4 ms·

Evidence like this suggest that medical leadership for the most part care very little about house officers (residents), and that is pretty universal. Our insti

Evidence like this suggest that medical leadership for the most part care very little about house officers (residents), and that is pretty universal. Our institution built a new billion dollar hospital and did not include call rooms. Great job.

neilv 6y ago
I found this opinion interesting: https://www.kevinmd.com/blog/2015/09/how-call-rooms-reflect-the-personality-of-residency-programs.html https://www.kevinmd.com/blog/2015/09/how-call-rooms-reflect-...
- js2 6y ago
  If you visit this page with an ad blocker enabled, nothing renders. If you disable your ad blocker on the page, well, god help you: https://ibb.co/PskWz4d https://ibb.co/PskWz4d A couple alternative links for reading: - https://outline.com/udkxSE https://outline.com/udkxSE - https://pastebin.com/5MQE91k3 https://pastebin.com/5MQE91k3
  - afterburner 6y ago
    Seemed fine with uBlock Origin
    - js2 6y ago
      I'm using AdGuard on iOS/macOS with an aggressive set of content blockers. Not sure which rule is blanking the entire page, but there's so many ads and other crap on that page I don't care to debug it. When I load with content blockers disabled, Safari reports 17 (!) trackers prevented.
- renewiltord 6y ago
  Short summary for people who don't want to read it: author says that call rooms were for functionality and that they believe that call room quality and medical learning quality are non-correlated. Author does not discuss absence of call rooms. Only adding that summary because I assumed, given context of GP, that absence of call rooms would have been discussed. If you're like me, hope I've saved you the time.
  - neilv 6y ago
    Sorry, I should've been clear that it was opinion about what call rooms are for (since I could only guess, and, according to the article, they aren't like the lounges I've occasionally seen on TV).
    - renewiltord 6y ago
      All good. Link appreciated anyway. I think it would have helped if you had described why you felt the link was worth sharing but I intend that feedback as gently as possible and not as a rebuke of any sort.
jseliger 6y ago
Exactly. Residents in the United States are deeply in debt and can't quit, and the resulting quality of working conditions is sadly predictable: https://jakeseliger.com/2012/10/20/why-you-should-become-a-nurse-or-physicians-assistant-instead-of-a-doctor-the-underrated-perils-of-medical-school/ https://jakeseliger.com/2012/10/20/why-you-should-become-a-n...
euthymiclabs 6y ago
Not surprising, unfortunately. Our "call room" in one hospital during residency was a utility closet. There are mandates of what to do, but hospitals routinely ignore them. Who will report problems? No resident wants to have their program lose accreditation. Our program director (in psychiatry) always pointed out that psychiatry had one of the highest rates of people going over the 80 hour-per-week limit in the health system. It was much more uncommon for us than for most of our colleagues, but we tended to report it on the rare occasion it happened. My surgical colleagues who went over the limit were asked to meet with their program director when it happened, and it was much easier just to "round down." Glad I did a residency, but mine was relatively easy. I probably wouldn't have made it through some programs.

neilv 6y ago

I found this opinion interesting: https://www.kevinmd.com/blog/2015/09/how-call-rooms-reflect-the-personality-of-residency-programs.html https://www.kevinmd.com/blog/2015/09/how-call-rooms-reflect-...

js2 6y ago
If you visit this page with an ad blocker enabled, nothing renders. If you disable your ad blocker on the page, well, god help you: https://ibb.co/PskWz4d https://ibb.co/PskWz4d A couple alternative links for reading: - https://outline.com/udkxSE https://outline.com/udkxSE - https://pastebin.com/5MQE91k3 https://pastebin.com/5MQE91k3
- afterburner 6y ago
  Seemed fine with uBlock Origin
  - js2 6y ago
    I'm using AdGuard on iOS/macOS with an aggressive set of content blockers. Not sure which rule is blanking the entire page, but there's so many ads and other crap on that page I don't care to debug it. When I load with content blockers disabled, Safari reports 17 (!) trackers prevented.
renewiltord 6y ago
Short summary for people who don't want to read it: author says that call rooms were for functionality and that they believe that call room quality and medical learning quality are non-correlated. Author does not discuss absence of call rooms. Only adding that summary because I assumed, given context of GP, that absence of call rooms would have been discussed. If you're like me, hope I've saved you the time.
- neilv 6y ago
  Sorry, I should've been clear that it was opinion about what call rooms are for (since I could only guess, and, according to the article, they aren't like the lounges I've occasionally seen on TV).
  - renewiltord 6y ago
    All good. Link appreciated anyway. I think it would have helped if you had described why you felt the link was worth sharing but I intend that feedback as gently as possible and not as a rebuke of any sort.

jseliger 6y ago

Exactly. Residents in the United States are deeply in debt and can't quit, and the resulting quality of working conditions is sadly predictable: https://jakeseliger.com/2012/10/20/why-you-should-become-a-nurse-or-physicians-assistant-instead-of-a-doctor-the-underrated-perils-of-medical-school/ https://jakeseliger.com/2012/10/20/why-you-should-become-a-n...

euthymiclabs 6y ago

Not surprising, unfortunately. Our "call room" in one hospital during residency was a utility closet. There are mandates of what to do, but hospitals routinely ignore them. Who will report problems? No resident wants to have their program lose accreditation. Our program director (in psychiatry) always pointed out that psychiatry had one of the highest rates of people going over the 80 hour-per-week limit in the health system. It was much more uncommon for us than for most of our colleagues, but we tended to report it on the rare occasion it happened. My surgical colleagues who went over the limit were asked to meet with their program director when it happened, and it was much easier just to "round down." Glad I did a residency, but mine was relatively easy. I probably wouldn't have made it through some programs.