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LongHoursandUnfairCompensationDuringResidency
Onceonecompletesmedicalschool,theymoveintoaperiodoftrainingcalledresidency.
Duringresidency,medicalschoolgraduates(MD's)practicemedicinehandsonwiththe
supervisionofanattendingphysician.Residencytypicallylaststhreeyearsfornonsurgical
specialtiesandbetweenfourandsevenforsurgicalspecialties.
Notoriously,residencyisassociatedwithbrutalworkhoursandlowcompensation.
Residentstypicallyreportworkingover80hoursperweek,beingoncallcontinuously,and
receivingminimumwage.Tocombatsomeoftheissuessurroundingresidency,the
AccreditationCouncilforGraduateMedicalEducationhasenactedalimitationstatingmaximum
workhourscannotexceed80hoursperweek.Workshiftsarelimitedto16hoursforfirstyear
residentsand24hoursthereafter.Evenwiththisregulation,residentsstillclaimtoworkover
hourlyrestrictionsperweek.Inarecentconversationwithalocalsurgicalresident,the
individualstatedthatnoonefollowsthe80hoursperweekruleandwehavetobediligentwhen
loggingourworkhourstopreventupsettingthefacilityresidencycoordinators.
Withthisbeingsaid,isithealthybothmentallyandphysically,topracticemedicinefor
over80hoursperweek?ShouldaMedicalDoctorcompletingresidencybecompensatedaslow
astheminimumwage?Thesearethetypesofcontroversialquestionsbeingaskedwithinthe
UnitedStateshealthcaresystem.
Sleepdeprivationdirectlycorrelateswithincreasedmedicalerrors,decreasedlearning
retention,andvarioushealthissues.Basedonthesefacts,residentsworking80ormorehoursper
weekareexposedtoincreasedrisks,however,theselonghoursareinplacetoincreaseresidency
selectivityandreducecostsformedicalfacilities.Inadditiontocontributingintheseareas,
residencyisacrucialperiodoftrainingwhichcandrasticallyaffectaphysician'sscopeof
practice.Whenconsideringtheprosandconsofthisopposition,Ibelievethemedicalresidents
shouldhaveastronginfluenceinpassingregulations.Theirvoiceshouldbeoftheutmost
importanceasthefutureofhealthcarerestsintheirhands.
Authoredby:DevynGreen