Work hour restrictions, or the death of professionalism

A case where a patient died due to multiple handoffs. retired doc criticizes the trend:

We seem to be replacing personal physician responsibility with “systems”.

What lessons are being implicitly taught to the house staff? The procedure doc seems to have no post procedure responsibility but is content to delegate care to a NP. In that environment how surprised could you be to learn the intern signs out without seeing the chest x-ray. End of shift-end of responsibility. End of procedure-end of responsibility.

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