tag:blogger.com,1999:blog-4968787219619380438.post3127483931300862876..comments2023-09-21T04:02:29.457-04:00Comments on Skeptical Scalpel: Medical Student Whining and Resident Work HoursSkeptical Scalpelhttp://www.blogger.com/profile/13206922456661320751noreply@blogger.comBlogger8125tag:blogger.com,1999:blog-4968787219619380438.post-26661591907779142082011-10-20T17:09:50.871-04:002011-10-20T17:09:50.871-04:00It's good to hear. I hope you'll go into s...It's good to hear. I hope you'll go into surgery.Skeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-7533904846520228432011-10-20T16:55:40.966-04:002011-10-20T16:55:40.966-04:00I see there has been a lack of discussion on this ...I see there has been a lack of discussion on this post for a while, but I'll just throw in my two cents. While doing my third and fourth year rotations over the past two years, I've been expected to take call with the PGY2s and have had numerous rotations on which I was able to do 30 hours shifts, still being expected to get work done as the shifts near their ends. Rotating in the MICU just recently, following the initiation of the 16 hour rule for interns, I was still doing 30+ hour shifts with the PGY2s and actually putting in more hours than any of the residents on the service. I didn't complain then and I'm not complaining now. I agree with what Dan said above--we're not all whinersAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-25145117767600772010-10-17T17:06:15.259-04:002010-10-17T17:06:15.259-04:00At least at my medical school, the AMSA, like the ...At least at my medical school, the AMSA, like the AMA for physicians, does not represent the consensus views of the students. These self-selecting members are definitely work less/ "how dare my superiors tell me what to do" kind of crowd. It's too bad there isn't a medical student organization representing the "dear God what are they doing to our education" side.Dannoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-12618849963719691472010-10-16T21:37:42.951-04:002010-10-16T21:37:42.951-04:00There area lot of papers documenting the lack of d...There area lot of papers documenting the lack of data regarding tired residents and outcomes. I am away from home now but can send you some references tomorrow or Monday if you like. Also, I agree with you about Libby Zion not dying because of tired residents. I blogged about this in July. See http://skepticalscalpel.blogspot.com/2010/08/medical-education-is-changing-in-bad.htmlSkeptical Scalpelhttps://www.blogger.com/profile/13206922456661320751noreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-62308922529025377282010-10-16T19:07:57.324-04:002010-10-16T19:07:57.324-04:00Got data? There's plenty of whining on every ...Got data? There's plenty of whining on every side of this, but precious little actual information about outcomes. Libby Zion did not die because an intern was tired.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-55413921080454278762010-10-12T18:45:08.091-04:002010-10-12T18:45:08.091-04:00This action by the ACGME will promote the single b...This action by the ACGME will promote the single biggest patient safety risk than I have seen in 40 years of surgical care. The most frightening aspect is the insidious nature of the effect; it will take several years to realize the debacle that has been inadvertantly created. The 2nd most frightening aspect is the indifference by most of the surgical community.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-28635128786117619922010-10-12T18:03:17.543-04:002010-10-12T18:03:17.543-04:00Rich:
I agree completely; As a PD, I am ashamed a...Rich:<br />I agree completely; As a PD, I am ashamed at our organizations and our young physicians. NO ONE will every enter private practice-THAT WOULD BE TOO MUCH WORK!!! ahhh!! When you work like a social worker, expect to be paid like one also!!! AMSA does not understand what they are asking. If we want SEIU to represent us, get ready to pay your dues, work less, and be treated like a GM employee. But what is even more scary, is picture a night in say 2025 and YOU have the perforated diverticulum, who will be operating? someone whose read about it, maybe seen 1 or 2 . . . put your life in there hands!! God help us all!!! They'll do a perfect handoff, though!! What are we doing???Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4968787219619380438.post-90642992966265556122010-10-12T13:00:31.209-04:002010-10-12T13:00:31.209-04:00Rich
AMSA is being used to advance the agenda of ...Rich<br /><br />AMSA is being used to advance the agenda of SEIU and they do not know what is about to unfold for them. As future interns, not being able to work a full 24 hour shift will make them persona non grata at most institutions. Not because we think they are "weak" for not working the 24 hour shift but practically because it is impossible to schedule. This will inevitably lead to marginalization of an entire class of residents. As a current PD I expect all of my affiliated sites to ask for PGY2 or higher residents when we discuss and sign our affiliation agreements for 2011. <br /><br />AMSA will likely get what they are asking for in terms of duty hours and they with SEIU will claim victory. I wonder if they will still see this as a victory when Surgery prolongs training by 1-2 years or worse, reputable teaching institutions decide that financially the cost of resident education is too burdensome and it is cheaper and more efficient to man the ship with physician extenders.Anonymousnoreply@blogger.com