3 ms·

Can't medical doctors have duty time limits like aircrews. Wouldn't that alleviate some of the overwork.

sambazi 3y ago
it's not like the whole profession has the same contract, but working hours in public healthcare should be regulated, i agree
huytersd 3y ago
Can’t IT workers?
nicomeemes 3y ago
There is such a restriction, at least for NY. It was prompted by a wealthy businessman (naturally): https://en.wikipedia.org/wiki/Libby_Zion_Law https://en.wikipedia.org/wiki/Libby_Zion_Law
SJC_Hacker 3y ago
Last I heard (this was early 2010s) at least it Texas, it was capped at 80 hours/week for residents. Seems like a lot but probably better than the 100+ they used to pull.
- cfu28 3y ago
  80 hours a week, averaged over a month. So individual weeks can still easily go over to 100+
rtaylorgarlock 3y ago
My wife's a doc, in residency, and also Swiss, so I find myself referencing this study [1] on residency hours in Swiss residency programs over years. Bottom line: there are limitations on hours/wk and consecutive shifts, but enforcement of that is a joke + nonexistant, especially among residents (note resident's interest in maintaining their resident status and remaining 'bureaucratically blessed'). [2] See the Albuquerque neurosurgery resident walkout for an interesting business case of the real value of surgeon residents and what might motivate them to cause a big kerfuffle in hopes of bringing about changes. [3] I'm mostly acquainted with attending physicians who don't mind the 60hr weeks when they don't have a choice, and residents who pick up the rest of the work that attendings financially benefit from. Surgery attendings seem to be a special sort of animal. It's just not as simple as limiting hours, unfortunately -_- [1]: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3464122/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3464122/ [2]: https://psnet.ahrq.gov/issue/public-opinion-resident-physician-work-hours-2022 https://psnet.ahrq.gov/issue/public-opinion-resident-physici... [3]: https://thesheriffofsodium.com/2022/02/04/how-much-are-resident-physicians-worth/ https://thesheriffofsodium.com/2022/02/04/how-much-are-resid...
cfu28 3y ago
In the US, there is a cap for residents: 80hrs per week, but averaged over a 4 week period so individual weeks can go over

it's not like the whole profession has the same contract, but working hours in public healthcare should be regulated, i agree

huytersd 3y ago

Can’t IT workers?

nicomeemes 3y ago

There is such a restriction, at least for NY. It was prompted by a wealthy businessman (naturally): https://en.wikipedia.org/wiki/Libby_Zion_Law https://en.wikipedia.org/wiki/Libby_Zion_Law

SJC_Hacker 3y ago

Last I heard (this was early 2010s) at least it Texas, it was capped at 80 hours/week for residents. Seems like a lot but probably better than the 100+ they used to pull.

cfu28 3y ago
80 hours a week, averaged over a month. So individual weeks can still easily go over to 100+

rtaylorgarlock 3y ago

My wife's a doc, in residency, and also Swiss, so I find myself referencing this study [1] on residency hours in Swiss residency programs over years. Bottom line: there are limitations on hours/wk and consecutive shifts, but enforcement of that is a joke + nonexistant, especially among residents (note resident's interest in maintaining their resident status and remaining 'bureaucratically blessed'). [2] See the Albuquerque neurosurgery resident walkout for an interesting business case of the real value of surgeon residents and what might motivate them to cause a big kerfuffle in hopes of bringing about changes. [3] I'm mostly acquainted with attending physicians who don't mind the 60hr weeks when they don't have a choice, and residents who pick up the rest of the work that attendings financially benefit from. Surgery attendings seem to be a special sort of animal. It's just not as simple as limiting hours, unfortunately -_- [1]: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3464122/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3464122/ [2]: https://psnet.ahrq.gov/issue/public-opinion-resident-physician-work-hours-2022 https://psnet.ahrq.gov/issue/public-opinion-resident-physici... [3]: https://thesheriffofsodium.com/2022/02/04/how-much-are-resident-physicians-worth/ https://thesheriffofsodium.com/2022/02/04/how-much-are-resid...

cfu28 3y ago

In the US, there is a cap for residents: 80hrs per week, but averaged over a 4 week period so individual weeks can go over