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