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US surgeons are killing themselves at an alarming rate. One decided to speak out

114 点作者 car超过 1 年前

8 条评论

rcarr超过 1 年前
Supposedly it never used to be this nuts. It mainly came about because of one cokehead surgeon at John Hopkins who got in charge of the training program because of his &quot;increased productivity&quot; and basically started forcing these insane work weeks on everyone. See here:<p><a href="https:&#x2F;&#x2F;en.wikipedia.org&#x2F;wiki&#x2F;William_Stewart_Halsted" rel="nofollow noreferrer">https:&#x2F;&#x2F;en.wikipedia.org&#x2F;wiki&#x2F;William_Stewart_Halsted</a><p>The concluding line of this report[1] is absolutely amazing in that the authors still won&#x27;t even recognise that he was abusive towards his trainees. After discussing his lifetime coke habit and how his &quot;eager and enthusiastic students&quot; would pick up his slack (e.g that he had conditioned to work ungodly hours for his approval) they write (emphasis mine):<p>*While we are not condemning Halsted*, we are suggesting that if one carefully analyzes and critiques the motivation for the structure of the Halsted surgical residency, his addiction was a major influencing factor.<p>Either way, any person who can pass the entrance exams should be allowed to train as a doctor or surgeon. The fact that we have artificial caps on the numbers, yet surgeons are routinely working 100 hour weeks is an absolute joke. Everyone&#x27;s health suffers - both surgeon and the patient. The &quot;wages will come down&quot; argument is an absolute joke - at the end of the day, if there&#x27;s one thing people will pay a high price for, it&#x27;s &quot;to stay alive&quot;. And if there&#x27;s a second thing people will pay for, it&#x27;s &quot;to not be in pain&quot;.<p>[1] <a href="https:&#x2F;&#x2F;www.ncbi.nlm.nih.gov&#x2F;pmc&#x2F;articles&#x2F;PMC7828946&#x2F;" rel="nofollow noreferrer">https:&#x2F;&#x2F;www.ncbi.nlm.nih.gov&#x2F;pmc&#x2F;articles&#x2F;PMC7828946&#x2F;</a>
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nairboon超过 1 年前
&gt; .. it cut into the 100-hour-plus weeks that were often the norm for surgical trainees.<p>Serious question: how are these surgeons still awake after one month without resorting to stimulants and other medications? That would be 20h a day, with weekends, or 14h+ a day, every day with no break.<p>If you drive more than about 9h in one go, at least around here, you&#x27;re considered a threat for others on the street and unfit to drive. But US surgeons are considered high quality after working 14h?
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mighmi超过 1 年前
&gt; When an 80-hour workweek for residents was first rolled out in New York state in 1989, surgical trainees were exempt<p>Imagine if the US could double its residencies instead of artificially limiting them!
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sneak超过 1 年前
&gt; <i>Physician health programs are designed to address the myth that illness automatically means impairment, says Chris Bundy, the executive medical director of the Washington Physicians Health Program and the immediate past president of the national federation that oversees the state programs. An addiction or mental illness may require a physician to take time off, but does not justify an automatic revoking of someone’s license.</i><p>Imagine if we took this same approach to airline pilots, another job that the performance of which decides whether people live or die.<p>It seems to me that even sleep disturbances should be disqualifying for medical practitioners (and pilots too).
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eviks超过 1 年前
&gt; it cut into the 100-hour-plus weeks that were often the norm for surgical trainees.<p>The easy way out is to stop restricting the supply so much, but then the income won&#x27;t be as stellar, so the top dogs won&#x27;t be as eager to allow that to happen
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karencarits超过 1 年前
It seems that this is a problem across nations, not only the US. For example, young Norwegian doctors are also protesting against too much work. Last week, the national broadcaster NRK wrote about a physician who committed suicide: <a href="https:&#x2F;&#x2F;www.nrk.no&#x2F;innlandet&#x2F;xl&#x2F;lege-maiken-schultz-tok-sitt-eget-liv-_-forte-til-aksjonen-leger-ma-leve-1.16518310" rel="nofollow noreferrer">https:&#x2F;&#x2F;www.nrk.no&#x2F;innlandet&#x2F;xl&#x2F;lege-maiken-schultz-tok-sitt...</a>
DanBC超过 1 年前
Any death by suicide is a tragedy, and whatever the rate is for surgeons it&#x27;s too high. This is especially true because there are some protective factors for surgeons - high pay, stable employment, and close connections to health care.<p>But it&#x27;s simply incorrect to say that surgeons, or doctors in general, have high rates of death by suicide.<p>Whenever anyone presents information about suicide it&#x27;s important to ask what&#x27;s being counted, how is it being counted, and who is doing the analysis.<p>Here&#x27;s CDC suicide rates by industry: <a href="https:&#x2F;&#x2F;www.cdc.gov&#x2F;mmwr&#x2F;volumes&#x2F;69&#x2F;wr&#x2F;mm6903a1.htm" rel="nofollow noreferrer">https:&#x2F;&#x2F;www.cdc.gov&#x2F;mmwr&#x2F;volumes&#x2F;69&#x2F;wr&#x2F;mm6903a1.htm</a><p>And Male and female suicide rates per 100,000 civilian, noninstitutionalized working persons aged 16-64 years for major industry groups meeting reporting criteria: <a href="https:&#x2F;&#x2F;stacks.cdc.gov&#x2F;view&#x2F;cdc&#x2F;84274" rel="nofollow noreferrer">https:&#x2F;&#x2F;stacks.cdc.gov&#x2F;view&#x2F;cdc&#x2F;84274</a><p>The rate for healthcare is 7.5 per 100,000 population, but that&#x27;s driven by female nurses (who have a higher rate of death by suicide than doctors).<p>&gt; Compared with rates in the total study population, suicide rates were significantly higher in five major industry groups: 1) Mining, Quarrying, and Oil and Gas Extraction (males); 2) Construction (males); 3) Other Services (e.g., automotive repair) (males); 4) Agriculture, Forestry, Fishing, and Hunting (males); and 5) Transportation and Warehousing (males and females). Rates were also significantly higher in six major occupational groups: 1) Construction and Extraction (males and females); 2) Installation, Maintenance, and Repair (males); 3) Arts, Design, Entertainment, Sports, and Media (males); 4) Transportation and Material Moving (males and females); 5) Protective Service (females); and 6) Healthcare Support (females).
DonnyV超过 1 年前
This is what happens under Capitalism. Financializing everything is ruining everything.
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