tag:blogger.com,1999:blog-2760353953251845523.post3120420649587247452..comments2024-02-10T02:14:39.898-05:00Comments on Buckeye Surgeon: Work Hours Ctd.Jeffrey Parks MD FACShttp://www.blogger.com/profile/15650563299849196122noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-2760353953251845523.post-66204080182484674202010-06-30T01:28:15.463-04:002010-06-30T01:28:15.463-04:00It worries me. No call!?! I've maintained for...It worries me. No call!?! I've maintained for a while now that the difference between the training an MD undergoes and the training of a mid-level provider isn't really about years or hours of training... it's about learning how to be the end of the hierarchy. How to make decisions, potentially dangerous ones, on your own without anyone to consult or back you up. To learn how to do it yourself, because you can't always trust someone to do it for you. That's the responsibility the degree is supposed to represent. Sure call sucks, and most of the time its simply busy work and sleep deprivation. But I remember standing with my general surgery intern on call during the first month of his training/my third year... looking at a post-op patient with a BP of 210/160 with chest pain, looking at a post-op patient with a rigid abdomen, looking at a post-op patient with sudden onset dyspnea. We had no f***in clue what to do... so we went and looked it up. And tried things. And they worked. That's what intern year is supposed to be about. Not hand-holding and learning how to master paperwork (which is all the intern really does during the day) before learning how to be an actual flippin' doctor.<br /><br />I'll be part of the first intern class these new rules will supposedly affect, so I guess I'm supposed to be happy I'll have more time for reading classical books and windsurfing and UpToDate. But I'm not happy, I can see this seriously affecting my growth as a physician and surgeon and I worked too damn hard to get to anything but the best training.MedZaghttps://www.blogger.com/profile/03928608814861961288noreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-42672638388819456802010-06-29T10:45:12.085-04:002010-06-29T10:45:12.085-04:00Actually that's not exactly what the supervisi...Actually that's not exactly what the supervision requirement says. "For many aspects of patient care, the supervising physician may be a more advanced resident." http://acgme-2010standards.org/pdf/Proposed_Standards.pdfAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-72454813498805715472010-06-28T18:05:04.889-04:002010-06-28T18:05:04.889-04:00Does this mean that this duty no longer falls on n...Does this mean that this duty no longer falls on nursing? (yippeeee)<br /><br />Buckeye, you know you have an extra binky or two in your pockets. <br /><br />-SCRNAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-2760353953251845523.post-87565719901137222642010-06-28T15:43:14.946-04:002010-06-28T15:43:14.946-04:00Buckeye, you would be the most awesume Training Pr...Buckeye, you would be the most awesume Training Program Director...<br />For the whole 20 minutes you'd last...<br />Dating myself here, but I remember MY first Central Line as a 3rd Year....<br />3rd year Med Student, but hey it was towards the end of 3rd Year, cause thats when I did my Surgery Rotation...<br />Got Supervised by an Intern if you consider "Supervision" him drinking Coffee at the Nursing Station(you could do that back then)<br />He did come by to check my work, and wasn't concerned about the missing Guide Wire, "Thats what the X-rays for" he said as he hurried back to whatever Interns did back in 1986...<br />and that was the last time I got supervised doin a Central Line...<br />Still don't know where that guide wire went...<br /><br />FrankAnonymousnoreply@blogger.com