Comments on: The steep price of restricting resident work-hours http://www.kevinmd.com/blog/2008/12/steep-price-of-restricting-resident.html Tue, 14 Feb 2012 20:59:00 +0000 hourly 1 By: Anonymoushttp://www.kevinmd.com/blog/2008/12/steep-price-of-restricting-resident.html#comment-88612 Anonymous Thu, 11 Dec 2008 23:53:00 +0000 http://clients.emmense.com/kevinmd/2008/12/the-steep-price-of-restricting-resident-work-hours.html#comment-88612 Replaced by mid-levels? Just hold on a minute, if mid-levels can do the job, then the residents should be adequately experienced to do the work by Labor Day of the Intern year, since by then they have--not even counting the clinical experience in medical school, exceeded the requirements for Nurse Practitioners. <br/><br/>In fact, since several state legislatures have decreed NP's qualified to practice primary care independently, it is a complete farce and abusive labor exploitation to require medical students who want to do primary care go through any kind of residency at all as they already have far more extensive basic and clinical education. Replaced by mid-levels? Just hold on a minute, if mid-levels can do the job, then the residents should be adequately experienced to do the work by Labor Day of the Intern year, since by then they have–not even counting the clinical experience in medical school, exceeded the requirements for Nurse Practitioners.

In fact, since several state legislatures have decreed NP’s qualified to practice primary care independently, it is a complete farce and abusive labor exploitation to require medical students who want to do primary care go through any kind of residency at all as they already have far more extensive basic and clinical education.

]]> By: DocJohnhttp://www.kevinmd.com/blog/2008/12/steep-price-of-restricting-resident.html#comment-88609 DocJohn Thu, 11 Dec 2008 19:55:00 +0000 http://clients.emmense.com/kevinmd/2008/12/the-steep-price-of-restricting-resident-work-hours.html#comment-88609 Looks like a lot of valuable lessons could be learned from other countries who've gone through this same issue. And a lot of the same tired arguments about how the American consumer couldn't afford consumer goods if factory workers and children weren't forced to work 18 hour days. <br/><br/>In other words, yes, it's a change, and yes, it's going to be painful at first. But that's not a justification or reason for staying with the old broken system. Well, it's a justification, but a very poor one. Looks like a lot of valuable lessons could be learned from other countries who’ve gone through this same issue. And a lot of the same tired arguments about how the American consumer couldn’t afford consumer goods if factory workers and children weren’t forced to work 18 hour days.

In other words, yes, it’s a change, and yes, it’s going to be painful at first. But that’s not a justification or reason for staying with the old broken system. Well, it’s a justification, but a very poor one.

]]> By: Anonymoushttp://www.kevinmd.com/blog/2008/12/steep-price-of-restricting-resident.html#comment-88605 Anonymous Thu, 11 Dec 2008 14:25:00 +0000 http://clients.emmense.com/kevinmd/2008/12/the-steep-price-of-restricting-resident-work-hours.html#comment-88605 who are the bad guys? the program directors and department administrators who allowed residents to be hijacked to perform menial work instead of demanding the hospitals hire appropriately? who are the bad guys? the program directors and department administrators who allowed residents to be hijacked to perform menial work instead of demanding the hospitals hire appropriately?

]]> By: Davidhttp://www.kevinmd.com/blog/2008/12/steep-price-of-restricting-resident.html#comment-88603 David Thu, 11 Dec 2008 12:29:00 +0000 http://clients.emmense.com/kevinmd/2008/12/the-steep-price-of-restricting-resident-work-hours.html#comment-88603 Residencies should set their own hours, by mine certainly missed the mark. Residency was hell because of the inability to get enough sleep. Sleep research has revealed just how much more information is retained, of what you studied during the day, if you are well-rested when you learn it and if you sleep well afterwards. The increased hours has less to do with learning and more to do with the hierarchical structure and tradition of academic programs. Residencies should set their own hours, by mine certainly missed the mark. Residency was hell because of the inability to get enough sleep. Sleep research has revealed just how much more information is retained, of what you studied during the day, if you are well-rested when you learn it and if you sleep well afterwards. The increased hours has less to do with learning and more to do with the hierarchical structure and tradition of academic programs.

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