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To: Gondring

Glad you liked it. I agree that as a profession we didn’t handle work hour issues effectively. There have been benefits to the 80 hour work week... I think we work more efficiently now and some of the abuse of residents has subsided. That being said we are starting to see a change in the mentality of those entering surgery residency... more see it as shift work and don’t accept ownership of the patient and that is dangerous.

The claim that there is no understanding regarding restrictions of resident work hours refers to the politicians that are pressuring the IM and ACGME to further restrict hours. I know those within the medical profession on those boards recognize the pros/cons of hour restrictions. We must also recognize a significant difference exists in how certain specialties are trained and that should be reflected in the ACGME’s policies.

Yeah, the Annals sounded a little more like Anals (I was too tired to go back and rerecord that audio though :))

It got an extremely positive response at Grand Rounds, all the requests for copies is what led me to post it online.

The Guild issue is an interesting one, and honestly I hadn’t really thought about it. I still think it is necessary to ensure that those practicing have meet certain requirements that the profession establishes for the safety of patients.

Is it unethical to treat Lawyers? I don’t think I would go that far. I only aim to point out that it is not unethical to refuse elective care to those that would destroy us.


11 posted on 05/16/2010 2:02:06 PM PDT by glocker23 (Live Free Or Die)
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To: glocker23
That being said we are starting to see a change in the mentality of those entering surgery residency... more see it as shift work and don’t accept ownership of the patient and that is dangerous.

You're not controlling your variables. In every field, the "Millenials" have such attitudes.

I still think it is necessary to ensure that those practicing have meet certain requirements that the profession establishes for the safety of patients.

But surely "FACS" has meaning, does it not? If a private organization can define requirements, why can it not for safety of patients?

17 posted on 05/19/2010 6:50:46 PM PDT by Gondring (Paul Revere would have been flamed as a naysayer troll and told to go back to Boston.)
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