Comments on: Duty hours, the ACGME and the surgeons http://www.medrants.com/archives/4973 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: Good Reading « See First Blog http://www.medrants.com/archives/4973/comment-page-1#comment-529602 Good Reading « See First Blog Mon, 16 Nov 2009 19:27:20 +0000 http://www.medrants.com/?p=4973#comment-529602 [...] Duty Hours, the ACGME and the Surgeons. At Medrants, Dr. Robert Centor talks about how well-intentioned duty-hour limits on surgical [...] [...] Duty Hours, the ACGME and the Surgeons. At Medrants, Dr. Robert Centor talks about how well-intentioned duty-hour limits on surgical [...]

]]> By: James Logan http://www.medrants.com/archives/4973/comment-page-1#comment-529577 James Logan Tue, 10 Nov 2009 00:13:39 +0000 http://www.medrants.com/?p=4973#comment-529577 It's a shame nobody uses trackback anymore.  I posted a related article <href="http://www.jamesloganmd.com/2009/11/index.php#000138">here</a> It's a shame nobody uses trackback anymore.  I posted a related article <href="http://www.jamesloganmd.com/2009/11/index.php#000138">here</a&gt;

]]> By: James Gaulte http://www.medrants.com/archives/4973/comment-page-1#comment-529573 James Gaulte Sun, 08 Nov 2009 21:18:19 +0000 http://www.medrants.com/?p=4973#comment-529573 I am encouraged that the ACGME is taking a step in the right direction that may correct some earlier probably  well intentioned but potentially  harmful policies. I am encouraged that the ACGME is taking a step in the right direction that may correct some earlier probably  well intentioned but potentially  harmful policies.

]]> By: James Logan http://www.medrants.com/archives/4973/comment-page-1#comment-529569 James Logan Sun, 08 Nov 2009 02:19:46 +0000 http://www.medrants.com/?p=4973#comment-529569 There is no honor, or adherence to some high standard of professionalism in taking care of patients when you are impaired.  If a resident finds that he's needing to violate work hours in order to keep patient needs from being unmet, there is a problem with the system.  Far from sacrificing oneself for the needs of the patient, a good professional should recognize situations where his or her own needs come into conflict with patient neeeds and AVOID THOSE SITUATIONS.  It is no less unprofessional for a resident to show up drunk than it is to practice without adequate sleep.  Yet, while we don't expect him to function in the former case, you seem to imply that professionalism would dicate that he try to function in the later case when patient needs are at stake.  On the contrary, it is precisely those times when professionalism would dictate that the resident REFRAIN from patient care.  There is no honor, or adherence to some high standard of professionalism in taking care of patients when you are impaired.  If a resident finds that he's needing to violate work hours in order to keep patient needs from being unmet, there is a problem with the system.  Far from sacrificing oneself for the needs of the patient, a good professional should recognize situations where his or her own needs come into conflict with patient neeeds and AVOID THOSE SITUATIONS.  It is no less unprofessional for a resident to show up drunk than it is to practice without adequate sleep.  Yet, while we don't expect him to function in the former case, you seem to imply that professionalism would dicate that he try to function in the later case when patient needs are at stake.  On the contrary, it is precisely those times when professionalism would dictate that the resident REFRAIN from patient care. 

]]> By: uberVU - social comments http://www.medrants.com/archives/4973/comment-page-1#comment-529566 uberVU - social comments Sat, 07 Nov 2009 09:38:37 +0000 http://www.medrants.com/?p=4973#comment-529566 <strong>Social comments and analytics for this post...</strong> This post was mentioned on Twitter by medrants: From My Blog: Duty hours, the ACGME and the surgeons http://is.gd/4OQpl... Social comments and analytics for this post…

This post was mentioned on Twitter by medrants: From My Blog: Duty hours, the ACGME and the surgeons http://is.gd/4OQpl...

]]> By: Patrick Baroco http://www.medrants.com/archives/4973/comment-page-1#comment-529562 Patrick Baroco Fri, 06 Nov 2009 16:06:38 +0000 http://www.medrants.com/?p=4973#comment-529562 To your last paragraph: a student cannot "choose" a residency.  He or she can hope for one, and rank it highly, but in the end choice is limited at best by the match system.   When you say "make residency choice a free market", are you suggestive abolishing the match program?  To that, I'd give my own Bravo! To your last paragraph: a student cannot "choose" a residency.  He or she can hope for one, and rank it highly, but in the end choice is limited at best by the match system.  
When you say "make residency choice a free market", are you suggestive abolishing the match program?  To that, I'd give my own Bravo!

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