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Medical training/hours workedFrom: Zach Newton (zbnewton@mindspring.com)Tue May 1 00:29:01 2001
Hot in the U.S. news is the issue of on-call hours/unit of time for physicians in training. A story. As a junior resident, assigned medical students shared a communal sleep room. Emergency Room called for my presence irt a woman w/ abdominal pain in mid-night. I touched the sleeping med stud to the call for duty. His response was, "You go on. I saw one of those last week." Without detail, he ultimately elected to join me in the assessment. Every "job" is on the job training. The call schedules of old, such as dinosaurs like Dan Braun suffered through, were so demanding as to be demeaning. We are talking 24 hour days every other day with relief of 12 hour days on the obverse side of the coin. The pendulum swing to the other side is seen in the protests of today. There are separators on the climb up the mountain. We all know the catalog. In the world after the family celebration of transcendence, there are expectations of performance that translate into a demand that not all can remit. To reduce training to the level of casual employment does not bestow the reality of requirements for the job to soldiers or physicians. Without hurdles, there collects a swarm that diminishes the strength of the individual to deal with the day ahead effectively. ZBN
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