Comments on: Resident work hours http://www.medrants.com/archives/2014 Internal medicine, American health care, and especially medical education Sat, 11 Feb 2012 15:15:48 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: bjb http://www.medrants.com/archives/2014/comment-page-1#comment-14490 bjb Mon, 14 Mar 2005 02:39:38 +0000 http://medrants.com/archives/2004/07/12/resident-work-hours/#comment-14490 I am a pgy 2 resident. I don't think my education is being compromised by the shortened work rules at all. The on call guy signs out his patients to me post call so now I get to take care of 2x as many patients as before, ergo more patients and more education, not less. I am a pgy 2 resident. I don’t think my education is being compromised by the shortened work rules at all. The on call guy signs out his patients to me post call so now I get to take care of 2x as many patients as before, ergo more patients and more education, not less.

]]> By: jeff http://www.medrants.com/archives/2014/comment-page-1#comment-4173 jeff Sun, 25 Jul 2004 22:25:44 +0000 http://medrants.com/archives/2004/07/12/resident-work-hours/#comment-4173 Ironically the new rule that limits work hours is probbably *costing* lives, rather than saving them (as it was designed to do). Now everyone is covering everyone else (because the resident is forced to go home early). Thus everyone's running around with sign-out lists and no one really knows the patients. They just put out fires but there is less continuity and lots of stuff falls through the cracks. Of course this inevitable increase in morbidity is under the radar and thus will never be recognized. Ironically the new rule that limits work hours is probbably *costing* lives, rather than saving them (as it was designed to do). Now everyone is covering everyone else (because the resident is forced to go home early). Thus everyone’s running around with sign-out lists and no one really knows the patients. They just put out fires but there is less continuity and lots of stuff falls through the cracks. Of course this inevitable increase in morbidity is under the radar and thus will never be recognized.

]]> By: poormedicalstudent http://www.medrants.com/archives/2014/comment-page-1#comment-4167 poormedicalstudent Fri, 23 Jul 2004 02:30:44 +0000 http://medrants.com/archives/2004/07/12/resident-work-hours/#comment-4167 you can see the effects of the rule change as more and more general surgery residencies start filling back up past the 65% match mark. you can see the effects of the rule change as more and more general surgery residencies start filling back up past the 65% match mark.

]]> By: Steve White, M.D. http://www.medrants.com/archives/2014/comment-page-1#comment-4148 Steve White, M.D. Tue, 20 Jul 2004 01:29:33 +0000 http://medrants.com/archives/2004/07/12/resident-work-hours/#comment-4148 As a fellowship director, I share your concerns. However, we should understand who these rules really were aimed at: the surgical residencies and sub-specialties, where work-weeks of 110 hours were not uncommon. The surgical residency where I was a medicine resident had a saying: "If you're married when you arrive, and still married when you leave, you didn't work hard enough." They believed it. Sensible docs and residents understand the need to balance hours and professionalism. We have these rules because some of our colleagues weren't sensible. As a fellowship director, I share your concerns. However, we should understand who these rules really were aimed at: the surgical residencies and sub-specialties, where work-weeks of 110 hours were not uncommon. The surgical residency where I was a medicine resident had a saying: “If you’re married when you arrive, and still married when you leave, you didn’t work hard enough.” They believed it.

Sensible docs and residents understand the need to balance hours and professionalism. We have these rules because some of our colleagues weren’t sensible.

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