Re:75% of med students are on antidepressants, stimulants, o...
by bookofjoe on Monday January 07, 2019 @07:22AM
(#18844609)
Final year of residency — schedule as senior resident in the house overnight:
Day 1 (weekday): Report for duty at 3 pm, take over from the day team with night call team. Try to send everyone on day team home by 5 pm. Cover hospital and all services for Code Blues; emergency intubations; difficult catheterizations/IVs; patients who arrived late and required pre-op history & physical before next day's surgery; anesthesia for deliveries in OB; anesthesia for cases ongoing from day plus emergencies from ER and in-house. Done at 7 am the next day (Day 2). So 16 hours. No sleep as a rule.
Day 2: Off (home to sleep during day to make up for missed night; to bed that night as usual.
Day 3: Report for work at 7 am; light duties such as pre-op workups of ambulatory patients; start IVs/arterial lines in pre-op area; Code Blue coverage of hospital and all services.
Off at 3 p.m.
Day 4: Repeat Day 1. This schedule applied for six months.
Note: If Day 1 fell on Saturday or Sunday or a holiday, report to work at 7 am (rather than 3 pm), otherwise identical to weekday. Off at 7 am the next day, so 24 hour shift. Sometimes a nap or two.
[ Parent
| on HN ]
Re:75% of med students are on antidepressants, stimulants, o...
by Ericson2314 on Tuesday January 15, 2019 @12:01AM
(#18908961)
And are you aware of all the studies regarding irregular sleep schedules, and humans' inability to judge their own exhaustion and how it affects their behavior?
Great job enjoying such circumstances, but the evidence would point to it being a sub-par way to have residents perform at their best. Surely we could have regular-length shifts (with fixed start times so as to work with a reversed circadian rhythm) and more overlap to solve the patient hand-off problem.