Work, Work, Work


Chart source: Journal of the American Medical Association, 2010; NCPA.

Full Wall Street Journal article on proposed new guidelines for residency programs.

Comments (6)

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  1. Bruce says:

    Looks like you guys work more than the doctors.

  2. Stephen C. says:

    Looks like the registered nurses are slacking off.

  3. Tom H. says:

    Glad to see you guys at the JCG blog are putting in extra hours. We need you noses to the grindstone.

  4. Virginia says:

    Yes. All of the data above looks 100% complete and accurate. ; )

  5. Joe S. says:

    Does everybody at the NCPA work that many hours? Or just John Goodman?

  6. Carery P Page says:

    Limited hours = shift work with focus in the end of the shift rather than optimum care = interruption of quality of care. “Hand-offs” are a major source of error. Shift work makes the patient a “problem” or problem-set, not a patient.

    Limited hours = limited exposure to patients and problems = longer residency for equivalent experience? Recent ACS review of graduates => “uncomfortable” without supervision.

    Limited hours = resident never learns his personal fatigue limits, then enters practice with > $100K debt and every incentive to work beyond his limits.

    I trained under the “old system.” I trained surgical residents for 25 years under the “old system.” It worked. Progressive supervised responsibility is the key.

    I do fully agree with proscribing hospitals from using house staff as cheap labor. That alone would effectively limit hours!