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.
Health Care Policy and Reform Insights | NCPA
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Recognition and Awards
Chart source: Journal of the American Medical Association, 2010; NCPA.
Full Wall Street Journal article on proposed new guidelines for residency programs.
Looks like you guys work more than the doctors.
Looks like the registered nurses are slacking off.
Glad to see you guys at the JCG blog are putting in extra hours. We need you noses to the grindstone.
Yes. All of the data above looks 100% complete and accurate. ; )
Does everybody at the NCPA work that many hours? Or just John Goodman?
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!