Comments on: More rest for the weary residents http://www.kevinmd.com/blog/2008/12/more-rest-for-weary-residents.html medical blog Sun, 22 Nov 2009 14:15:05 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Doc99 http://www.kevinmd.com/blog/2008/12/more-rest-for-weary-residents.html/comment-page-1#comment-88488 Doc99 Fri, 05 Dec 2008 17:38:00 +0000 http://clients.emmense.com/kevinmd/2008/12/more-rest-for-the-weary-residents.html#comment-88488 Kevin,<br/><br/>At least one physician would disagree.<br/>http://www.nytimes.com/2008/12/05/health/05chen.html?_r=1<br/><br/>"As Dr. Michael M. E. Johns, chairman of the expert panel, remarked at a public briefing on the report on Tuesday, “While the science on sleep and human performance provided a rich evidence base for duty hour adjustment, there was limited data on the impact of the 2003 limits on actual hours worked, scheduling practices, education and patient safety.” In other words, in the realm of resident duty hours reform, there isn’t really enough information to make solid evidence-based recommendations."<br/><br/>Read the whole thing. Kevin,

At least one physician would disagree.
http://www.nytimes.com/2008/12/05/health/05chen.html?_r=1

“As Dr. Michael M. E. Johns, chairman of the expert panel, remarked at a public briefing on the report on Tuesday, “While the science on sleep and human performance provided a rich evidence base for duty hour adjustment, there was limited data on the impact of the 2003 limits on actual hours worked, scheduling practices, education and patient safety.” In other words, in the realm of resident duty hours reform, there isn’t really enough information to make solid evidence-based recommendations.”

Read the whole thing.

]]> By: Supremacy Claus http://www.kevinmd.com/blog/2008/12/more-rest-for-weary-residents.html/comment-page-1#comment-88468 Supremacy Claus Thu, 04 Dec 2008 11:57:00 +0000 http://clients.emmense.com/kevinmd/2008/12/more-rest-for-the-weary-residents.html#comment-88468 1) Under Commie Care in England, surgeons, pampered in their residencies, go home at 5 PM, come hell or high water. The waiting time for emergency surgery, where the patient is bleeding, and the blood replacement bag has to be squeezed and repeatedly changed by the nurse? 6 days. The idea of the US schedule is that patient care comes before doctor comfort. <br/><br/>2) One has to contrast values rendered. The medical resident likely enhances health, and returns 10,000% on cost by patients' returning to work better. He is lucky to get $50K salary from the lawyer controlled health provider reimbursement system of Medicaid or Medicare. The first year law associate gets $150K, and destroys $1 million in value by lawyer gotcha, paper shuffling in rent, and deterrence of productive economic activity. 1) Under Commie Care in England, surgeons, pampered in their residencies, go home at 5 PM, come hell or high water. The waiting time for emergency surgery, where the patient is bleeding, and the blood replacement bag has to be squeezed and repeatedly changed by the nurse? 6 days. The idea of the US schedule is that patient care comes before doctor comfort.

2) One has to contrast values rendered. The medical resident likely enhances health, and returns 10,000% on cost by patients’ returning to work better. He is lucky to get $50K salary from the lawyer controlled health provider reimbursement system of Medicaid or Medicare. The first year law associate gets $150K, and destroys $1 million in value by lawyer gotcha, paper shuffling in rent, and deterrence of productive economic activity.

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