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There is a difference between working 100 hours and billing 100 hours.
Being on call and asleep doesn't count, either.
I might leave the house at 4:30 AM to catch a flight and not return home until 11 PM that night...but was that "working" for 18 hours? I don't look at it that way.
Did you ever catch the flight or did you just drive around in the CS?
Dave, I gotta disagree with you on this one, buddy. My "call" is in the hospital, so if I total the number of hours of sleep in a 24 hour shift as 3 hours, (which occurred 4 nights ago) that's usually split up into 20-40minutes segments of shuteye, not really sleep. I really may have really dozed off once or twice for those 20-40min powernaps. Most of us who are on call in the hospital don't really "sleep" b/c we know through experience that we never get an extended period of sleep in one sitting, we're always waiting for that phone/pager to go off, and we're deathly afraid of possibly sleeping through a page or overhead call and then hearing the judge say "Will the defendant please rise................"
100hr workweeks?? Did that routinely during my internship, like most of the doctors on this board. Shucks, there were nights I never saw the inside of my callroom. Surgery residents used to have it even worse than that. Their calls were Guantanamo Bay like levels of cruelty.
Cheers,
Jim
P.S. - I'm typing this during the last 5 minutes of my 30 minute dinner break. Yes, I'm on call again. How 'bout that for dedication to the CC board!
Dave, I gotta disagree with you on this one, buddy. My "call" is in the hospital, so if I total the number of hours of sleep in a 24 hour shift as 3 hours, (which occurred 4 nights ago) that's usually split up into 20-40minutes segments of shuteye, not really sleep. I really may have really dozed off once or twice for those 20-40min powernaps. Most of us who are on call in the hospital don't really "sleep" b/c we know through experience that we never get an extended period of sleep in one sitting, we're always waiting for that phone/pager to go off, and we're deathly afraid of possibly sleeping through a page or overhead call and then hearing the judge say "Will the defendant please rise................"
100hr workweeks?? Did that routinely during my internship, like most of the doctors on this board. Shucks, there were nights I never saw the inside of my callroom. Surgery residents used to have it even worse than that. Their calls were Guantanamo Bay like levels of cruelty.
Cheers,
Jim
P.S. - I'm typing this during the last 5 minutes of my 30 minute dinner break. Yes, I'm on call again. How 'bout that for dedication to the CC board!
I never could quite figure out the medical profession, and a few others, that pull these long stints as a routine. It's long been proven that efficiency goes down, and mistakes go up after a reasonable period of work (ie. 40hr/wk, 50, 60, etc). Maybe this doesn't apply to the medical types but I highly doubt it. What gives? Is the 'old boys' train of thought ('I trained that way so the young ones are going to suffer for it too, by gum'). Not being sarcastic with this but there has to be some reason for this - lack of staff? Compressed training? No life outside of work? (well, ok, that last one is tongue in cheek!)
Dave, I gotta disagree with you on this one, buddy. My "call" is in the hospital, so if I total the number of hours of sleep in a 24 hour shift as 3 hours, (which occurred 4 nights ago) that's usually split up into 20-40minutes segments of shuteye, not really sleep. I really may have really dozed off once or twice for those 20-40min powernaps. Most of us who are on call in the hospital don't really "sleep" b/c we know through experience that we never get an extended period of sleep in one sitting, we're always waiting for that phone/pager to go off, and we're deathly afraid of possibly sleeping through a page or overhead call and then hearing the judge say "Will the defendant please rise................"
100hr workweeks?? Did that routinely during my internship, like most of the doctors on this board. Shucks, there were nights I never saw the inside of my callroom. Surgery residents used to have it even worse than that. Their calls were Guantanamo Bay like levels of cruelty.
Cheers,
Jim
P.S. - I'm typing this during the last 5 minutes of my 30 minute dinner break. Yes, I'm on call again. How 'bout that for dedication to the CC board!
I was just trying to smoke the doctors out of their holes. LOL. I know you guys work like robots.
Guilty of trolling on this one.
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I never could quite figure out the medical profession, and a few others, that pull these long stints as a routine. It's long been proven that efficiency goes down, and mistakes go up after a reasonable period of work (ie. 40hr/wk, 50, 60, etc). Maybe this doesn't apply to the medical types but I highly doubt it. What gives? Is the 'old boys' train of thought ('I trained that way so the young ones are going to suffer for it too, by gum'). Not being sarcastic with this but there has to be some reason for this - lack of staff? Compressed training? No life outside of work? (well, ok, that last one is tongue in cheek!)
gtscayman, where were you when I was doing my residency? I could've used you to stick up for me!
You're absolutely right about the drop in efficiency and productivity after long hours. You're also right about the ol' boys train of thought and the lack of staffing. Doctors in training are indentured servants. Why pay for 3 doctors doing three 8 hour shifts when you can have one do a 24hr shift? In fact, they are one of the primary reasons why academic medical centers can make money. However, to be fair, alot has changed in the last few years with an 80hour work week limit imposed on all physician residency programs to reduce medical errors. What will be interesting to see is if this "new" gentler approach to training doctors turn out equally hi quality physicians? Early reports do not support that notion. I think most people can understand that generally, the more experience you accumulate during training, the better a physician you become. Unfortunately, experience comes from long, long hours. Sort of a Catch-22. Okay, digression and venting completed.
I lived in Tokyo and found that extreme hours were the norm. Cannot tell you how many trips I made to and from Roppingi and saw the office workers thru their lighted windows. Some with head down on desks.
They also tend to play hard and many the night I saw them passed out in their gray suits in subway stations after failing to get there before the trains quit running for the night. Midnite weekdays as I recall. Maybe a little later on weekends (1:00AM?).
Wives pay the toll. They are mostly in the background anyway. I never went to a Japan sponsored event when Japanese wives were there.
They do all take the same vacation called Golden Week. Gaijins beware! Tokyo traffic goes from impossible to off-the-scale!
There was a Govt of Japan move to encourage more time away from work, but as of my departure in mid-1988 it hadn't caught on much.
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Last edited by 70Sixter; 07-21-2008 at 06:34 PM.
Reason: mispelling
My "call" is in the hospital, so if I total the number of hours of sleep in a 24 hour shift as 3 hours, (which occurred 4 nights ago) that's usually split up into 20-40minutes segments of shuteye, not really sleep. I really may have really dozed off once or twice for those 20-40min powernaps. Most of us who are on call in the hospital don't really "sleep" b/c we know through experience that we never get an extended period of sleep in one sitting, we're always waiting for that phone/pager to go off, and we're deathly afraid of possibly sleeping through a page or overhead call and then hearing the judge say "Will the defendant please rise................" 
In fact, they are one of the primary reasons why academic medical centers can make money. However, to be fair, alot has changed in the last few years with an 80hour work week limit imposed on all physician residency programs to reduce medical errors. What will be interesting to see is if this "new" gentler approach to training doctors turn out equally hi quality physicians? Early reports do not support that notion. I think most people can understand that generally, the more experience you accumulate during training, the better a physician you become. Unfortunately, experience comes from long, long hours. Sort of a Catch-22. Okay, digression and venting completed.
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