retired doc laments the declining sense of duty in today’s physicians, fostered by work-hour restrictions during residency.
Shift work medicine is here to stay, as hospitalists, part-time physicians and mid-levels make up an increasing amount of the clinician force.
It’s just another sign of how today’s physicians value lifestyle more than their predecessors. And there’s nothing wrong in desiring that kind of work-life balance.
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The problem is the shift work mentality by doctors who aren’t working shifts–who have 24/7 responsibility with full attending physcian responsibility. I see this a lot.
What is also a problem that I see a lot more now are physicians who swap the patient off from one to the other with no one taking responsibility for making sure that what needs to get done gets done. The idea always has been, and still is in my book, that the attending physician bears total responsibility for making sure what needs to get done gets done–”it’s not my job” is never an excuse. Everyone at the hospital from the social worker to the ward clerk are there to help you do your job–but it is still your responsibility. When no ONE person is responsible, then no one is responsible.
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