all_akimbo t1_j8xv5gl wrote
Reply to comment by ferrusmannusbannus in Penn Medicine residents and fellows want a union, citing grueling workloads and 80-hour workweeks by nankles
Citation?
OptimusSublime t1_j8xvz98 wrote
u/ferrusmannusbannus imagination, 2023, Reddit.com
ferrusmannusbannus t1_j8xy9ep wrote
New England Journal of Medicine
https://www.nejm.org/doi/full/10.1056/NEJMoa1900669
Northwestern University
https://news.northwestern.edu/stories/2016/02/longer-shifts-surgical-residents-safe
Jama Study on Handover Mortality
https://jamanetwork.com/journals/jama/fullarticle/2589342
Canadian Medical Association
https://www.sciencedaily.com/releases/2015/02/150209122838.htm
ForkBombGoBoom t1_j8ybps9 wrote
> New England Journal of Medicine > https://www.nejm.org/doi/full/10.1056/NEJMoa1900669
This study says: "Longer Shifts for Surgical Residents are Safe for Patients"
It does not say: "[Making residents work less hours for more money] ended in way worse patient care and more deaths. "
> Northwestern University > https://news.northwestern.edu/stories/2016/02/longer-shifts-surgical-residents-safe
This study says: "resident physicians who were randomly assigned to schedules that eliminated extended shifts made more serious errors than resident physicians assigned to schedules with extended shifts, although the effect varied by site." However, it adds a big caveat: "The number of ICU patients cared for by each resident physician was higher during schedules that eliminated extended shifts." Additionally, the shorter shifts could still be 16 hours, and there was no data about total hours worked in a week, just about the length of a single shift.
It does not say: "[Making residents work less hours per week or for more money] ended in way worse patient care and more deaths. "
> Jama Study on Handover Mortality > https://jamanetwork.com/journals/jama/fullarticle/2589342
This study says: "End-of-rotation transitions may introduce risk in internal medicine inpatient care."
It does not say: "[Making residents work less hours per week or for more money] ended in way worse patient care and more deaths. "
> Canadian Medical Association > https://www.sciencedaily.com/releases/2015/02/150209122838.htm
This study says: "Shorter duty hours for medical residents, although marginally better for residents themselves, may result in worse patient care, according to a randomized trial assessing resident duty hour schedules in the intensive care unit."
This is the closest to your argument, but again, it looks at the length of individual shifts, not total hours worked in a week or month, which may have more of an impact.
Until we see a few studies showing that sustained 40 hour workweeks with 8 hour work days are inferior in patient outcome, I think these are all just bullshit.
And even then, the issue is wellbeing of the residents. It's not all about the patients. My workplace does better if I work 100 hours a week; I do not.
ferrusmannusbannus t1_j8ydk3a wrote
40 hour work weeks will never work for residencies unless you are going to double the length of them which no one wants. You have an absolutely insane amount to learn.
ferrusmannusbannus t1_j8xyg3c wrote
New England Journal of Medicine
https://www.nejm.org/doi/full/10.1056/NEJMoa1900669
Northwestern University
https://news.northwestern.edu/stories/2016/02/longer-shifts-surgical-residents-safe
Jama Study on Handover Mortality https://jamanetwork.com/journals/jama/fullarticle/2589342
Canadian Medical Association
https://www.sciencedaily.com/releases/2015/02/150209122838.htm
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