You are viewing a single comment's thread.

view the rest of the comments →

[–] cdglow 1 points 28 points (+29|-1) ago 

I'm against affirmative action and think that contributes to the problem, but to me long shifts might be a huge part of the issue for any medical errors. Consider this insanity.

Dr Laxman should have given Laura an emergency Caesarean, as her premature baby was breech, but the exhausted medic nearing the end of a 24-hour shift instead tried a natural delivery — with horrifying results.

Even the smartest doctor in the world could be prone to bad decision making when exhausted at the end of this kind of shift. Affirmative action doctors might barely qualify in med-school if they dumb down the curriculum just a tad, but when fatigue plays a role they have no margin for error and might be more likely to make mistakes than non-affirmative action hires.

Obviously merit should be the only criteria used, but the merits of the long-shifts that doctors work should also be reconsidered for the well-being of all patients.

[–] Tom_Spanx 0 points 20 points (+20|-0) ago  (edited ago)

How is a 24-hour shift legal anywhere in the world? You'd think the quality of work would decline so much past the 12-hour mark that it wouldn't be worth it.

[–] Elbower_of_Quants 0 points 13 points (+13|-0) ago 

The medical community as a whole is a shit show. Proof? The number 3 leading cause of death is hospitals.

[–] rndmvar 0 points 1 points (+1|-0) ago 

The U.S. military recognized this problem long ago. They made it so that soldiers who do anything that leads to friendly losses after 14 hours of work, without an 8 hour break in between, aren't held accountable for their actions. Instead the officers, not NCOs, above them get to carry all of the blame.

[–] TheWorstImaginable 0 points 1 points (+1|-0) ago 

I work 14 hours regularly with a few 16s mixed in every week. At the end of the week you could really be dragging ass if you dont use your off time wisely, but the quality of work doesn't drop that badly. Considering after 12 hours is 2x pay and after 14 is 3x (depending where you live) they won't pay that if quality is going to drop severely

[–] Weasel_Soup 0 points 8 points (+8|-0) ago 

I used to work as a dealer in a Casino. We had 13-14 hours shifts, but that was because we had a break every hour. One of 15 minutes, one of 30 minutes, etc. We had a cafeteria with free food, and the food was delicious. We had free drinks, including energy drinks. Lots of TVs. Doctors should be treated like that.

[–] selpai 0 points 1 points (+1|-0) ago 

It certainly makes it clear where priorities lie.

[–] ShinyVoater 0 points 4 points (+4|-0) ago 

You're certainly right, but there are just way too many problems listed there with the situation for her actions to be justifiable. At the very, very least she should have deferred to someone else.

[–] SurfinMindWaves 0 points 0 points (+0|-0) ago 

I've always been unclear on why this is necessary. Are there any people here that work in the medical field that can explain why it is necessary for interns and doctors to work such stupidly long shifts?