Monday, March 4, 2013
Lovely reform work hours for resident physicians
If you gaze at basic learning theory, You see that people learn best if they're well rested and unencumbered by distractions. In contrast, Learning theory also shows that support is best under extremely adverse circumstances. If you stitch up a patient if you are half asleep, You'll be able to do it over time while half asleep.
Totally, I agree that resident healthcare provider's sleep should be managed better. Friends and family, The converter should have a deliberate attempt to require shorter hours when learning new things, And more and more when applying what was learned. The foregoing, Not surprisingly, Is not alway possible, But I think any new regulation should allow such an flexibility to exist.
I'm a physician and the idiocy of the lack of sleep feature of the training tradition has long been obvious to me. It is just one portion of the hazing that medical trainees endure, As university, Interns and people resident. With me, Your requirements, Why do these practices endure? Discover the psychosocial pathology behind it? What are the properties shared by this sort of profession, Villain gangs, High school fraternities, And many aboriginal tribes which them perpetuate such onerous initiation rituals? (A broader real question for you is, Why does contemporary world rely on "Scientists" To decide issues about which they will likely have lost all credibility - this example is doctors running medical teaching, But others include central bankers handling the monetary system, Politicians conducting foreign policy and the training profession operating the schools.)
Erika Lenker
Czeisler's comments (March 24th) Makes a good argument for reform of resident physician working hours. It is possible to, Conversely, At least two important points that he doesn't discuss.
1. What number of physicians in practice exceeds the size of the resident physician pool by perhaps an order of magnitude, And extended working hours do not end with resident physicians. If you need to have blocks of time-At a distance, Many practicing physicians under your own accord put themselves "Available" For multiple sequential days. Just thus far, If they put patients in danger of doing so, There is no mechanism to manage their work hours.
2. Shortening work hours necessarily decreases the continuity of care and increases how much number of "Indicator-outs" Between health professionals. The standard of sign-Outs is shifting. Poor communication between physicians mobile marketing companies may also greatly increase the risk of patient injury. It is not clear whose risk is greater: The affected person with a sleep deprived doctor, Or the client with a 75% Commission With Almost No Returns. This Book Offers Techniques And Strategies On How To Save A Marriage And Reignite Love. It Is A Very Effective Program And There’s Nothing Like It On The Market. Marriage Makeover, Mend Your Marriage, Make It Better Than Before doctor poorly informed about the sufferer's condition