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Pros & Cons: residency hours, etc.

caesar ursic trauma-list@trauma.org
Wed, 19 Jun 2002 17:46:39 -0700 (PDT)

Dr. F:
(OK, sorry, but I have to say this...) - Read My Post!
There are no inconsistencies or non sequiturs in what
I said.  I was just opining that to THE PATIENT (and
family) the changes in resident work hours will not be
that noticeable, if at all, because the attending
surgeon will be the one to maintain continuity.  That
was my post.  Now, is that state of afairs really OK? 
No, not in my opinion, or in anybody else's on this
list, apparently.  But that's a different issue.  
Ok, I hope I cleared that up.

C.M. Ursic, M.D.
UCSF-EB, etc.

--- DocRickFry@aol.com wrote:
> In a message dated 6/19/2002 3:26:40 PM Eastern
> Daylight Time, 
> cmursic@yahoo.com writes:
> << 2.  I do not agree with the sentiment that the
> U.S.
>  community of patients will rise up in revolt and
>  demand greater continuity of care from their
>  physicians once these regulations are implemented.
>  After all, we are speaking of residents, not
>  attendings.  The attending will most likely
> continue
>  seeing the patient and family every day (or more,
>  depending on severity/acuity) irrespective of which
>  resident team is on and what residents have been
>  dismissed home to comply with the 80 - hour /week
> >>
> Caesar--
> This is precisely my major problem with these
> "rules"--do you not see the 
> dramatic inconsistency in what you just said???? 
> Yes--attandings provide the 
> continuity!  Just as they always do.  AND--the
> overwhelming majority of 
> patients in this country see fully trained
> surgeons--NOT residents.  How is 
> THEIR safety being assured?--there are NO
> regulations on attending 
> hours--thus, obviously it is OK for them to be awake
> and fatigued without 
> limit or regulation.  First--reconcile this glaring
> non sequitur for me???
> Second--just when, exactly, is a surgeon-in-training
> supposed to learn 
> exactly how long it sometimes takes to care for
> patients--that there are 
> times when patient care may mean being up more than
> 36 hours at a stretch, 
> and more than 80 hours/week?  The day after they
> finish their training?
> Explain, please!
> --
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