SLEEPING?1 Next thing you know, you'll think medical personnel deserve SLEEP?! Can't have that. Medicine is hard, don't'cha know? If they aren't dying from sleep deprivation, are they even Profitable?! How can we save lives if we aren't Returning Investments To The Shareholder?!
THAT is what I would say! I would give them adequate notice just out of fairness, which in my opinion is maybe a month, not a year. But NO company OWNS me. AND if I am that difficult to have someone fill in for me, then they are not going to fire me either.
@@falconerd343 very true! We have multiple studies that show the rate of mistakes increases exponentially after 12 hrs. We presented a safety training program for our hospital on error prevention and discussed this. Sadly 24 hr shifts continue to be a thing. And the. There’s the surgical resident and attending that cover Friday through Monday morning…
@@jaylallatinii5155As a victim of this, and engineer who builds things with a lot of glass with weeks of labor before it reaches me, you guys have got to figure this out. I shut off production activities at 3 pm. Yeah there's 2 work hours left but it's not worth 50k worth of labor and 6-10 weeks of delays to maybe get it done 1 day earlier. It's not worth the cost, the burnout, or the mistakes to push people like that.
I took one day off in IM residency to attend the birth of my first child and my assistant program director insisted I needed to work additional days during my x-mas break, (I think we only got 1-2 weeks per year if that), I had not missed a day of work in 2 1/2 years I had been there. She also wanted to know why I was on service at the time of the birth and I should have planned better but baby was born several weeks prior to due date.
One of our nurses wife's went into labour during his night shift. The 4 other nurses working all agreed he needed to be there. Not idea because that meant they didnt get breaks but a baby is a baby. The fucking higher ups tried to write him up for Patient abandonment and even threatened his license. Union had to step in and everything. No patients were abandoned but the 4 nurses who agreed to miss their overnight breaks were furious about the accusations
College. Im gonna be a neurosurgeon First year medschool. Im gonna be like house md Second year. Neurologist Third year. Neurophysician Fourth year. Physician is fine Final year. Just some Doctor is fine Intern. I wish i was an accountant
@@user-ye3ds5jn6g This is not a joke. Annual leave in the UK is calculated not by grade only but by years of experience as well. You start your career as a junior resident with 27 days of paid leave. I am at the end of training and I have 32 days. As an attending I think you can go up to six weeks.
@@user-ye3ds5jn6g are YOU joking? Not every country gives paid leave for a month a year?? You guys just work non stop for the entire residency?? How does that work?
@@ludmilamaiolini6811 america loves capitalism and hates human infallibility. It’s something I’m deeply ashamed of and work against. I didn’t finish up, I had to medically retire from my path, but when my genetics team encouraged me to go back, I just kinda chuckled and was like… “heh. No. My spine is slippery and subluxes, I don’t also need to be a physician in the middle of the worst medical system at the most inhumane and demanding point in history,” and my clinic docs, contracting with my insurance/hospital network from outside, with a 3 year waiting list to see patients in clinic whose clinic was being threatened to close down for “no apparent” reason (patients like me have long term needs and cost lots of money so they don’t want to serve us, that’s the dirty secret), who were working in this clinic weekly in addition to their normal clinical sub specialty assignments including training in this teaching hospital - just kind of nodded sadly but still said to think about it.
As an attending who has been where you're headed, remember this phrase: "What are you going to do? Fire me?" If you have a family emergency or need to be there for your child's birth and admin won't "let" you go, just go anyway. You can't be sued and no residency program is going to permanently short-staff itself by kicking you out because you went to your grandmother's funeral. You'll suffer through an ass chewing, but nobody will remember it in a month.
What's sad about the medical profession is that being burnt out and overtired is a recipe for disaster because that is how simple, but potentially dangerous mistakes are made. Surely this should be obvious? Why are we ruining the mental health of our young doctors (I'm gonna throw veterinarians into this equation too because the same applies) and jeopardizing the safety of our patients like this? It just doesn't make sense to me.
That’s one of the reasons I chose not to be a doctor, even though I always found the job interesting. I got to shadow some doctors; I’m strangely comfortable in hospitals; however, I refuse to work on someone if I am sleep deprived. If I can’t be trusted to drive a vehicle while sleep deprived, why should I be trusted to make life-altering decisions on living people? Sense it does not make.
The thing about working in a hospital is that there's never just one person taking care of a patient. If it was that single overtired resident, then yes, dangerous mistakes could be made. But there's a whole lot more people involved in that patients care, so any possible issues are noticed pretty quickly. And even if you're not reassured by that, think about it- if this seriously were a problem, the number lawsuits and malpractice would soon make sure it was resolved.
My med school friends used to laugh at those who go on to become general practitioners instead of becoming "real doctors". But they sure regret their choices now when they call their GP and get the automatic voicemail message saying that their doctor is on vacation for a month. 🤣
@@theywalkinguptoyouand4060 I'd be needed little if it meant I could go on vacation. Also, rural doctors typically are very important; they just choose to go on vacation because they can, letting their nurses handle cases in their absence.
This happened to me, but I didn't tell my boss the date, just that I needed one day off to go to my brothers wedding 2 months in advance. They said no, I said ok. The day of his wedding (Friday) I went to the airport and sent an email to my boss while in line for security saying I was soooo "sick". They emailed back "get better soon" and I came back in Monday with a sunburn. It was -20°c outside at home that weekend. Not in Cali tho, it was +40°c 😆 Now wasn't my face red! 😊
My wife built an incredible, full color, full year, with backups for the backups, resident rotation and on-call schedule for her IM department in Excel. It has summary pages and is fully adjustable throughout. The PD’s secretary has thanked her almost every day for it for the past 2+ years. On the flip side I made a monochrome, single page, non-adjustable, likely error filled on-call schedule for my office, also in Excel. Government bureaucracy does not deserve multiple colors.
After five years working as a doctor I am finally in the middle of THREE whole weeks off in a row. And I only had to have major surgery to make it happen. 😅
So, you mean to say, your 3 week holiday after 5 years of working your ass off, was still in the hospital 😂😂 i understand your pain. Same with me. My 3 days off after working 24 *7 for 3 years in residency was when i got admitted for dengue in the same icu that i worked 😂😂. And i got discharged from icu at 8 am from my hod with the golden words 'doctor, you are going to take over the morning shift of icu from your colleague now '🙄🙄😑 i am from indian government medical college. But somehow, i still love my work 🤩🤩 or maybe i am just a workaholic 🤔🤔
@@nv2224 oh man, that sounds terrible! Yep, even during my time off, my hospital room window looked out directly on the building with all my bosses' offices. There is no escape!
Had a friend from high school call me in tears when we were interns at different programs bc she needed surgery and the program was guilt tripping her about it…….. it’s insanity
These along with other medical tik toks and other realizations have really stifled my desire to continue on to pursue med school. Such a sad system we're in...
I feel for those residents. I remember talking to one of the general surgery residents and him mentioning he’s only slept 3 hrs within the last 3 days. I couldn’t believe it. Just brutal.
Similar experience working as an outpatient dietitian… I would go to ask off time several months in advance and would be told sorry you already have patients booked that day. The last straw was when I had to go see my doctor who was in the same building for a time sensitive test that needed done. Only one patient had to be rescheduled over it and my office manager acted like it was the end of the world. I knew at that point I was absolutely done working for a company that promoted health to their patients yet wouldn’t let their own employees use their sick time off for emergency medical needs (that was on top of the 10+ hr shifts, 10 minute lunch breaks, no other breaks, no time to go to the bathroom, eat a snack, drink water, etc).
It breaks my brain hearing this from professionals. Any caregiver, from parents to kids trying to take care of older family to professional techs/ aids to highly trained clinicians. The first rule of caregiving is that one must take care of the self and the body, because we cannot provide quality care when we ourselves are compromised. Eat a meal, drink some water, show up rested so the people who need you find you at your best, most able to solve problems and do work. The more trained and qualified the professional, the more they understand this principle. Yet, we demand they treat themselves like machines who can output quality care at consistent rates no matter the condition. We're breaking our best people.
It’s like the oldest sibling as a 12 year old boy asking mom if he can sleep over at his friends house vs the youngest sibling taking the car for a night out 😂
Remmeber kids, PTO is part of your work compensation and while it's best to schedule it far out for coverage, it is you telling your employer you will not be that day, not the other way around.
I’m a med student in the middle of a mild motivation crisis. Watching your videos encourages me to carry on, no other professional field could ever possibly cope with my weirdness and vice versa.
That's really sad and ironically completely opposite of evidence based medicine we are supposed to be practicing, that can't be healthy for the newborn or the parents
@@physicianskitchen like the powers that be give a rats ass to either the parents or the new born. "Women had their kids in the field chew the chord off, flip the kid in a sling, and kept on working. How dare you want a day off for child birth. Snow flake whiner!"/s
Ain't that the truth. In 7 years at my place-- 2RN unite, my co worker had seniority by 6 months. I worked every holiday for over 6 YEARS. HE SAID. , " I'm a family man and you're single". ONLY compensation was holiday pay, but 6 YEARS.! Come ON!!
Dang, this is like pharmacy tech work used to be. Walgreens enstated an rxom position and accidentally hired someone w a heart at my store. Now we actually get sent home when NV and diarrhea are plaguing us and she works w us for time off. ....much to the pharmacy managers dismay. How dare his employees be taken care of.... which is weird bc he bs' my techs just need more pay and hours'. TG for our pharmacy operations manager!
A nurse 42 years. Those poor residents. But each year I saw them grow so much. Soon they are getting very good & they challenge this. That shows confidence & they stand up. Those residents now have pictures on the walls of the hospital as the best & respected. Hang in there.
It's funny, I know less than nothing about being a Dr or working in a hospital, yet after watching so many of Dr G's video shorts I find myself laughing, like "hahahaha YES that's so typical of resident life," or "Omg that's soooo typical of surgeons!"😁
Usually your videos show things that are very similar across countries (I work as a resident in the Netherlands). This is one thing I'm very glad doesn't cross over, jeez. Seeing the comments this is apparently not even that much of a stretch. I can get days off easily two months in advance and if very necessary with less time something still can be arranged. I have 5 weeks of paid leave per year that my employer is obliged to grant me (ofc it has to fit the schedules of the other residents)
In my country, the shortage of doctors and old system persists. Pre and postgrad interns and residents work 90 to 100 hours a week, 24 hour shifts. We live in a third world country, a lot of people need medical help so we cant just not do that.
I always said I can be a doctor if I tried but I don't want to be one. This has only solidified that. I'd quit on the spot. Much respect to people who can stand being a doctor. And my condolences to bill. For his birth day I'll get him some lube. You can't stop people from ramming you left and right but you can make it less painful.
🤣Reminds me of when I thought I would outsmart my workplace to get my 21st birthday off, they would blackout November through the first week of January. I waited until they hired way too many people in March and I asked off in December before the marked it all out. In November I was called to the office and told I know that’s the blackout period and it wasn’t going to happen.
I work in a hospital kitchen and we have JUST enough staff so if we lose someone it's a whole thing. I always ask for my days off as soon as possible (usually a few months) but this week my boss just totally screwed me over. I asked for the 30th because my dad needed someone to drive him home from his doctor, and then the 1st of January because it's my dad birthday. This woman gave me the 31st. Right in between the only two days I asked for. It seemed like an intentional fuck you to my face 🤷♀️
Saw my boss laughing hard the other day so I asked my colleagues what was up and apparently one of the nurses wanted a vacation next week. Minimum notice is 1-2 months in advance or apparently you'll get laughed at, *hard* .
@@christianolsson2898 I don't know how it is where you work but where I am if vacation is denied (and they really wanted it or already had plans) people will just call in sick instead. It is a courtesy to warn your employer about taking the time off that you've earned and deserve. Not a request for permission.
@@crazy808ish It's the same at our hospital; many among the senior staff took "sick leave" when covid first came because they feared for their lives and couldn't get other tasks right away.
It's the power dynamic. Residents are trainees, they're beholden to the program which is over-reliant on them. If a resident is unhappy with their work conditions, to quit would mean they're leaving as an unqualified specialist and would have to go through the very difficult, expensive process of applying to new residency programs. Attending's have finished training, if they're unhappy with their work conditions they can just quit, they will be leaving as a fully qualified specialist who're in high demand and can just get a new job.
Ha, this was pretty much how my last job was....and I'm a preschool teacher. It's one of the reasons they have the highest turnover of any school I know of.
I recently moved from a job where it was heavily not discouraged but close for taking PTO to a job that tries to make sure you take it. I got asked about 7 times over the last 4 months when I was taking my PTO and I finally chose a week (84 hours in a week for me) and still need to pick another
This happens in nursing, too. One hospital I worked at wanted our time off requests six months in advance. And if you’re part of a union and the low nurse on the totem pole, forget about it. You won’t see any time off in summer or the holidays for YEARS
Yes! I worked in a unionized hospital with this, you learned to stack your days off ( if you are on a 3 12 hour a week schedule you can do that.) 3 12’s is a nice schedule . you still have to work in your 2 mondays and 2 Fridays a month - so work 4 12 hour shifts on your weekend (which often turned into at least one 16 hr shift ) to have a few long weekends to have off. But 2 weeks off in the summer ?! Not until you have been there at least 7 -10 years …
I'm genuinely curious why it seems like hospital intern and residents are expected to work so many hours? it seems like it's just asking for accidents and careless mix-ups, due to exhaustion. why do they do this at hospitals? how come the companies that provide malpractice insurance don't cap the number of hours a resident can work or something?
time is money, and education is a waste of both in the eyes of business, so the only obvious solution is to plow through it as fast as possible without stopping. stopping wastes more precious time that they could use to extract money from patients that can't afford healthcare.
I once had a surgeon leave for a sudden vacation on the morning of my scheduled surgery (as a patient), while I was literally prepped and waiting in the pre-op bay. There were no other cardiothoracic surgeons available, so they just sent me back to my room and made me live with all the blood and fluid in my lungs for 6 months. :)
@@somefishhere It has been nearly 10 years, and I'm good now. I don't have the same breathing capacity as I did before, due to scarring in my lungs, but my heart is fine. I'm fortunate I was young when it happened... The docs were very surprised I lived at all!
It was actually much easier for me to get time off in residency than in practice. We had to have three months advanced planning in my practice. There were on select rotations where we could take vacation as residents, but it wasn't a big deal to get time off during those months.
Idgaf how important your job is to society, or whatever organization you work for.. if they deny you time off you quit. End of story. There are countries that have MANDATORY vacation time and shorter work weeks than America and they function JUST FINE that way. You get denied, you quit. It takes a team effort to change this "your work is more important than you" mentality we have here.
YEP. I would never work for a place that treated me like that. I'm a social worker, so my work is also important, but my schedule is completely flexible. In stressful jobs like those, I feel it needs to be this way. No wonder the medical field has people leaving in droves, or worse, committing suicide. They know better than anyone how stress affects one's wellbeing, yet treat their staff like utter GARBAGE. no thank you 🙅🏻♀️
@@gennstaa1312 when you spend 8 to 10 years just to get the job you have, along with the notion that someday you will be able to have it easier with greater pay, that's how you end up tolerating it.
@@outtarespecttomyfawtha1589 Yeah, I guess that's probably true, but I think the time (and money) spent getting there makes the poor treatment that much worse. Especially considering the doctors who don't ever make it to "easier" bc they give up before then. I'm sure we'd lose more if not for the horrendous student loan debt hanging over them. I know it's necessary to cull the herd of people who can't handle the pressure to some extent, but toxic expectations don't separate skilled from bad doctors. No vacation or sick time probably makes a lot of doctors lose faith in the profession from sheer burnout, especially with how fractured the medical field is now, Covid, and how it's entirely beholden to insurance. Idk, I just think there's a better way.
@@gennstaa1312 oh I absolutely agree with you, the entire system is ass backwards from the application process onward. What's funny is that this process in itself weeds out people who would be the most likely to try to change the system from the inside. Ultimately those who make it through to the end aren't by any means the brightest or the toughest, they're largely the ones who were willing to take the most abuse and do whatever they were told, regardless of whether it made any sense outside of becoming a doctor. In that way, the system works to preserve itself, as there aren't too many people graduating from med school in the US who are predisposed to rocking the boat. But this isn't really a unique quality of the US medical system, all longstanding systems have mechanisms to maintain their status quo and stable continuity. I'd say that medicine stands out among the rest because it has resulted in extremely poor outcomes (financially and otherwise) to patients and providers alike. Like mostly everything else we have in this country it needs to be burned the fuck down and rebuilt with a model that doesn't prioritize profits over people. Unfortunately, the only solution is through political action, but as half the US population is either poorly educated or just fucking stupid/evil, that's not gonna happen anytime soon. This is despite the majority of Trump supporters being in favor of an overhauled universal state run system. Meanwhile, these same supporters curse politicians like Bernie Sanders for promoting socialized healthcare----polling on this is extensive if you're skeptical. We have some seriously dumb fucking people in this country. Like everything bad in the world, it can be boiled down to large groups of ignorant people. Sorry for the rant😂😂😂
@@outtarespecttomyfawtha1589 ohhh, my bad! I thought you were saying the ends justify the means, but I agree 1000%. Much like the military and other large industrial complexes, individual thought is completely discouraged. They say they want "change agents" but really they want those most likely to fight to keep everything the same. It's so cutthroat and by the time they make it to the top, they're completely jaded. How could you not be? The horrible patient outcomes are what makes it so awful. I'm really tired of living in a country where you have to budget to see a doctor, or worse, eat the debt, or worse still, die. Whoever thought any basic need should be commoditized is a heartless idiot. Sorry for the misunderstanding 😄
Depends on which nation you are training in. If your nation don't have work hour restrictions law for residents(Yes. Interns and residents are somehow not included in normal work hour restrictions lol), this video is likely going to be your future. ...with much more insults and physical violence.
Forget about personal life, pack a bag as if 4a year long job in Tashkent.. keep a large bottle of Tums, and eyedrops ineyour pocket and 2pairs of shoes in your locker with your survival bag😐😐😐
its not that you don't get vacations its that all of your vacation time is preschesuled and locked in. Most programs make you take your time. But depending on your specialty they might want you to take all of it during a specific rotation and there may be rotations with zero flexibility where no one gets time during that block.
Could you please do a skit of sorts that you could work into your line of work and play as Marv Murchins from Home Alone, you would be absolutely brilliant to play a part as the very man himself, could be potentially an injury analysis coming straight from the McAllisters. 🤣💗
