Imagine you haven't been paid for a month, despite working in a chaotic, hectic, almost demeaning situation. Part of the scenario is that the "primary company" sold another part--at a loss--and part of the transaction entailed having ALL 300+ employees fired by the new owners. Many of the now-fired employees were owed back-pay dating back several months.
Now you're in the "primary company"--which is under investigation--and you're getting very familiar signals. Your pay? No, it isn't happening. Instead of a check, you get a memo. And the latest one says...well, Let's be more specific, shall We?
Yocasta Brugal is the demonstrably-incompetent and proven liar """leading""" the San Juan Bautista School of Medicine (SJBSOM). Here's a rundown of topics The Jenius has highlighted that place Brugal MenDacious and her lying liars squarely in the category of "Serial Useless Bullshitters":
--This Is My Business Now...wherein the whole Brugal MenDacious and lying liar horde are thrust into The Jenius's sights, where they never should have been in the first place.
--Yocasta Brugal: SJBullshitter?...wherein I suggest--clearly--that Brugal is an MD as in MenDacious.
--Yocasta Brugal: Incompetence Recognized...wherein the MenDacious Moocher is defined as a useless lackwit and her "hidden" flaws are becoming apparent to The Jenius.
--If True, Then Kick Yocasta Brugal & The Board Out NOW...wherein the cracks in Brugal's leprous leadership leatherface are defined--correctly--as oozing the pus of corruption.
--Yocasta Brugal Should be Fired...wherein Bullshitter Brugal is revealed to be running (into the ground) the SJBSOM with a revenue that is 17.5 times less capable than the average private medical school.
--22,848,733 Reasons To Fire Yocasta Brugal & The SJBullshitters...wherein the SJBSOM's very suspicious lack of federal research funds and very suspicious profits are revealed as more aspects of the absolute incompetence and bullshitting that have become the hallmark of Brugal MenDacious and her lying liars.
--Bitch-Slapping Yocasta Brugal, The SJBullshitters And The LCME...wherein The Jenius pinpoints--no, nails--the horrendous performance of Brugal MenDacious and her whole hyena horde to the wall and accurately spreads some of the blame to the Liaison Commission on Medical Education (LCME), who were hypocritical at best in striking down the SJBSOM's accreditation.
--Memo to Yocasta Brugal: I Was Right...wherein I rub, smack, stomp, scrape and crush Brugal and the SJBullshitters with the fact that I was RIGHT about them, their shady actions and negligence.
--Yocasta Brugal: Fire Her Now...wherein even after the LCME was forced to reverse its decision and re-instate the SJBSOM's accreditation, I point out--with 100% accuracy--that nothing would improve until Brugal MenDacious and her lying liars were fired with prejudice...and by "fired" I didn't rule out actual flames.
--Stiff Yocasta Brugal & Her Lying Liars...wherein I suggest the students avoid registering because the Hospital sale seemed...odd. Quite odd.
--Yocasta Brugal Has Screwed 570 People...And Counting...wherein the Brugal Bullshit Bus of Thieves sells the Hospital the SJBSOM needs to provide what few clinical resources they have, not only screwing the 300 Hospital employees (fired), proving Me right again, but also the 270 students, many who lost interviews and positions in residence programs.
Now back to the latest memo that "pretends"--in an openly dishonest and lying way--to "explain" why the employees of the SJBSOM are not getting paid. Again.
According to a comment left in the Comments section of Yocasta Brugal Should be Fired, the reason employees didn't get paid this time was...the global economic situation.
NOT Brugal's undoubted and irrefutable incompetence, NOT the useless passivity and irrefutable cowardice of the SJBSOM Board of Directors (Long may they hang from the highest yardarm!), NOT the total and irrefutable negligence of the SJBullshitters, NO, none of that: it's the world's fault SJBSOM employees have to go home-again--unpaid.
When the evidence is added up, it is beyond any shadow of a doubt--any whatsoever--that Yocasta Brugal in her role as SJBSOM """leader"" is incompetent, negligent and a liar.
Period.
The phrase is well-worn by now, but it is unbelievably more relevant now than it was in October 2011: Fire Yocasta Brugal MenDacious. Fire her.
The Jenius Has Spoken.
Showing posts with label yocasta brugal. Show all posts
Showing posts with label yocasta brugal. Show all posts
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.
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:
2000:
Ponce School of Medicine -- $5,008,075.
Universidad Central del Caribe Medical School -- $6,092,289.
2001:
Universidad Central del Caribe -- $550,289 and $5,576,264.
Ponce School of Medicine -- $5,317,538.
2002:
Universidad Central del Caribe -- $237,740 and $332,844 and $7,765,360.
Ponce School of Medicine -- $7,672,536.
2003:
Universidad Central del Caribe: -- $208,935 and $251,951 and $7,584,175.
Ponce School of Medicine -- $7,417,070.
2004:
Universidad Central del Caribe -- $262,394 and $392,541 and $6,349,547.
Ponce School of Medicine -- $8,045,161.
2005:
Universidad Central del Caribe -- $358,970 and $6,972,037.
Ponce School of Medicine - $5,793,999.
2006:
Universidad Central del Caribe -- $5,994,906.
Ponce School of Medicine -- $7,088,814.
2007:
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.]
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:
2000:
Ponce School of Medicine -- $5,008,075.
Universidad Central del Caribe Medical School -- $6,092,289.
2001:
Universidad Central del Caribe -- $550,289 and $5,576,264.
Ponce School of Medicine -- $5,317,538.
2002:
Universidad Central del Caribe -- $237,740 and $332,844 and $7,765,360.
Ponce School of Medicine -- $7,672,536.
2003:
Universidad Central del Caribe: -- $208,935 and $251,951 and $7,584,175.
Ponce School of Medicine -- $7,417,070.
2004:
Universidad Central del Caribe -- $262,394 and $392,541 and $6,349,547.
Ponce School of Medicine -- $8,045,161.
2005:
Universidad Central del Caribe -- $358,970 and $6,972,037.
Ponce School of Medicine - $5,793,999.
2006:
Universidad Central del Caribe -- $5,994,906.
Ponce School of Medicine -- $7,088,814.
2007:
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.
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.
Seems.
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
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.
Seems.
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.
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.
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.
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.
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.
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?)
But.
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.
20 October 2011
Memo to Yocasta Brugal: I Was Right
Dt: 20 October 2011
Re: The San Juan Bautista School of Medicine and its president/dean Yocasta Brugal
Four posts; thousands of words and My accusation that the SJB and Brugal were lying and negligent, thus precipitating the loss of accreditation of the School: I was right.
Let Me emphasize that: I. Was. FUCKING. Right.
Action Item: Proof on the way, in this forum and any other I can cajole, beg, plead, wheedle or convince should expose Brugal and the other shitheads who fucked 270+ students by shitting on their dreams, aspirations and career choices out of sheer incompetence and proven negligence.
Action Item: For all you pusillanimous airheads who have a nascent thought--your first--that I'm somehow incorrect or out of line: Prove Me wrong. In English or Spanish, bitches. I dare you.
Conclusion: I. Was. FUCKING. Right. For what it's worth.
The Jenius Has Spoken.
Re: The San Juan Bautista School of Medicine and its president/dean Yocasta Brugal
Four posts; thousands of words and My accusation that the SJB and Brugal were lying and negligent, thus precipitating the loss of accreditation of the School: I was right.
Let Me emphasize that: I. Was. FUCKING. Right.
Action Item: Proof on the way, in this forum and any other I can cajole, beg, plead, wheedle or convince should expose Brugal and the other shitheads who fucked 270+ students by shitting on their dreams, aspirations and career choices out of sheer incompetence and proven negligence.
Action Item: For all you pusillanimous airheads who have a nascent thought--your first--that I'm somehow incorrect or out of line: Prove Me wrong. In English or Spanish, bitches. I dare you.
Conclusion: I. Was. FUCKING. Right. For what it's worth.
The Jenius Has Spoken.
15 October 2011
Video Of Bullshit Being Sold
The Jenius has been hammering the San Juan Bautista School of Medicine situation, and its feckless leader Yocata Brugal, with metronomic severity. In essence, calling "bullshit" on their bullshit. To My surprise and with a humbling touch of pride, it has become the headlining piece in the Puerto Rico section of Global Voices Online, courtesy of Janine-Mendes Franco.
Here, courtesy of the San Juan Bautista Students blog (and note in passing, people, that The Jenius has been using public sources only; the SJBullshit Purveyors are consistently revealed by them), is the video series from the October 13th meeting with 4th year students' parents.
If you have the iron stomach to go through all this, note four things:
1) How little information these verbal diarrhea sufferers actually provide.
2) How they try their damndest to incite sympathy/pity for "their plight," the absolute mark of the spineless bullshit mook.
3) How they try their damndest to "unite efforts" against the LCME in a "Don't hit me because I fucked up royally!" bait-and-switch ploy.
4) How only 1 or 2 people actually try to call them on their bullshit, how the vast majority of these people, with pain, anger and frustration over this mess, basically let the SJBullshit-Mongers keep shoveling the crap.
True, there isn't enough information to know how to react to all this because there hasn't been enough information shared, period. But that was the whole fucking purpose of this meeting, their first in a proposed series of 4 meetings stretching to October 19th meant to delay and increase the level of obfuscation to silo-deep proportions.
I bet none of you will watch these videos. That's okay. When the SJBullshit hits the fan, and the fallout clarifies the situation, you will then see that these videos prove My points, all along.
Oh, and the injunction information they """promised""" for Friday, the 14th? What do you think happened? Or should I say, didn't happen?
The Jenius Has Spoken.
Here, courtesy of the San Juan Bautista Students blog (and note in passing, people, that The Jenius has been using public sources only; the SJBullshit Purveyors are consistently revealed by them), is the video series from the October 13th meeting with 4th year students' parents.
If you have the iron stomach to go through all this, note four things:
1) How little information these verbal diarrhea sufferers actually provide.
2) How they try their damndest to incite sympathy/pity for "their plight," the absolute mark of the spineless bullshit mook.
3) How they try their damndest to "unite efforts" against the LCME in a "Don't hit me because I fucked up royally!" bait-and-switch ploy.
4) How only 1 or 2 people actually try to call them on their bullshit, how the vast majority of these people, with pain, anger and frustration over this mess, basically let the SJBullshit-Mongers keep shoveling the crap.
True, there isn't enough information to know how to react to all this because there hasn't been enough information shared, period. But that was the whole fucking purpose of this meeting, their first in a proposed series of 4 meetings stretching to October 19th meant to delay and increase the level of obfuscation to silo-deep proportions.
I bet none of you will watch these videos. That's okay. When the SJBullshit hits the fan, and the fallout clarifies the situation, you will then see that these videos prove My points, all along.
Oh, and the injunction information they """promised""" for Friday, the 14th? What do you think happened? Or should I say, didn't happen?
The Jenius Has Spoken.
14 October 2011
Yocasta Brugal: SJBullshitter?
Once again, this is My business now. You know why.
In what was clearly a sham of a meeting, the San Juan Bautista School of Mendaciousness spoke for a long time and what it said tonight (13 October) amounted to absolute, unmitigated and barefaced lying. (Videos of the meeting on the SJB Students blog).
Where to begin? Okay, the injunction. Faced with the devastating and complete destruction of their medical school as an accredited institution, a legal action to at least stop, delay or overturn the LCME's decision (the accrediting body) is a necessity. For clarity, here's what an injunction is and does:
"An injunction is an equitable remedy in the form of a court order that requires a party to do or refrain from doing certain acts... This injunctive power to restore the status quo ante, that is, to make whole again someone whose rights have been violated, is essential to the concept of fairness (equity)."
Seeing as how 270+ students are now in medical school hell, and that the meeting is with their parents to help them cope with the situation, you'd think--you'd really think--that the SJBSOMendaciousness would be crystal clear on what it is doing to restore or prepare the way to restoring the status quo ante.
You'd think. And you'd be wrong.
When questioned by parents, including one who is an experienced trial lawyer, about the injunction, the liars could not exactly say who was filing the injunction (they didn't have the law firm's name at hand...so they say), nor exactly when it was filed, nor in what court said filing was made (I shit you not) nor even what the injunction's purpose was, exactly. And they dropped this little fillip in there, too: the first injunction was denied.
Think about this: Ten full days have passed since the boom was lowered on the SJBSOMething's Fishy Here and so-called Stanford Who's Who Who Can't Answer Anything doesn't know exactly what the legal remedy they are taking is about, even though something had been tried before. And who did they have on hand to "bolster" their bullshit? A local lawyer who had even less information than Stanford What's Going On, Brugal.
And what did this scion of legal strategy suggest, with the backing of the SJBSlapping Lipstick On A Pig suggest be the students' and parents' strategy in the days ahead? Sue the LCME, with each class year going at the accreditation body in separate class-action suits.
What this means, when stripped of its pestiferous overtones, is: Don't sue the SJBullshit Factory; waste your time with the LCME!
The LCME's Report on which the removal of accreditation was based on is in the hands of the SJBullshit Farm. Unless legal action is taken, and despite several requests, including that of the trial lawyer present at the meeting (who knew the injunction case number that Stanford Who's Running Scared Brugal didn't "have at hand"), the Report can remain out of the public eye. In fact, the legal monkey capering at the meeting specifically pointed out that the injunction made it a point to request that documentation related to the case remain confidential.
Now let Me point out three vectors streaming from this overflowing outhouse of bullshit, each of which can be demolished with ease: (1) that the LCME is the true guilty party here; (2) that the Report has to remain confidential and (3) that the SJBullshit Fountain is working.
Bullshit Vector #1: That the LCME is the guilty party. I covered this before, but here's the shorter version. If the LCME acted outside of procedures, with a bias or incompetently, a legal remedy could have been found by any competent lawyer in a day, with time left over for golf. The LCME's procedures are posted on the website, downloadable by anyone. (Except, apparently, by nearly all SJBSOM students and their parents.) The previous post covered the overall Procedures, so here's the added quote, from the LCME's The Role of Students in the Accreditation of Medical Education Programs, page 5, Section 5, concerning loss of accreditation:
Because the quality of U.S. and Canadian medical education programs is uniformly high, the probability of any program losing its accreditation as a result of an accreditation survey is relatively low. If serious problems are identified, the LCME would, in most circumstances, give the program an opportunity to correct its problems before withdrawing accreditation.
For most medical education programs with relatively minor accreditation concerns, the LCME will ask the medical school dean to submit one or more written reports describing what the program staff has done to achieve or maintain full compliance with accreditation standards. If the accreditation issues identified by the LCME are serious or widespread, the LCME has several options for follow-up depending on the extent and nature of the problems, including a limited on-site survey to verify how the program has corrected its problems; shortening the term of accreditation; or placing the program on “warning of probation” status or “probation” status. Although probation is infrequent, it does occur. (Emphasis Mine.)
Now, given that this is the written, public and binding procedure the LCME has, what are the odds that they would bypass them and expose themselves to legal action?
Furthermore, as was brought up in the meeting, the LCME threatened to withdraw the accreditation of the Universidad del Caribe (UCC), then in Cayey, with a letter sent in October 1983 stating that accreditation would end June 30th, 1984. The UCC took legal action and, as stated in court documents, worked with the LCME to retain its accreditation.
Brugal and her mealy-mouthed mendacious artists are trying to equate the UCC situation 27 years ago with what the SJBullshit Forum is facing. They are not the same. What the LCME did in this case, on October 3rd, amounted to a death penalty, whereas in 1983-1984, what they did was issue a warning with a deadline. Whether the warning was discriminatory, biased or in some other way wrong was decided long ago. If anyone thinks the LCME, having "lost" that decision 27 years ago, would undertake an even more decisive action and leave any room for losing another lawsuit, then your brains are mush.
Bullshit Vector #2: That the Report has to remain confidential. No. No. And hell no. At the meeting, the SJBullshit Team indicated that the Report could not be made public because it supposedly contained confidential student information.
Lie.
From the LCME's Survey Report Guide, the manual for how the Report is to be compiled, here's the complete list, on page 20, of student-based data requested:
This is public data, not confidential. As part of the survey, students answer questionnaires, anonymously, and the data is aggregated for a score that evaluates the medical school. And each class year has students meet directly with the survey report team, for interview sessions. Once again, from the LCME's The Role of Students in the Accreditation of Medical Education Programs, pages 9-10, here's what the Survey Report does with the student interviews that take place as part of the accreditation review process:
Under no circumstances are student comments at these sessions quoted directly or attributed to any individual either in the survey report of the team or in exit conferences with the medical school dean and university executive.
If for some reason the LCME had violated student confidentiality in a way that the SJBullshit Posse considered egregious, the Procedures spell out how they can challenge it before the final Report is presented. From the LCME's Survey Report Guide, page 1:
If the dean of the medical education program involved disagrees with the tone of the report or the findings of the survey team, that disagreement should be communicated to the team secretary when the draft report is reviewed. If a disagreement persists after the team has had an opportunity to discuss the dean’s concerns, the dean may send a letter to the LCME Secretariat and, for Canadian programs, the CACMS Secretariat describing any objections and the rationale for disputing the team’s findings. That letter would then be included in the meeting agenda and considered along with the survey report when the LCME and the CACMS (for Canadian programs) evaluate the program’s accreditation status. (Emphasis Mine.)
If the LCME had been playing fast and loose with student information, there was a way to address and remedy that. If the LCME didn't fix it and ignored its Procedures, mistreating student information, the SJBullshit Pack would have a case Dr. Doolittle could win...even with a legal monkey. That Stanford Who's Lying Brugal claims that this is the reason for not releasing the Report is far from being anywhere near the Truth.
Now, let's say that the Report's financial information is confidential. Stands to reason. Makes sense. So why not release the Report minus the institution's financial information?
After all, the LCME's stated reason for using its guillotine was "inadequate clinical resources." Removing the financial information, in essence the data and maybe a few comments, would hardly impair reading the Report's findings concerning "inadequate clinical resources." And if it did, Brugal and the Feckless Fibbers would have a stronger position to seek the unity with students, parents and the medical community that they said they wanted to have. (A point I'll come back to in Bullshit Vector #3.)
No, the Report is not confidential because of student information, or even financial information. Like I said before: it is "confidential" because it proves beyond a shadow of a doubt that the SJBullshit Train Wreck, led by Stanford Choo Choo's Boo Hoo Brugal, absolutely deserved what it got.
Two reasons come to mind for the LCME's decision to pass probation on the way to go to hell: financial malfeasance and fraud, as in knowingly providing the LCME with false or falsified information. Most likely both, for the LCME took the decision to withdraw accreditation in one action knowing full well a legal challenge would be mounted, even by legal monkeys.
So why state "inadequate clinical resources" rather than financial skullduggery or blatant lying? Because insufficient clinical resources was clearly demonstrable and publicly defensible: the other two reasons, if they exist, are not, at least not to the extent the LCME can easily manage. By stating the obvious non-compliance, they make their case, for even though by their own Procedures, the single stated cause could have been dealt with under probation, the additional unmentioned causes forced the loss of accreditation.
And that explains quite well why Brugal's Procrastinating Prevaricators are earning their sobriquets.
Bullshit Vector #3: That the SJBullshit Fountain is working. Obviously not for the students. They are understandably upset, furious, confused and disheartened. Fellow med students feel their pain. The parents and loved ones of these students feel the same, while some, like Me, feel closer to murderous rage. The "delay, delay, delay" tactic is now blending with a "divide and conquer" tactic, but the whole package is teetering on the brink of collapse, a result that will only further exacerbate the criminal negligence shown so far.
The SJBullshit Blender needs allies to survive: it cannot win this fight alone. Its first ally is the Report; at this point, it is obviously out of the question. The second tier of allies were the students, but the repeated pattern of obfuscation, feigned ignorance and condescending incompetence has worn out a chance for massive student support. The parents were shredded today, with a performance so inept it made the legal monkey seem like Koko. The Hospital's bankruptcy, added to a lengthy habit of non-payment of employees, reduced services and piling debt, is not an ally, but an enemy.
Ah, yes, the Hospital. So very very important. The only hospital directly allied to a medical school campus. Center of clinical resources. Object of lust for the City of Caguas, the nearby HIMA medical group and the Puerto Rico Health Department. The Hospital, now in bankruptcy, so poor in services and safety conditions it appalled the Joint Commission (the accreditation body for hospitals and clinics), the local Health Department and eventually, the LCME. The same Health Department that the SJBullshit Bank claimed was the reason the Hospital was forced into bankruptcy, a claim rightly denied by the Secretary of Health, Lorenzo González.
And yet, despite this acrimony, this same Secretary of Health stepped up and said he would support and help the SJBullshit Lobby. Decent of him. Mighty white, I'd say. Big chief Lorenzo lending hand, Kemosabe. So when he requested a copy of the Report--as he had every right to do--the answer from the SJBullshit Herd and their Board of Trustees was: No way, José. They even got his name wrong...
Are you kidding Me? The strongest possible allies that Stanford Who Needs A Clue Brugal and her Distaff Dissemblers have--and need--are all being essentially told: Help us, but you got to trust us when we don't tell you jackshit (we tell you bullshit.)
Is this the kind of institution and administration that will straighten out the very fucking mess they made? Oh hell no.
So I'm asking you two final questions: do you think that the SJBullshit Bobbysoxers led by Brugal and her Executive Equivocators are lying?
And aren't you tired of Me writing "SJBullshit"? Now you're beginning to understand just how fed up I am with their SJBullshit.
The Jenius Has Spoken.
In what was clearly a sham of a meeting, the San Juan Bautista School of Mendaciousness spoke for a long time and what it said tonight (13 October) amounted to absolute, unmitigated and barefaced lying. (Videos of the meeting on the SJB Students blog).
Where to begin? Okay, the injunction. Faced with the devastating and complete destruction of their medical school as an accredited institution, a legal action to at least stop, delay or overturn the LCME's decision (the accrediting body) is a necessity. For clarity, here's what an injunction is and does:
"An injunction is an equitable remedy in the form of a court order that requires a party to do or refrain from doing certain acts... This injunctive power to restore the status quo ante, that is, to make whole again someone whose rights have been violated, is essential to the concept of fairness (equity)."
Seeing as how 270+ students are now in medical school hell, and that the meeting is with their parents to help them cope with the situation, you'd think--you'd really think--that the SJBSOMendaciousness would be crystal clear on what it is doing to restore or prepare the way to restoring the status quo ante.
You'd think. And you'd be wrong.
Think about this: Ten full days have passed since the boom was lowered on the SJBSOMething's Fishy Here and so-called Stanford Who's Who Who Can't Answer Anything doesn't know exactly what the legal remedy they are taking is about, even though something had been tried before. And who did they have on hand to "bolster" their bullshit? A local lawyer who had even less information than Stanford What's Going On, Brugal.
And what did this scion of legal strategy suggest, with the backing of the SJBSlapping Lipstick On A Pig suggest be the students' and parents' strategy in the days ahead? Sue the LCME, with each class year going at the accreditation body in separate class-action suits.
What this means, when stripped of its pestiferous overtones, is: Don't sue the SJBullshit Factory; waste your time with the LCME!
The LCME's Report on which the removal of accreditation was based on is in the hands of the SJBullshit Farm. Unless legal action is taken, and despite several requests, including that of the trial lawyer present at the meeting (who knew the injunction case number that Stanford Who's Running Scared Brugal didn't "have at hand"), the Report can remain out of the public eye. In fact, the legal monkey capering at the meeting specifically pointed out that the injunction made it a point to request that documentation related to the case remain confidential.
Now let Me point out three vectors streaming from this overflowing outhouse of bullshit, each of which can be demolished with ease: (1) that the LCME is the true guilty party here; (2) that the Report has to remain confidential and (3) that the SJBullshit Fountain is working.
Bullshit Vector #1: That the LCME is the guilty party. I covered this before, but here's the shorter version. If the LCME acted outside of procedures, with a bias or incompetently, a legal remedy could have been found by any competent lawyer in a day, with time left over for golf. The LCME's procedures are posted on the website, downloadable by anyone. (Except, apparently, by nearly all SJBSOM students and their parents.) The previous post covered the overall Procedures, so here's the added quote, from the LCME's The Role of Students in the Accreditation of Medical Education Programs, page 5, Section 5, concerning loss of accreditation:
Because the quality of U.S. and Canadian medical education programs is uniformly high, the probability of any program losing its accreditation as a result of an accreditation survey is relatively low. If serious problems are identified, the LCME would, in most circumstances, give the program an opportunity to correct its problems before withdrawing accreditation.
For most medical education programs with relatively minor accreditation concerns, the LCME will ask the medical school dean to submit one or more written reports describing what the program staff has done to achieve or maintain full compliance with accreditation standards. If the accreditation issues identified by the LCME are serious or widespread, the LCME has several options for follow-up depending on the extent and nature of the problems, including a limited on-site survey to verify how the program has corrected its problems; shortening the term of accreditation; or placing the program on “warning of probation” status or “probation” status. Although probation is infrequent, it does occur. (Emphasis Mine.)
Now, given that this is the written, public and binding procedure the LCME has, what are the odds that they would bypass them and expose themselves to legal action?
Furthermore, as was brought up in the meeting, the LCME threatened to withdraw the accreditation of the Universidad del Caribe (UCC), then in Cayey, with a letter sent in October 1983 stating that accreditation would end June 30th, 1984. The UCC took legal action and, as stated in court documents, worked with the LCME to retain its accreditation.
Brugal and her mealy-mouthed mendacious artists are trying to equate the UCC situation 27 years ago with what the SJBullshit Forum is facing. They are not the same. What the LCME did in this case, on October 3rd, amounted to a death penalty, whereas in 1983-1984, what they did was issue a warning with a deadline. Whether the warning was discriminatory, biased or in some other way wrong was decided long ago. If anyone thinks the LCME, having "lost" that decision 27 years ago, would undertake an even more decisive action and leave any room for losing another lawsuit, then your brains are mush.
Bullshit Vector #2: That the Report has to remain confidential. No. No. And hell no. At the meeting, the SJBullshit Team indicated that the Report could not be made public because it supposedly contained confidential student information.
Lie.
From the LCME's Survey Report Guide, the manual for how the Report is to be compiled, here's the complete list, on page 20, of student-based data requested:
III. MEDICAL STUDENTS
Insert at least the following items from the medical education database and the independent student analysis in the Appendix:
· * Student enrollment by class year
· * Mean MCAT scores and premedical GPAs for past three entering classes (MS-5, MS-6)
· * Table of the number of students who left school, exhibited academic difficulty, or took a leave of absence
· * Sample Medical Student Performance Evaluation (“dean’s letter”)
· * Copy of the most recent LCME Part I-B Financial Aid Questionnaire (MS-24)
· * Narrative section of the independent student analysis and data from the student-administered survey (if not included previously)
This is public data, not confidential. As part of the survey, students answer questionnaires, anonymously, and the data is aggregated for a score that evaluates the medical school. And each class year has students meet directly with the survey report team, for interview sessions. Once again, from the LCME's The Role of Students in the Accreditation of Medical Education Programs, pages 9-10, here's what the Survey Report does with the student interviews that take place as part of the accreditation review process:
Under no circumstances are student comments at these sessions quoted directly or attributed to any individual either in the survey report of the team or in exit conferences with the medical school dean and university executive.
If for some reason the LCME had violated student confidentiality in a way that the SJBullshit Posse considered egregious, the Procedures spell out how they can challenge it before the final Report is presented. From the LCME's Survey Report Guide, page 1:
If the dean of the medical education program involved disagrees with the tone of the report or the findings of the survey team, that disagreement should be communicated to the team secretary when the draft report is reviewed. If a disagreement persists after the team has had an opportunity to discuss the dean’s concerns, the dean may send a letter to the LCME Secretariat and, for Canadian programs, the CACMS Secretariat describing any objections and the rationale for disputing the team’s findings. That letter would then be included in the meeting agenda and considered along with the survey report when the LCME and the CACMS (for Canadian programs) evaluate the program’s accreditation status. (Emphasis Mine.)
If the LCME had been playing fast and loose with student information, there was a way to address and remedy that. If the LCME didn't fix it and ignored its Procedures, mistreating student information, the SJBullshit Pack would have a case Dr. Doolittle could win...even with a legal monkey. That Stanford Who's Lying Brugal claims that this is the reason for not releasing the Report is far from being anywhere near the Truth.
Now, let's say that the Report's financial information is confidential. Stands to reason. Makes sense. So why not release the Report minus the institution's financial information?
After all, the LCME's stated reason for using its guillotine was "inadequate clinical resources." Removing the financial information, in essence the data and maybe a few comments, would hardly impair reading the Report's findings concerning "inadequate clinical resources." And if it did, Brugal and the Feckless Fibbers would have a stronger position to seek the unity with students, parents and the medical community that they said they wanted to have. (A point I'll come back to in Bullshit Vector #3.)
No, the Report is not confidential because of student information, or even financial information. Like I said before: it is "confidential" because it proves beyond a shadow of a doubt that the SJBullshit Train Wreck, led by Stanford Choo Choo's Boo Hoo Brugal, absolutely deserved what it got.
Two reasons come to mind for the LCME's decision to pass probation on the way to go to hell: financial malfeasance and fraud, as in knowingly providing the LCME with false or falsified information. Most likely both, for the LCME took the decision to withdraw accreditation in one action knowing full well a legal challenge would be mounted, even by legal monkeys.
So why state "inadequate clinical resources" rather than financial skullduggery or blatant lying? Because insufficient clinical resources was clearly demonstrable and publicly defensible: the other two reasons, if they exist, are not, at least not to the extent the LCME can easily manage. By stating the obvious non-compliance, they make their case, for even though by their own Procedures, the single stated cause could have been dealt with under probation, the additional unmentioned causes forced the loss of accreditation.
And that explains quite well why Brugal's Procrastinating Prevaricators are earning their sobriquets.
Bullshit Vector #3: That the SJBullshit Fountain is working. Obviously not for the students. They are understandably upset, furious, confused and disheartened. Fellow med students feel their pain. The parents and loved ones of these students feel the same, while some, like Me, feel closer to murderous rage. The "delay, delay, delay" tactic is now blending with a "divide and conquer" tactic, but the whole package is teetering on the brink of collapse, a result that will only further exacerbate the criminal negligence shown so far.
The SJBullshit Blender needs allies to survive: it cannot win this fight alone. Its first ally is the Report; at this point, it is obviously out of the question. The second tier of allies were the students, but the repeated pattern of obfuscation, feigned ignorance and condescending incompetence has worn out a chance for massive student support. The parents were shredded today, with a performance so inept it made the legal monkey seem like Koko. The Hospital's bankruptcy, added to a lengthy habit of non-payment of employees, reduced services and piling debt, is not an ally, but an enemy.
Ah, yes, the Hospital. So very very important. The only hospital directly allied to a medical school campus. Center of clinical resources. Object of lust for the City of Caguas, the nearby HIMA medical group and the Puerto Rico Health Department. The Hospital, now in bankruptcy, so poor in services and safety conditions it appalled the Joint Commission (the accreditation body for hospitals and clinics), the local Health Department and eventually, the LCME. The same Health Department that the SJBullshit Bank claimed was the reason the Hospital was forced into bankruptcy, a claim rightly denied by the Secretary of Health, Lorenzo González.
And yet, despite this acrimony, this same Secretary of Health stepped up and said he would support and help the SJBullshit Lobby. Decent of him. Mighty white, I'd say. Big chief Lorenzo lending hand, Kemosabe. So when he requested a copy of the Report--as he had every right to do--the answer from the SJBullshit Herd and their Board of Trustees was: No way, José. They even got his name wrong...
Are you kidding Me? The strongest possible allies that Stanford Who Needs A Clue Brugal and her Distaff Dissemblers have--and need--are all being essentially told: Help us, but you got to trust us when we don't tell you jackshit (we tell you bullshit.)
Is this the kind of institution and administration that will straighten out the very fucking mess they made? Oh hell no.
So I'm asking you two final questions: do you think that the SJBullshit Bobbysoxers led by Brugal and her Executive Equivocators are lying?
And aren't you tired of Me writing "SJBullshit"? Now you're beginning to understand just how fed up I am with their SJBullshit.
The Jenius Has Spoken.
Subscribe to:
Posts (Atom)