Sunday, June 26, 2005
Looking at the "July myth": Is June 30th more dangerous than July 1st?
"One can argue that June, rather than July, is the worst time to be a patient. I don’t mind a young doctor who is scared but eager to learn, but I do very much mind that same doctor 11 months later when his knowledge base has increased only modestly compared with his fatigue and false confidence.We have taken great pains to come up with comparison between the July 1st vs. June 30th housestaff to see just which is more dangerous." (via The "Future" of Medicine)
"One can argue that June, rather than July, is the worst time to be a patient. I don’t mind a young doctor who is scared but eager to learn, but I do very much mind that same doctor 11 months later when his knowledge base has increased only modestly compared with his fatigue and false confidence.We have taken great pains to come up with comparison between the July 1st vs. June 30th housestaff to see just which is more dangerous." (via The "Future" of Medicine)
Posted by Kevin |
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Comments:
I'm a NICU nurse. I spent more than a few summers trying to avoid working July 1, 2, 3, 4.....
Quality of care at the beginning of a new doc's first residency rotation depends very much on the quality of the match the hospital is getting and the quality of supervision/instruction from attendings.
When I started working, July 1 wasn't that much different from June 30. Things changed, and eventually, my hospital decided it wasn't worth trying to run their own pediatric residency program due to the quality of the matches they were getting.
They participate with a larger university medical center in town, so we still get pediatric residents. They're no longer permitted to write orders in our NICU, though, so my ability to evaluate their performance is quite limited. from my limited interaction with them, I believe it's more like it was way back when we were getting reasonably good quality matches.
Quality of care at the beginning of a new doc's first residency rotation depends very much on the quality of the match the hospital is getting and the quality of supervision/instruction from attendings.
When I started working, July 1 wasn't that much different from June 30. Things changed, and eventually, my hospital decided it wasn't worth trying to run their own pediatric residency program due to the quality of the matches they were getting.
They participate with a larger university medical center in town, so we still get pediatric residents. They're no longer permitted to write orders in our NICU, though, so my ability to evaluate their performance is quite limited. from my limited interaction with them, I believe it's more like it was way back when we were getting reasonably good quality matches.
Kevin (the author) sounds like one of those total assholes that every other resident and med student hates. He's the one that is talked about in the cafeterias as being "the doctor nobody wants to be around, let alone be treated by." For him to write with such arrogance shows that he has reached a level (in his own words) "dangerous." Residency has many safeguards to ensure that patients remain safe and he completely ignores this. If he feels this way, then he (if he's a senior resident or attending) is incompetent and not doing his job properly in supervising junior residents. I'm sure he was just as green as the newbies yet now too arrogant and stupid to remember this fact.
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