Medical Residents Work Long Hours Despite Rules
Medical college grounds by Powerhouse Museum Collection
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License (according to Flickr): No known copyright restrictions
More than 10 years after she was a internal medicine resident, Dr. Vineet Arora still thinks about how her shifts used to end. She says the best shift change was one that didn't require her to transfer single patient to the next bunch of residents. "A good sign out was 'nothing to do,' " she recalls. "When I trained, you worked here until your work was done." But things have changed a lot since then. Now, Arora is the associate director of the University of Chicago's internal medicine residency program. And the residents she supervises aren't allowed to work indefinitely long shifts. Rules implemented nationally in 2003, and tightened last year, put a hard cap on the length of residents' shifts: no more than 16 hours for first-year residents or interns, and no more than 28 hours in one shift for others.
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Arora shift residents rules interns internal medicine Dr. Vineet Arora American Medical generation bashing best shift change new shift rules internal medicine resident Graduate Medical Education Libby Zion case New York Hospital internal medicine residency American Medical Association shifts Dr. Joanne Conroy raises ethical issues chief health care American Medical Colleges 36-hour shift shift restrictions shift limitsPeople:
Dr. Vineet Arora
Overall Sentiment: -0.0717247
Relevance: 0.878155
| Sentiment | Quote |
|---|---|
| 0 | "If you lie about your hours, are you more likely to lie about other things?" she tells ... |
| 0 | "If you lie about your hours, are you more likely to lie about other things?" she tells Shots. "You've already engaged in misdocumentation." |
| 0.0353035 | She says some doctors who did their residencies before the new shift rules went into effect look down on new residents — something Arora calls "generation bashing." |
| -0.0670072 | "In our program, we let our residents know that we don't want them to stay," Arora says. ... |
| Sentiment Stats: |
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Dr. Joanne Conroy
Overall Sentiment: 0.493593
Relevance: 0.1862
Key:
- Aggregate Sentiment is meant to be an indicator of an individual's overall sentiment.
- The Mean is meant to be an indicator of an individual's average comment sentiment.
- The Standard Deviation, when there are enough quotes, will indicate an individual's consistency of sentiment (i.e. a Standard Deviation of 0 would mean they were very consistent in their sentiment and 1 would mean they were very inconsistent).
Note that quote stats are likely to be meaningless beyond the aggregate score due to the tiny sample size. However, they are always provided just in case you find something useful there.
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Medical Residents Work Long Hours Despite Rules
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The traditions of medical education die hard. Many doctors in training still work extreme hours, despite rules that limit the lengths of shifts for medical residents. One residency director calls for doctors educated under the old system to stop bashing the younger generation for being soft.
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