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gorskon's profile
David Gorski, MD, PhD
David Gorski, MD, PhD
David Gorski, MD, PhD
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@gorskon

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David Gorski, MD, PhDVerified account

@gorskon

Surgeon/scientist promoting science in medicine and exposing quackery. Editor of Science-Based Medicine. My opinions do NOT represent those of my employers.

Michigan, USA
sciencebasedmedicine.org
Joined October 2009

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    1. Colleen Farrell, MD‏Verified account @colleenmfarrell 14 Dec 2019

      I propose that any attending who says residents should do 27 hour shifts should be required to do a yearly 27 hour shift themselves, to keep them honest. This should include attendings with small children and/or chronic medical or mental health conditions, just like residents

      246 replies 275 retweets 3,132 likes
      Show this thread
    2. Dan Freedman, DO‏ @dfreedman7 14 Dec 2019
      Replying to @colleenmfarrell

      I did not mind 28 hour call. I think it's an important part of training. I'm a pgy-6 and not looking forward to losing duty hour protections in 6.5 months. Neuro call can be super busy and I'll need to function on little sleep at times. I'm glad my training prepared me for that.

      5 replies 1 retweet 16 likes
      David Gorski, MD, PhD‏Verified account @gorskon 15 Dec 2019
      Replying to @dfreedman7 @colleenmfarrell

      That’s nice. I did my general surgery training in the era before resident work hour restrictions, and I hated it. I can’t even count the number of times I almost quit. I’m with the residents on this one. Regularly having to work 24 hrs indicates a flaw in the system.

      7:02 AM - 15 Dec 2019
      • 1 Retweet
      • 44 Likes
      • catherine megan Atlee Solomon Dr. John E. Canuck, MD 🍁 Amanda Howell Liz Lemon, MD Dr. Melanie Johnson-Moxley 📚☕🏡🐕 Alastair McAlpine, MD (((Dorit Reiss)))
      2 replies 1 retweet 44 likes
        1. New conversation
        2. Dan Freedman, DO‏ @dfreedman7 15 Dec 2019
          Replying to @gorskon @colleenmfarrell

          Don't get me wrong. I'm not volunteering for more 24s. But my neuro residency started out as homecall. And we had 48-72 weekend calls. It was brutal. So going to in house 24s was actually beneficial bc it protected us and gave us a postcall day.

          1 reply 0 retweets 1 like
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        2. Dan Freedman, DO‏ @dfreedman7 15 Dec 2019

          There are limits. Residents cannot work more than 80 hours a week averaged over 4 weeks. Residents cannot work more than 24 hours in direct patient care + 4 hours to round and document after the shift. These were good changes that happened.

          0 replies 0 retweets 1 like
        3. End of conversation
        1. New conversation
        2. (((Dorit Reiss)))‏Verified account @doritmi 15 Dec 2019
          Replying to @gorskon @dfreedman7 @colleenmfarrell

          It’s probably not helpful for patients to have half asleep medical personnel, either.

          2 replies 0 retweets 7 likes
        3. Dan Freedman, DO‏ @dfreedman7 15 Dec 2019
          Replying to @doritmi @gorskon @colleenmfarrell

          At least in peds, I am more protected as a trainee than as an attending. So it seems weird to take longer call as an attending (when there are few protections in place for patient and doc alike) than you get exposed to in training. Isn't that the point of training?

          1 reply 0 retweets 1 like
        4. Show replies

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