Jul 1, 2019 3:11 AM
swagailicious
83186
1601
47
No more 80+hr weeks or 28hr shifts
mng24
Me too!!! Now time to sleep for a week.
Peekari
No more 80hr weeks . . .
PunchInTheDicker
Welcome your first 100hr week!
nix1777
I'm sitting in a hall bout to retake Renal exam. im not sure ill pass this time.Good on you man,look back fondly! cant wait until I can too
Chiheisen
Sweet! What's next? Job? Fellowship? What specialty?
MimeJones
Im so proud of your hard work and dedication to the dream that you've pursued, it wont ve easy but i believe in you, so pleasr dont give up!
AlligatorTown
Bames nond's having a stronk
angusargyle
Well done my friend. I'm sorry to say, it gets more busy in fellowship and more so when you're attending.
swaby
Congratulations!
MacandCheeseYesPlease
goodjob! off topic but... just watched the plane crash episode from greys:(
dough4you
Are you going to do a fellowship? Subspecialization?
RElGNMAN
This episode Even though not credited and has no lines, Snoop Dogg Intern is seen for a split second during rounds standing next to Murphy.
SharkBaitEx
What did you call him, punk-ass?!
Solentra
Look out for Hooch. He's CRAZY.
copingcabana
v
StainlessEel
Strange.
social21431415
Starting residency today.... ?
piratedn1nj4
Eyyy this is my brother too!
tahneeishere
You can do it!
You’ll be great!! I learned more about myself in residency than any other period of my life. Remember it isn’t permanent and it gets better!
DocAqua
Starting 2nd year today. Thanks for writing my notes. :)
Don't worry. You'll get great stories, you'll learn a lot, and you start with a light at the end of tunnel.
NukeWolf
What is residency again?
wegonfight
Guess you're not going to fellowship, huh?
AIComments
Welcome, murderers and assassins of my patients.
(Scrubs) https://www.youtube.com/watch?v=63VLG4WuUDs
kcalam
Woooo!!! Hopefully you get a room full of balloons as well. Just finished my first of year 5 here.
dc808
5?
5 year residency, Just finished year 1. Sleep deprivation clearly affecting typing skills
yanncythigpen
Uh, unless you are a dermatologist or ENT, pretty sure the 80 hour weeks will continue. However, you will now be paid well for it
Congrats! I’m no MD. Wife of 26 years is int. Med. she is never home. Hope it’s different for you. I think it’s about speed & organization.
Maybe it’s been an affair on the side?
BrisketSandwich24
I guess that depends on where you are but I don't work 80h weeks, not even close. Neither does anyone else in my office. I'm internal med
There are 4 of us. I work ~45h weeks. The least is 36h and the most is about 60, by her choice. 80h is like a really busy surgeon or a
Rare case when someone is I'll for a while or on a long vacation
devinvashalifski
Would you agree about the statistics about how residents make as many as 1/5 decisions because of exhaustion?
InfinitusEquitas
An idiotic trial by fire crucible tradition carried over from a cocaine addicted doctor... Idk about 1/5 but it is kind of crazy.
IamTheBestAtDonutEating
Wtf does 1/5 decisions mean?
ThisMachine
About 20%
Solkanarmy
they make 20% of all the decisions made in the hospital - due to EXHAUSTION? wouldn't that be due to overenthusiasm?
intothewilde
What kinda statistics is that, how was it measured, and what would it even mean?
SnivellusSnape
We know that humans need 5h min to function properly. We know that humans do terribly after 10h of work. These are known things.
But the person they're responding to is not making sense. Are they saying we make 20% more decisions when tired? What kind of decisions
Does that imply we make less decisions when we're rested? How so? Their sentence is unintelligible
PooPooInSpaghettiEveryoneUpsetti
Source : it's a known thing.
Yes, but what would it mean that 1/5 of my decisions are made because of exhaustion? And how is that measured?
1/ I’m not familiar w that stat but would like to read it. IMO the decisions during exhaustion become more passive. Won’t hurt people but
2/3 maybe only 80% best choice instead of pushing back and doing the 100% choice. Eg: patient threatening to leave AMA unless they get more
3/3 narcotics/sleep aids. On a fresh day I’d fight. On day 22 I might allow it.
Funny. I'm often WAAAAAAAY less generous with narcs when I'm grumpy or tired.
"I SUFFER. NOW YOU SUFFER. NO NARCOS!" - Chiheisen
rd77Runner
So it is ok to be tired when caring for health of others and learning? I do not understand how this can be a thing... not safe for anyone.
SlagathorTheThird
My take on it is that it is based on outdated teaching methods that doctors are not willing to change, as it allows them to feel entitled.
1234qwerty
“We all did it and we turned out fine!” isn’t necessarily the best way to teach.
1/2 Change has slowly started. Instead of the expected 120hrs/wk, our law is 80hrs max now. The issue is that medical learning is based on
2/2 volume and repetition. Cutting training hours would mean extending training duration or sacrificing quality. Not an easy fix yet.
MaximumRadius
That kind of makes sense, since even treating two broken arms could require completely different approaches.
IdunaWithLotsOfCats
We (UK) doubled the 1st year for newly qualified drs to 2 years, so now we have FY1 and FY2
SociallyAwkwardCanadianMoose
So rookie -FY1, rookie that knows where the bathroom is -FY2?
Something like that, FY1 ‘nurse! Please help!’ FY2 ‘yes I think you might be sick, I’ll call my consultant ‘
mng24
Me too!!! Now time to sleep for a week.
Peekari
No more 80hr weeks . . .
PunchInTheDicker
Welcome your first 100hr week!
nix1777
I'm sitting in a hall bout to retake Renal exam. im not sure ill pass this time.Good on you man,look back fondly! cant wait until I can too
Chiheisen
Sweet! What's next? Job? Fellowship? What specialty?
MimeJones
Im so proud of your hard work and dedication to the dream that you've pursued, it wont ve easy but i believe in you, so pleasr dont give up!
AlligatorTown
Bames nond's having a stronk
angusargyle
Well done my friend. I'm sorry to say, it gets more busy in fellowship and more so when you're attending.
swaby
Congratulations!
MacandCheeseYesPlease
goodjob! off topic but... just watched the plane crash episode from greys:(
dough4you
Are you going to do a fellowship? Subspecialization?
RElGNMAN
This episode Even though not credited and has no lines, Snoop Dogg Intern is seen for a split second during rounds standing next to Murphy.
SharkBaitEx
What did you call him, punk-ass?!
Solentra
Look out for Hooch. He's CRAZY.
copingcabana
StainlessEel
Strange.
social21431415
Starting residency today.... ?
piratedn1nj4
Eyyy this is my brother too!
tahneeishere
You can do it!
swagailicious
You’ll be great!! I learned more about myself in residency than any other period of my life. Remember it isn’t permanent and it gets better!
DocAqua
Starting 2nd year today. Thanks for writing my notes. :)
Chiheisen
Don't worry. You'll get great stories, you'll learn a lot, and you start with a light at the end of tunnel.
NukeWolf
What is residency again?
wegonfight
Guess you're not going to fellowship, huh?
AIComments
Welcome, murderers and assassins of my patients.
AIComments
(Scrubs) https://www.youtube.com/watch?v=63VLG4WuUDs
kcalam
Woooo!!! Hopefully you get a room full of balloons as well. Just finished my first of year 5 here.
dc808
5?
kcalam
5 year residency, Just finished year 1. Sleep deprivation clearly affecting typing skills
yanncythigpen
Uh, unless you are a dermatologist or ENT, pretty sure the 80 hour weeks will continue. However, you will now be paid well for it
yanncythigpen
Congrats! I’m no MD. Wife of 26 years is int. Med. she is never home. Hope it’s different for you. I think it’s about speed & organization.
yanncythigpen
Maybe it’s been an affair on the side?
BrisketSandwich24
I guess that depends on where you are but I don't work 80h weeks, not even close. Neither does anyone else in my office. I'm internal med
BrisketSandwich24
There are 4 of us. I work ~45h weeks. The least is 36h and the most is about 60, by her choice. 80h is like a really busy surgeon or a
BrisketSandwich24
Rare case when someone is I'll for a while or on a long vacation
devinvashalifski
Would you agree about the statistics about how residents make as many as 1/5 decisions because of exhaustion?
InfinitusEquitas
An idiotic trial by fire crucible tradition carried over from a cocaine addicted doctor... Idk about 1/5 but it is kind of crazy.
IamTheBestAtDonutEating
Wtf does 1/5 decisions mean?
ThisMachine
About 20%
Solkanarmy
they make 20% of all the decisions made in the hospital - due to EXHAUSTION? wouldn't that be due to overenthusiasm?
intothewilde
What kinda statistics is that, how was it measured, and what would it even mean?
SnivellusSnape
We know that humans need 5h min to function properly. We know that humans do terribly after 10h of work. These are known things.
BrisketSandwich24
But the person they're responding to is not making sense. Are they saying we make 20% more decisions when tired? What kind of decisions
BrisketSandwich24
Does that imply we make less decisions when we're rested? How so? Their sentence is unintelligible
PooPooInSpaghettiEveryoneUpsetti
Source : it's a known thing.
intothewilde
Yes, but what would it mean that 1/5 of my decisions are made because of exhaustion? And how is that measured?
swagailicious
1/ I’m not familiar w that stat but would like to read it. IMO the decisions during exhaustion become more passive. Won’t hurt people but
swagailicious
2/3 maybe only 80% best choice instead of pushing back and doing the 100% choice. Eg: patient threatening to leave AMA unless they get more
swagailicious
3/3 narcotics/sleep aids. On a fresh day I’d fight. On day 22 I might allow it.
Chiheisen
Funny. I'm often WAAAAAAAY less generous with narcs when I'm grumpy or tired.
intothewilde
"I SUFFER. NOW YOU SUFFER. NO NARCOS!" - Chiheisen
rd77Runner
So it is ok to be tired when caring for health of others and learning? I do not understand how this can be a thing... not safe for anyone.
SlagathorTheThird
My take on it is that it is based on outdated teaching methods that doctors are not willing to change, as it allows them to feel entitled.
1234qwerty
“We all did it and we turned out fine!” isn’t necessarily the best way to teach.
swagailicious
1/2 Change has slowly started. Instead of the expected 120hrs/wk, our law is 80hrs max now. The issue is that medical learning is based on
swagailicious
2/2 volume and repetition. Cutting training hours would mean extending training duration or sacrificing quality. Not an easy fix yet.
MaximumRadius
That kind of makes sense, since even treating two broken arms could require completely different approaches.
IdunaWithLotsOfCats
We (UK) doubled the 1st year for newly qualified drs to 2 years, so now we have FY1 and FY2
SociallyAwkwardCanadianMoose
So rookie -FY1, rookie that knows where the bathroom is -FY2?
IdunaWithLotsOfCats
Something like that, FY1 ‘nurse! Please help!’ FY2 ‘yes I think you might be sick, I’ll call my consultant ‘