Medicine
I know I said wouldn't post daily, but a short addendum to the Dec 3 post on Resident Work Hours, motivated by the Editorial in the NY Times today (http://www.nytimes.com/2008/12/09/opinion/09tue3.html?_r=1&ref=opinion)
The article notes that the Institute of Medicine (IOM) report expresses concern about the current 10-year old regulations may not be being enforced: "By most accounts, the current, weaker rules are widely ignored, so it will be imperative to make sure that any revisions are adhered to..." While this raises the obvious question of "how" this will be done, it also raises the issue of where this assertion, "By most accounts..." comes from. I have seen no citations, and know of no programs where these rules are violated in any regular way (of course, there may be a rare intermittent exception). The Accreditation Council for Graduate Medical Education (ACGME) monitors this very closely, and programs violating it have serious sanctions, so I am quite surprised and wonder whether this is really true.
- Do Resident Work Hours Limits Create Better Physicians?
On a few previous occasions (e.g., Student Debt, Resident Hours, and Primary Care Redux, Jan 2, 2009) I have written about the issue of medical residents’ work hours and the implications that it had, good or bad, for patient care. A recent article...
- Joe Wilson: Racism In America Rears Its Ugly Head
. I am not a huge believer in protocol and quietly and respectfully listening to what you consider to be evil lies. I kind of enjoy the spectacle of the British Parliament where opposition members get to boo at the Prime Minister. So maybe, to that degree,...
- Student Debt, Resident Hours, And Primary Care Redux
HAPPY NEW YEAR! May 2009 be a big improvement! The December 18, 2008 issue of the New England Journal of Medicine includes Perspectives on 3 topics that have been previously addressed on this blog: Medical student debt (Dec 14), resident duty-hours (Dec...
- Guest Blog: Residency Regulators Are Back
Danielle Ofri, MD, PhD is the author of three books about her experiences as a general internist at NYU School of Medicine and serves as editor-in-chief of the Bellevue Literary Review. The following post originally appeared on her blog on June 25, 2010....
- Post Call: Resident Duty Hour Regs In Perspective
"Post call" is shorthand for being at work the day after having spent the entire previous day and night working. While this sort of situation isn't unique to medicine (for example, attorneys in some specialities pull similar sleep-deprived work shifts...
Medicine
Resident Work Hours: Addendum
I know I said wouldn't post daily, but a short addendum to the Dec 3 post on Resident Work Hours, motivated by the Editorial in the NY Times today (http://www.nytimes.com/2008/12/09/opinion/09tue3.html?_r=1&ref=opinion)
The article notes that the Institute of Medicine (IOM) report expresses concern about the current 10-year old regulations may not be being enforced: "By most accounts, the current, weaker rules are widely ignored, so it will be imperative to make sure that any revisions are adhered to..." While this raises the obvious question of "how" this will be done, it also raises the issue of where this assertion, "By most accounts..." comes from. I have seen no citations, and know of no programs where these rules are violated in any regular way (of course, there may be a rare intermittent exception). The Accreditation Council for Graduate Medical Education (ACGME) monitors this very closely, and programs violating it have serious sanctions, so I am quite surprised and wonder whether this is really true.
- Do Resident Work Hours Limits Create Better Physicians?
On a few previous occasions (e.g., Student Debt, Resident Hours, and Primary Care Redux, Jan 2, 2009) I have written about the issue of medical residents’ work hours and the implications that it had, good or bad, for patient care. A recent article...
- Joe Wilson: Racism In America Rears Its Ugly Head
. I am not a huge believer in protocol and quietly and respectfully listening to what you consider to be evil lies. I kind of enjoy the spectacle of the British Parliament where opposition members get to boo at the Prime Minister. So maybe, to that degree,...
- Student Debt, Resident Hours, And Primary Care Redux
HAPPY NEW YEAR! May 2009 be a big improvement! The December 18, 2008 issue of the New England Journal of Medicine includes Perspectives on 3 topics that have been previously addressed on this blog: Medical student debt (Dec 14), resident duty-hours (Dec...
- Guest Blog: Residency Regulators Are Back
Danielle Ofri, MD, PhD is the author of three books about her experiences as a general internist at NYU School of Medicine and serves as editor-in-chief of the Bellevue Literary Review. The following post originally appeared on her blog on June 25, 2010....
- Post Call: Resident Duty Hour Regs In Perspective
"Post call" is shorthand for being at work the day after having spent the entire previous day and night working. While this sort of situation isn't unique to medicine (for example, attorneys in some specialities pull similar sleep-deprived work shifts...