Friday, May 23, 2008

Hoping Beyond Hope

There are several items that I hope don't happen - even though I know there's a very good chance that they'll occur anyway. Like gas stopping its ridiculous and out of control move towards $4 and $5 a gallon.

What I really hope is just merely a rumor mill is this, a cut of work hours from 80 to 56 per week. I found this link from Medschool Hell - who, naturally, is in support of the move.

I've already blogged about this topic in the past, so I will allow you to read over that post and refresh yourselves. Clearly I do not believe cutting the work-hours anymore will lead to significant changes for the better.

What it will do is just lengthen an already long process with residencies adding additional years, create further punch-clock mindsets in residents entering the work-force, and leave a large topic of discussion still on the table: debt repayment.

Hell, as it is the government has been trying to get underpaid residents to pay back on loans by reducing the years that they can defer or forbear or simply removing the option of "economic hardship" from the list of reasons. So adding more years will do what? Create more financial burdens, reduce the chance to moonlight, make residency akin to a 40 hour a week job where-in doctors will become even more hesistant to do anything past 5pm? Is that what we really want?

Think about it before you'd say that working a few less hours isn't that bad.

17 comments:

Bostonian in NY said...

For what it's worth, some of the SDNers have their heads up their asses.

They're really goign to try to financially leverage programs into adhering to hours? Don't they realize that is going to further pressure residents into lying about their hours? Imagine the hell that would rain down on a resident if he reported an hours violation and then cost his program a couple grand on top of picking up half the patient load that they normally adhere to...that's not exactly going to foster a healthy learning environment, especially when the attendings (who pretty much monitor everything that the residents do) have to start picking up the patients that are getting dropped through the cracks.

If you want the PM&R lifestyle, you can deal with the PM&R paycheck and all the preconceived notions (right or wrong) that come along with it.

Old MD Girl said...

I am totally ok with a 60 or so hour work week. That's still plenty as far as I'm concerned. I'd even be ok if they lengthened training a year. I'll already be ancient when I get done. What's one more year! At least with 60 hours/week I'd get to see my kids AS they grew up and not just after.

Interestingly, anesthesia residents do work a 60 hour week at my hospital, and get pain $100/hr for overtime. Doesn't sound so bad, does it? And they still finish in the allotted time.

ARIS said...

Pardon my ignorance, but you guys pay tuition for your post graduate training programs, yes?

M said...

Aris: No. Med school is completely free in America... Everyone's just joking about "debt repayment"...

MSG said...

OMDG,

I've heard of some anesthesia programs that will pay "overtime" if residents work past a certain time or more than a certain amount of hours. Part of that comes from the ASA instituting hours rules long before the 80 hour mandate based on several malpractice cases involving tired residents and staff.

Even though there are a few that can get by (since anesthesia has less floor care they typically do mostly training-oriented items while at work, unlike some others) I feel many specialties require at least 80 hours. Surgery is definitely one. After all, much of the work is done after rounds - which would be harder to do if you shortened the work day. And I, for one, am not in favor of an additional year. I just don't love my debt that much.

Aris,
Yes, we pay out the ass for tuition. My debt is a mortgage and will only increase as I defer through residency.

ARIS said...

Thank you, M. If you'd read my enquiry, rather than rushing in with a smart comment, you'll notice I was actually referring to postgraduate tuition, not medical school tuition. I wasn't clear as to whether the fees stop after graduation, or if you have to pony up for the training you get in residency, too.

Old MD Girl said...

Aris,

To answer your question: No, you don't pay tuition for residency training. But if you take out loans to pay for med school, you will accrue interest on them during that time.

ARIS said...

Ta, OMDG. That's what I suspected - just wanted to be sure. As somebody who graduated med school with an interest free, relatively small debt to the Government, it's interesting to hear from the other side. Our post graduate training comparatively takes a lot longer before we reach consultancy - partly due to the fact we don't work the horrendous hours you guys do over there.

Anonymous said...

Hello !.
might , probably very interested to know how one can collect a huge starting capital .
There is no initial capital needed You may commense to receive yields with as small sum of money as 20-100 dollars.

AimTrust is what you thought of all the time
The firm represents an offshore structure with advanced asset management technologies in production and delivery of pipes for oil and gas.

Its head office is in Panama with structures everywhere: In USA, Canada, Cyprus.
Do you want to become a happy investor?
That`s your choice That`s what you wish in the long run!

I`m happy and lucky, I began to take up real money with the help of this company,
and I invite you to do the same. If it gets down to select a correct partner utilizes your savings in a right way - that`s it!.
I earn US$2,000 per day, and my first investment was 500 dollars only!
It`s easy to start , just click this link http://onoxaganot.lookseekpages.com/qazegi.html
and go! Let`s take our chance together to get rid of nastiness of the life

Anonymous said...

Good day, sun shines!
There have been times of hardship when I didn't know about opportunities of getting high yields on investments. I was a dump and downright pessimistic person.
I have never imagined that there weren't any need in big starting capital.
Nowadays, I'm happy and lucky , I started to get real income.
It's all about how to select a proper companion who utilizes your funds in a right way - that is incorporate it in real business, and shares the profit with me.

You may get interested, if there are such firms? I'm obliged to tell the truth, YES, there are. Please get to know about one of them:
http://theblogmoney.com

Anonymous said...

Hello!
You may probably be very interested to know how one can make real money on investments.
There is no need to invest much at first.
You may begin earning with a money that usually is spent
on daily food, that's 20-100 dollars.
I have been participating in one project for several years,
and I'll be glad to share my secrets at my blog.

Please visit blog and send me private message to get the info.

P.S. I earn 1000-2000 per daily now.

[url=http://theinvestblog.com] Online investment blog[/url]

Anonymous said...

Hello everyone!
I would like to burn a theme at this forum. There is such a thing, called HYIP, or High Yield Investment Program. It reminds of ponzy-like structure, but in rare cases one may happen to meet a company that really pays up to 2% daily not on invested money, but from real profits.

For quite a long time, I earn money with the help of these programs.
I don't have problems with money now, but there are heights that must be conquered . I get now up to 2G a day , and I started with funny 500 bucks.
Right now, I'm very close at catching at last a guaranteed variant to make a sharp rise . Visit my web site to get additional info.

http://theinvestblog.com [url=http://theinvestblog.com]Online Investment Blog[/url]

Anonymous said...

Hi everybody!

For sure you didn’t here about me yet,
my parents call me Nikolas.
Generally I’m a social gmabler. all my life I’m carried away by online-casino and poker.
Not long time ago I started my own blog, where I describe my virtual adventures.
Probably, it will be interesting for you to find out about my progress.
Please visit my diary. http://allbestcasino.com I’ll be interested on your opinion..

Free Poker said...

I really enjoy to be here. Your have great insight about "Hoping Beyond Hope" of your post. Your Creating the Godcomplex blog is really excellent.
--------------------------
My website: Online Poker Bonus deals and No deposit bonuses.

Free Poker Money said...

I will definitely be adding this Creating the Godcomplex blog to my favorites list so I can share it with my friends. I appear forward to coming back to read your "Hoping Beyond Hope" post also.
--------------------------
Visit my web: Poker sans depot & Poker Bonos & Bonus ohne einzahlung & Bonus senza deposito

Mike said...

That is correct the things you're posting, I make out just how it comes in. Btw, I have a resource just like that accesorios para iphone 4

oliviapo said...

Respect for sharing the topic http://www.edtabletsbritain.com. That is very opportune because I'm myself trying pains similar to that http://www.edtabletsuk.com, also I am actually planning testing it myself http://www.edtabsbritain.com.