the SJBSOM from the new Court-ordered Appeals Panel. As the evidence hasn't changed and the primary missions on both sides remain the same as well, I foresee another unanimous bitch-slap against Brugal MenDacious and the lying lumps of lamebrains masquerading as "administrators" and "trustees."

I'd tell these sacks of human waste to "Fix this!" if it weren't for two facts: they will never--never--know how and they never--never--should have made this happen in the first place.

The Jenius Has Spoken.

25 October 2011

GasoDildo, Monkeys And Richard Branson

Having had My head all up in horse's asses masquerading as medical school administration and accreditation officials, I find Myself in the need of catching up on certain topics that whiffed by as SJBullshitters and LCMEBackstabbers played shitball with some Our medical students.

And yes, My vocabulary has gone to potty over the past two weeks.

Item The First: Over 200,000 of My Brethren are fraudulently receiving free phone service. I think I'm in the majority of My People when, upon reading that headline, I thought: Only 200,000? The subsidy, obviously meant for the very poor and the elderly who live on a meager fixed income, became a boondoggle for morally-inept intermediaries and bare-faced liars. (And there I go again, talking about the SJBullshitters and the LCMEBackstabbers! Damn My multi-laned super-expressway no-speed-limit mind!)

There will be, of course, an investigation, and We can expect that, oh, about 20,000 of those riding the airwaves free will be dropped from the list. But the pattern that emerges is: Something "free" offered, it gains traction, attracts "players" who become "agents" extending the "free," greedy bastards get into the "free," there's a "discovery," fru-fru ado, a few greedy bastards get dropped and the scheme gets more lucrative for the "player-agents." Watch the pattern emerge, if you can stomach it.

Item The Second: From the venerably-senile Washington Post comes the news that "hundreds of non-native monkeys" have been eliminated in southwest Puerto Rico. Okay, good start. First because it's about non-native monkeys, seeing as how Our only native monkeys are in government and media, with a small sickly tribe of them trying to run a medical school under the bossiness of a non-native addled ape. Second, it's about My part of the Island. And third, because it highlights the serious danger these monkeys pose to Our local economy and health. And for those with brain PETAchiae, shut up. Yes, the monkeys didn't ask to be brought here, but unless you're willing to pay to have them all captured and sent back "home," shut up. The sooner We eliminate all the monkeys, the better. And the non-native ones, as well.

Item The Third: From the venerably-senescent New York Times comes the "news" that the GasoDildo has plenty of critics. Really. It actually does, from the home-owners who are about to get raped in the expropriation process to the environmentalists who rightly point out that a 93-mile gas pipeline is fucking ridiculous and dangerous to the Army Corps of Engineers who keep saying "No, you can't build the GasoDildo any way you want, you have to actually build the damn thing." The subtext: No, you can't simply take the money and run, you have to actually make an effort to steal it.

Will the GasoDildo save Us money on Our electrical bills? Probably. Our electrical bills will most likely go down, seeing as how they are artificially-inflated right now. But there's costs and then there's costs: what the GasoDildo represents is a huge widespread cost to Our economy, integrity and well-being versus a tiny individual cost reduction. To be blunt: do you want Us all screwed for a "savings" of a few dollars a month? I certainly don't know about you, but I'm not a whore...much less a cheap one.

Item The Fourth:  U.S. of part of A. Education Arne Duncan was here, eyeing the macabre state of (mis)education We have. Pretty much coinciding with his visit, We all learned that the local Education Secretary was stealing electricity, the same charge (pun intended) that cost the Executive Director of the Power Authority his job. Yes, government """"leaders"""" stealing electricity, which means We ol' common folk have to pay more, thus KY Jellying the way to a GasoDildo gang-rape/brazen theft, which in terms of getting screwed by hypocrites and liars does have some parallels with the SJBullshitters and the LCMEBackstabbers.

Where the hell was I? Oh. Arne Duncan. Comes down here and prosletizes that We must "de-politicize" Our education department. Really. He is absolutely right, for We have had it (or should have had it) with a system that changes direction every time it changes color, with one party eliminating what the previous party did because it was there and jamming the whole latrine with even more turds.

But. (Near-pun intended.)

Duncan represents the epitome of politization of education. Education in the U.S. of part of A. system is a State responsibility, and since the 1980s, the Federal government has been encroaching and invading that responsibility, using money to literally buy into, if not outright bribe, state education systems. No Child Left Behind has been a disaster, seeking to impose one standard across all states, in exchange for billions of dollars.

And what "state" has the largest dependence on federal education funds? Puerto Rico.

Duncan, before you waft mouth-farts as if your soapbox placed you on high, shut the fuck up and actually dismantle the problem first. Yes, We have a problem and We've had it since 1968, but you came here to preserve the status quo, not change it. That makes you part of the problem.

Item The Fifth: Virgin Airlines, Richard Branson's corporate crown jewel, was born in Puerto Rico. Go ahead, read about it, and note the implied lessons for Us: (1) Rather than bitch and moan about his ploght, he took direct, practical action in an imaginative way; (2) He had the resources to do so, but if not, he would have negotiated and sold his way to them and (3) He created an offer that was fair and still led to profit.

Imagination, thinking big rather than small, looking beyond himself and his id, hard work, seizing an opportunity creatively rather than greedily, believing in himself... Richard Branson is a rare individual, not because of his character, but because he has used his character to make big things happen. But make no mistake: character comes first.

In Puerto Rico, We act like success creates character. We have got it so wrong.

The Jenius Has Spoken.

[Update: 26 October 2011: "Hidden" expropriations and lies going on with the GasoDildo in Utuado. Who do We have to shoot?]

23 October 2011

SJB & LCME: Silence = Greed & Cowardice

From a Comment left on My very long "Bitch-Slapping Brugal, SJBullshitters And The LCME" post, just below this one:

Anonymous said... 

Absolutely, the whole steering committee for preparation for the LCME visit had to know as of at least June 13, 2010: 

Alvaro Perez 
Marta Garcia 
Shirley Valentin 
Sandra Chinapen 

ALL of the DEANS and likely more characters..

My response: Okay, they must have known. Looking at the situation, the LCME comes to the SJB in April, in a surprise visit directly-related to the Hospital's bankruptcy, pushes hard on the SJB to show its mettle (note the level and breadth of information requested), comes back with a hard-hitting Report (not yet revealed in public...yet) that suggests that the SJB's accreditation is seriously at risk and a letter to that effect--withdrawal--from the LCME to the SJB goes out June 13th. An appeals process is now a certainty.

Given this situation, wouldn't it stand to reason that:

A) Anyone directly involved in dealing with the LCME visit would want to know--or seek to find out--where the SJB stood after the visit?

B) That Brugal, no matter how incompetent or competent (chuckle...giggle...ROFLMAO) she may be, would HAVE to notify somebody and get other SJB personnel involved in fighting the withdrawal, and that the best allies for that defense would be the same people whose jobs it was to present the basic case and fight hard to save their jobs? (Note: NOT "help the students": SAVE THEIR JOBS.)

C) That the SJB--and the LCME--each adhering to their own convenient "best interests," ended up effectively CONSPIRING AGAINST THE STUDENTS, in essence, hiding behind "confidentiality" when that so-called "right" consistently and deliberately exposed the students they "swear" they serve to a chaotic situation that the students could have CHOSEN to avoid?

It is safe to say that the SJB imposed a very strict code of silence on their personnel to keep the SJBullshitters from being exposed as a pack of incompetent failures. It's certain that the employees--key and ancillary--were told that if they stepped out of line and told anyone about the SJB's situation, their jobs would be at stake.

But here's the thing: their jobs were at stake anyway. The SJBSOM had lost its accreditation and was very close to losing it for several years, a devastating blow that undermined every program they offered, if not directly, then indirectly by being painted as a school that wasn't up to LCME standards. The expected result of this accreditation loss would be a huge drop in registered students, possibly killing their new Nursing and Public Health programs. The SJB was in grave danger: and the students were deliberately not told.

Was the SJB required to tell them? Not according to LCME Procedures, for there are no guidelines about what a school is required to do or say when withdrawal of accreditation is decided.

However. How-motherfucking-ever...

On page 17 of the Rules of Procedures documents specifies that:

Any program placed on probation must promptly notify all enrolled students, those newly accepted for enrollment, and those seeking enrollment, of this accreditation status; failure to do so may result in withdrawal of accreditation.

That is for probation, a status that the LCME says allows the following: "Programs placed on probation retain their accredited status with all of the rights and privileges conveyed by such status... (Rules of Procedures, page 17; emphasis Mine.)

So let Me get this clear: A school placed on probation--where essentially NOTHING fucking changes--HAS to, is FORCED to, is REQUIRED to, is OBLIGATED and COMPELLED by the LCME to tell every student, enrolled or prospective, that the school is on LCME probation...but a school slammed with LOSS OF ACCREDITATION, under LCME Rules of Procedures, has NO requirement, NO obligation and is NOT forced to tell any-fucking-body?

And this is how a responsible organization """protects""" students? Really? Motherfucking REALLY??

Fuck the LCME and the horse's ass Rules of Procedures they rode roughshod over the students with.

Did the SJBullshitters fail, in a multiplicity of ways, including not being honest and responsible with students? Hell yeah, and We're going to find out much more; I guarantee it.

Did the LCME play coy with its own self-defined mission of """protecting""" students? Hell fucking yeah. Slapping a warning on a medical school to "shape up or ship out" merits a clarion call to students, but a decision that wrecks academic plans, maligns careers, wrecks budgets and hurts the students more than it could EVER fucking hurt the school is treated like "don't mention it" gossip?

SJBullshitters "followed orders," the infamous Nuremberg defense, though the crime here was mere selfishness and greed.

The LCME followed "rules" that were obviously flawed and in direct denial to a "responsiblity for a greater good." There's no need to label that attitude and behavior with a 20th-century label, because from time immemorial it's been called craven cowardice.

The Jenius Has Spoken.

21 October 2011

Bitch-Slapping Yocasta Brugal, The SJBullshitters And The LCME

Here's what I said about the San Juan Bautista School of Medicine losing its accreditation on October 3rd: that it was the result of negligence and incompetence; furthermore, that Yocasta Brugal and the School's administration was lying.

As I posted yesterday: I was fucking right. On all counts. And more.

I could be pedantic and insufferable and even more condescending than I have been with these idiots by defining the simple terms I used. So I will:

            negligence  Noun: (1) Failure to take proper care in doing something. (2) Failure to use reasonable care, resulting in damage or injury to another.

            incompetence  Noun: (1) not possessing the necessary ability, skill, etc. to do or carry out a task; incapable. (2) marked by lack of ability, skill, etc.

            lie  Noun:  (1) a false statement made with deliberate intent to deceive; an intentional untruth; a falsehood. (2) something intended or serving to convey a false impression; imposture. (3) an inaccurate or false statement. 

On October12th, the SJBullshitters filed a lawsuit seeking injunctive relief from the loss of accreditation by the Liaison Committee on Medical Education (LCME; due for their own bitch-slap further ahead). As reported by Me in News Is My Business, Judge Gustavo Gelpi of the U.S. District Court in San Juan postponed the decision until October 31st,directing both parties (School and LCME) to invite amicus curiae (friends of the court) to provide briefs concerning the potential impact of granting or denying the injunctive relief on health care and medical education.

That decision, made public on the 20th, provided access to documents related to the case. Although some 20 documents were filed by the LCME in its plea for rejection of the injunctive relief, only two are needed to prove Me right on all counts. The first is listed as Case 3:11-cv-02014-GAG, Document 33, with filename15913217945.pdf, the 44-page LCME Response. I'll quote it as "LR" with the case page number included.

The second is Case3:11-cv-02014-GAG, Document 33-20, with filename 15913217965.pdf, a 12-page document titled "Exhibit Q." I'll quote it as "EQ" with case page number.

Here We go.

The LCME stated in its October 3rd letter to Yocasta Brugal MenDacious that the withdrawal of accreditation was due to "inadequate clinical resources." 

The School, in its public and very limited utterings about this devastating decision, said it was "shocked" at this result. Waffling and wasting time, their petition for injunctive relief, though, was based on the following three points (LR p.28):

            (1) That the LCME failed to provide SJB adequate notice and opportunity to be heard concerning the specific accreditation standards cited by the LCME in withdrawing accreditation;
            (2) That the SJB should have been afforded an opportunity to cure any deficiencies prior to withdrawal of its accreditation; and
            (3) That the LCME denied SJB its “fundamental right” to an unbiased decision maker by appointing a current LCME member to the independent appeals panel.

Point 1A: What accreditation standards, besides "inadequate clinical resources," were used to come to the accreditation withdrawal decision?

Quoting Me, concerning the Survey Report (Exhibit L in the case; not in hand...yet) and the SJBullshitter's refusal to make it public:

"The Report has not been released--and will not be for now--because the Report proves that the SJB was most likely negligent and possibly incompetent in dealing with the LCME's findings, thus leading to the sudden fulminating loss of accreditation."

In a nutshell, the Report found deficiencies in USMLE results (licensing exams), the SJB's income profile and yes, "inadequate medical resources," with far-reaching implications.

About the USMLE results, the LCME found that "Between the 2008 and 2010 academic years, the first-time pass rate of SJB students on Step Two of the United States Medical Licensure Examination (USMLE) dropped from 94% to 71%, whereas the national pass rate for that period was over 95%. The first-time pass rate of SJB’s students on Step One declined from 33% to 32% over the same period, as compared to the national average exceeding 90%." (LR, p.2)

Furthermore, "(T)he LCME cited the precipitous decline in percentage of students who passed Step Two of the USMLE, which tests for clinical knowledge and skills – from 94% in 2008 to just 71% in 2010, compared to the national average of 95% and above throughout the time period." (LR, p.20)

More data about these deficiencies are found in EQ page 9, with the LCME citing the "downward trend" as a sign of a "precipitous" drop in education quality. In brief, the SJB was not preparing its students to be anywhere near passing range on the very basic licensing exams all U.S.-accredited medical students must pass. The School knew this, for medical schools are judged on this very aspect (rightly or wrongly, it's part of the rules of the game) and follow-ups in 2008 and 2009 by the LCME made this a key concern. To pretend otherwise, as Yocasta Brugal MenDacious and the SJBullshitters have done, is ludicrous. Or stupid. Especially when the published LCME's Rules of Procedures, that the SJBullshitters knew about since at least 2007, (see below) state: 

[R]apid and precipitous deterioration in the quality of an educational program may be sufficient grounds for withdrawal of accreditation, whether or not a limited visit or probationary period had preceded the decision to withdraw accreditation. (Quoted in LR p.35 & EQ p.2).

The SJBullshitters lied.

The SJB's income profile was also a major concern for the LCME. As noted in EQ page 8, the average private medical school relies about 4% on tuition for its operational budgets. The SJB was deemed to have a reliance of 70%. From EQ page 9:

Comments: As noted, the number of enrolled students (and visiting students) put pressure on the already stressed clinical resources of the institution. The medical school is heavily dependent on tuition as a revenue source. Data provided by the institution (pages 18-21) showed very limited support from grants and contracts (less than $100,000), no revenue from a practice plan, and no revenue from gifts and endowments. Visiting students contributed significant revenue ($172,000 in 2010-2011, as stated in the survey report).

Those additional foreign students were also a finding against the SJB by the LCME, as admitting them exceeded a 10% increase in the number of 3rd-year students, a change the SJB was supposed to notify the LCME about and didn't. (LR p.3 & p.18). The SJBullshitters claimed that they may have "misinterpreted" the rule, saying that the 10%+ increase didn't happen in one semester, but over an academic year. 

But. The whole core of the LCME's case against the SJB was its very limited clinical resources. As We shall see, the SJB knew it was on a razor's edge with these critical educational resources. How bad was it? One example suffices, from LR page 2:

The lack of such resources was dramatic. Thus, for example, a student at SJB can be expected to have on average no more than 6 surgical experiences during a 12-week surgical rotation – as opposed to an average of 15-75 experiences during such rotations at other LCME-accredited schools.

SJB students were getting 60-1,200% less experience than the average medical student elsewhere, and yet the SJB went ahead and placed an even greater load upon their very limited clinical resources, to the extent of denying their own students access to clerkships and experience in order to take in monies from outsiders. In the words of the LCME (LR p.19):

Specifically, the LCME found that the addition of eight students in the third year class reflected a violation of ER-3 in that “[p]ressure for institutional self-financing [had] compromise[d] the educational mission of the medical education program [and] cause[d] it to enroll more medical students than its total resources can accommodate.

The SJBullshitters were negligent.

Now for the big tumor.  The San Juan Bautista Hospital is affiliated with the SJBSOM and serves as its primary clinical resource, but it does not own or operate it as such (Exhibit N, p.3; in hand.). The SJB likes to boast that it is the only medical school in Puerto Rico with such an arrangement. The LCME's increased interest in the Hospital and its effect on the School began in October 2010, as indicated in LR page 14:

In October of 2010, the LCME learned that the Puerto Rico Electric Power Authority had threatened to shut off power to the Medical Center because the utility claimed that the Medical Center owed more than $21 million in unpaid electric power bills.

The LCME requested a report on this situation; the SJB submitted its report on December 13, 2010. (LR p.14)

As the electric bill and other problems (cash flow, labor, services, safety) piled up in the Hospital, the SJBullshitters decided to "protect" the Hospital by declaring bankruptcy. Even though the Hospital was and is the key component in the School's clinical education services, here's what happened:

On March 24, 2011, the LCME learned from press reports that the Medical Center had filed for bankruptcy on March 18, 2011. (LR p.14) [Emphasis Mine].

Although nearly a week had elapsed since the filing, the LCME received no notice from SJB of the bankruptcy of its principal teaching hospital. (LR p.15) [Emphasis Mine.]

            negligence  Noun: (1) failure to take proper care in doing something.
            incompetence  Noun: (1) not possessing the necessary ability, skill, etc. to do or carry out a task; incapable.
            lie  Noun: (2) something intended or serving to convey a false impression; imposture. In this case, lying by omission.

How crucial was the Hospital? From LR page 17:

The decline in occupancy was most dramatic in the areas of pediatrics and surgery, for which SJB relies on the Medical Center to provide “almost all of the pediatric experience and approximately half of the surgical experience” for its students.

Even if SJB students had participated in each of the 211 surgeries that took place, students would have had, on average, just six surgical experiences during their rotation at the Medical Center. Id. That figure is vastly below the 15 to 75 surgical experiences per rotation that medical students have, on average, at other LCME-accredited schools. Id. Likewise, it would appear that, on average, each SJB student on the inpatient pediatric rotation would have available approximately 2 to 3 patients – while students at other LCME-accredited schools would be able to select from 12 to 18 active pediatric cases and be the primary care-giver to 3 to 6 hospitalized children at any given time.

From another part of LR, page 25:

Moreover, even these dismal figures fail to account for the fact that SJB students had to share the School’s scant clinical resources with 7 to 23 visiting students who paid the School to join rotations.

In short, the SJBullshitters played fast and loose with what amounted to at least 40-45% of their clinical education resources when they had no room to spare. They were trying to cover a king-sized bed with barely queen-sized sheets--and then they cut the sheets almost in half.

And how do these findings tie together: The LCME explains, LR page 8:

A medical school whose clinical program offers too few patient encounters or too few teaching physicians (ER-6), because it has admitted too many students (ER-1) due to pressure to finance the school through tuition payments (ER-3), will leave its students unskilled in the practice of medicine and poorly prepared to succeed on the USMLE (ED-11 and ED-15).

Too few patient encounters, too few teaching physicians, over-reliance on tuition payments leading to taking in "outside" students for cash flow, thus reducing patient encounters and experiences for all students resulting in decreased pass rates on the USMLEs. The whole SJBullshitters fiasco wrapped in a neat shit taco shoved down their students' throats.

Point 1B: How much notice, if any, was provided by the LCME to the SJB?

I'll cut to the chase. From LR page 2:

SJB was given a fair opportunity to set forth its position. The initial decision to withdraw accreditation – based on the facts set forth in paragraphs 2-4 and many others – was conveyed to SJB by letter of June 13, 2011. [Emphasis Mine.]

June. 13th.

While some 250+ students were already enrolled. While a new class of first-year students were being wooed into the SJBullshitters Lounge. While the whole fucking ball of fetid earwax known as the administration and Trustees of the San Juan Bautista School of Medicine fiddled and faddled, the SJBullshitters were aware--at every moment for almost four fucking months--that their accreditation was for all intents and purposes, gone. And they didn't day a fucking word about it.

But Yocasta Brugal MenDacious and the SJBullshitters cried--literally--that this was simply unbelievable. From page 3 of the LR, proof that they lied...brazenly:

As part of its accreditation, the President and Dean of SJB, Yocasta Brugal Mena, M.D., signed a Letter Agreement with LCME on June 15, 2007 expressly agreeing as follows: “I further acknowledge and expressly agree that the LCME may revoke or withdraw the program’s accreditation, place the program on probation, or take any other action deemed appropriate by the LCME, at any time, if the LCME continues to have strong concerns regarding the program’s ability to comply with LCME accreditation standards, or determines that the program is not in full compliance with the terms and conditions of this letter.”  In other words, SJB explicitly consented to the withdrawal of its accreditation “at any time” if “LCME continues to have strong concerns regarding [SJB’s] ability to comply with LCME accreditation standards. [Emphasis Mine.]

And furthermore, from the same Letter Agreement, signed by Brugal and quoted in LR page 12:

Notwithstanding anything to the contrary that may be stated in the LCME’s published materials, including but not limited to its policy document Rules of Procedure, I agree that the above terms and conditions are acceptable and enforceable. I further acknowledge and expressly agree that the LCME may revoke or withdraw the program’s accreditation, place the program on probation, or take any other action deemed appropriate by the LCME, at any time, if the LCME continues to have strong concerns regarding the program’s ability to comply with LCME accreditation standards, or determines that the program is not in full compliance with the terms and conditions of this letter. [Emphasis Mine].

Yocasta Brugal MenDacious signed that letter, almost four years to the day before the loss of accreditation. Could she have forgotten about it? Yes, if she was mentally incompetent, an alcoholic, drug abuser, severely-concussed, disease-addled, amnesiac, senile or a willfully stupid dunce. If she was any of those, then what was she doing running a medical school? If she isn't any of these, and simply forgot, then she is demonstrably incompetent and the SJBullshitters around her equally so, and negligent as well. And if Yocasta Brugal MenDacious didn't forget this Letter Agreement, then her saying she was "shocked" at the decision is a fucking barefaced lie. The only way she could be "shocked" is if her grasp of reality is so tenuous as to be practically non-existent...in which case, she should have resigned or been kicked out long ago.

The Letter Agreement also contains an additional salient indication fully applicable to this situation (LR p.13):

Accreditation is awarded to the program of medical education based on a judgment of appropriate balance between student enrollment and the total resources of the institution, including faculty, physical facilities, and the            operating budget. If there are plans to significantly modify the educational program, or if there is to be a substantial change in student enrollment or in the resources of the institution so that the balance is distorted, the LCME expects to receive prior notice of the proposed change. Substantial changes may lead to re-evaluation of the program's accreditation by the LCME. [Emphasis Mine].

Now why is all this so significant? Well, for one, the SJBSOM's accreditation was not granted outright, but on appeal (LR p.12). The LCME's decision was overturned by an Appeals Panel, but the situation was so borderline, the LCME placed a restriction of only four years on the term of accreditation and presented the Letter Agreement to Yocasta Brugal MenDacious. The ground rules were set then, accreditation was always under review, but more so in 2011 (when the original term was close to expiring) and the SJBullshitters failed miserably to live up to the required standards.

As the LCME states (LR p.27):

Thus, by its own admission, SJB knew that it remained under close scrutiny and that its accreditation could be withdrawn “at any time,” including as a result of the April 2011 site visit. If SJB believed otherwise, the fault lies with it, not the LCME.

As for Points 2 and 3 of the SJB's injunctive relief defense, Let's dismiss them quickly, shall We?

Point 2: That the SJB needed time to correct the deficiencies before the withdrawal of accreditation. Simple question: what the fuck were the last four years for? Rehearsal? From June 15th, 2007, the SJB was put on notice and acknowledged such notice, that it was being judged continuously. Toss the Hospital you rely on for clinical resources into bankruptcy, strain those same limited resources in a rush for cash (and parenthetically: Why doesn't the SJB get as much federal funds, or any kind of funds, as other private medical schools? Hmm?), thus undermining the students you are supposed to serve and after screwing up a 30-year march to accreditation in 4 years, you want more fucking time?! For what? Your Swiss bank retirement accounts? Just say you don't have any: We'll """""believe""""" you.

Point 3: That the decision was biased against the SJB because there was a current LCME member to the independent appeals panel. First of all, the three-person panel voted unanimously to uphold the withdrawal of accreditation. So one vote didn't matter at all (simple majority was enough.) The person in question, Linda Golodner, was the public member of the Appeals Panel and had no prior connection to the Review, the Survey Report or the SJB in any way (LR p.37). The LCME's Procedures do not forbid her participation on the panel (LR p.38). There was no possible conflict of interest (LR p.39) for she also was only able to base her decision on the information presented at the appeal, i.e., she had no prior knowledge of the SJB's situation (LR p.37).

If anything, this made Ms. Golodner the truest acid test of whether the LCME proved its case or the SJB did, based solely on the merits of the information presented. How this person could be deemed biased against the SJB would have to include the other two Panel members as well.

More SJBullshit.

There's plenty more to dissect, but the overall proof is overwhelming: I was fucking right. Yocasta Brugal MenDacious and the SJBullshitters Horde lied to the students and employees, were negligent in their duties and responsibilities to meet the LCME's standards and acted with rampant incompetence in ways that have been shown and in many ways that will be revealed (financial malfeasance, anyone?)


The LCME stated, in public and in private communication with the SJB students, that their role also incudes protecting them. Here is their version of this responsibility, from LR page 43, where they ask Judge Gelpi to uphold their withdrawal of accreditation and deny the SJB injunctive relief from that decision:

"Even if SJB and its students have been harmed to some degree by the loss of accreditation, the balance – as Judge Garcia Gregory rightly recognized – weighs in favor of the accreditation organization and the public interest."

This self-serving smarmy mouth-fart makes the LCME a hypocritical bag of horseshit. They bring to mind the vile doublespeak exemplified by "We had to destroy the village in order to save it." 

Did the SJB deserve to have its accreditation yanked? Certainly. But did the LCME properly fulfill its role as "protector of students" by not forcing the SJB to announce what was going on, or by not providing some sort of warning system to alert students that their time, money, effort and talent could be shat upon by its own decision? Fuck no, they didn't.

As a good friend pointed out: maybe not hypocritical...maybe disingenuous. Okay, Let's try that:

            disingenuous  Adjective: Not candid or sincere, typically by pretending that one knows less about something than one really does. Synonyms: insincere - false - devious - hollow-hearted

Ah, Good Friend, good call. The LCME was not candid, pretended to know less than what it knew to avoid upholding a reasonable interpretation of their self-stated responsibility to the students. Fuck the LCME as well, then. For after all, they seem to have forgotten the very basis of the physician's role: First do no harm.

The Jenius Has Spoken.