As a medical student who relates all too well to the mental health crisis in medicine, THANK YOU! Conversations that educate and elaborate on the systemic issues in medical training are exactly how we can fight for change.
Your description of the system is 💯, and I realized now that it's the same across the globe.. as a resident in internal medicine here in Nigeria U can only imagine the workload we are facing, couple with the brain drain phenomenon, poor working conditions, poor salaries, to the extent a doctor cannot afford his own health care if he falls sick😢... And the system completely not in our favor. I believe it's time we join hands together and change the narrative. Weldone, Jake MD
EMS it gets even worse, I’ve worked 108 hour shifts (voluntarily). I got to sleep but rarely more than four hours at a time. I feel it’s pretty wild that during those shifts I worked codes, performed RSI, managed traumas, and drove 10,000 lb ambulances thousands of miles while running on redbull, zyns, and prayers
When I was an intern I was on call covering the general peds unit as well as the heme/onc floor. I had been up for nearly 30 hours when labs came back showing a cancer patient 5 years old had a slightly elevated creatine level. I was so tired that I missed this result and ordered a vancomycin dose to be given without adjusting for the creatinine level. Within 12 hours this little girl's creatinine skyrocketed and she went into acute kidney failure. The oncology attending berated me the next day when she found out what happened. I was so distraught that I nearly killed myself.
I agree 100%, and I'd like to add a HUGE detail: much of what is talked extend to every other professional in healthcare. Every profession have it's niche problems, but much of what he said applies to everyone. Everybody is extremely overworked, systematically underpaid and chronically exposed to unsafe work conditions and abuse on the hands of hierarchically superior professionals, including doctors, who are the apples in the eye of society's healthcare imaginary, and therefore more powerfull. If anyone in a team is subjected to these, everybody they attend to can be in danger of human error. Nobody deserves this treatment and work culture
Bravery is doing the thing even when we are scared. And fighting to make a better system along the way. Hold to the reasons you are there, find your people and supports, and show as much love and care to yourself as you do to your patients…
As a first year med student it’s terrifying to have an insight into the healthcare system’s dark side… It’s also heart wrenching to see that this video has only reached 20000 views when the topic needs to be heard. To all of the residents out there: we’re proud of you and never be afraid to be selfish a bit, to care for yourself too!
i worked in medical field for 25 years as a medical coder. it is amazing how spot on you are. DR. addiction is also a large public health crisis. you did a great talk💕
I also wanted to be a doctor but i decided to go to Medical Lab Science because the overworking of medical students is beyond what humans should endure.
You have brought up so many cogent points. This, and I’m sure you are aware, extends into the medical community with far reaching consequences. Even among nurses, that is a question. I was afraid to go to the ER after a suicide attempt, because I knew that I would be reported to the board of nursing. Not for diversion, not for substance-abuse, but for the depression that led me to that attempt… I could lose my license. The last one is the most impactful and causes the most problems.
Dr. Goodman: There are many areas that need fundamental changes in medical education, but no one is more urgent and more impactful than improving resident wellbeing. Dr. Derek Weyhrause, MD, a cardiologist, suggested some specific targets as the follows: - Less weekly hours (60 hrs/wk) - More *shared night call*, holidays and weekends from attendings, PAs and NPs - Progress based on milestones / competency - Pay residents and fellows more! - Provide childcare! - Add 1-2 years at a higher salary while working less weekly hours What do you think? These for sure require tremendous efforts. Besides resident unionization and everyone acknowledges the sacrifice of residents, what changes to the medical education system MUST take place to correct and eliminate the three major problems that you articulated?
Thanks for the great talk. A first year resident here. I did not know that there's a question of seeking mental help at the licence application. Now I'll never ever consider seeking help lol
Thank you for taking a stand. Unfortunately the stigma of seeking mental health care doesn’t stop there, on its way to to an outright rejection of licensure for a particular profession. I was a Paramedic for over 15yrs, a scant 5 of those in a high volume urban city that has a very large teaching hospital. I’ve seen the people you talk about and worked along side them. After realizing I had suffered so much stress, mental trauma, and succumbing to depression, anxiety and a host of other mental and physical health challenges, I had to leave the field. I fell back on a profession I had when I was just an older teenager and into my 20’s - driving commercial vehicles. A truck driver. Many may not know this, but the same prohibition exist it that field as well. If you are taking any medication that is known to treat depression, anxiety, PTSD, schizophrenia or the like, you can’t drive. If you answer in the affirmative that you’ve been diagnosed with a mental health disorder/problem, you can not drive a commercial vehicle. I could go into that lifestyle and the triggers that exist for one to experience those symptoms that will eventually evolve into a condition in desperate need of help and treatment; but I’ll digress and just restate the facts. Don’t admit to it or get found out that you have mental health problems - you will be out of a job. We as a society have a long way to go in order to achieve our full capacity for greatness.
At this point it should be required for doctors to see a therapist once a month theres no way theres not trauma after the things that are seen especially after covid no one should feel ashamed for getting help mental health is a huge issue and something that should be monitored after seeing traumatic things daily
Jakie! Love you 💖. Your blue eyes and a range of suiting inspire me a lot, apart from your passion for advocating justice to the poor medical training.
Hi, I came across this video while in my country, Indonesia, recently a resident doctor committed suicide in a suspected case of bullying by seniors. We are sad about that tragedy, and the public are demanding a medical training system.
I heard that, in one of the respected universities in Japan (I avoid to name it), young doctors were supposed to watch a brain surgery for 24 hrs (if my recollection is correct) standing still even without going to the toilet. When I heard this from a doctor who experienced this, I thought that was impossible. How can people stand still for 24 hrs without peeing? According to him, "You'll get used it. It's doable. Nurses can help you keep awake, haha." This sounded like a torture to me. That was probably around 2005.
Start out backwards and only allow one direction ZYXWVUTSRQPONMLKJIHGFEDCBA and then ABCDEFGHIJKLMNOPQRSTUVWXYZ Might as well see were there all at with everyone that way you find out the areas of struggle to find out why.
As a medical student who relates all too well to the mental health crisis in medicine, THANK YOU! Conversations that educate and elaborate on the systemic issues in medical training are exactly how we can fight for change.
Your description of the system is 💯, and I realized now that it's the same across the globe.. as a resident in internal medicine here in Nigeria U can only imagine the workload we are facing, couple with the brain drain phenomenon, poor working conditions, poor salaries, to the extent a doctor cannot afford his own health care if he falls sick😢... And the system completely not in our favor.
I believe it's time we join hands together and change the narrative.
Weldone, Jake MD
Joining hands is the most different thing to do, but it must be done, if any changes can be made.
EMS it gets even worse, I’ve worked 108 hour shifts (voluntarily). I got to sleep but rarely more than four hours at a time. I feel it’s pretty wild that during those shifts I worked codes, performed RSI, managed traumas, and drove 10,000 lb ambulances thousands of miles while running on redbull, zyns, and prayers
We NEED reform!!!! This cycle needs to end. Everything about this system puts human lives at risk, providers and patients.
When I was an intern I was on call covering the general peds unit as well as the heme/onc floor. I had been up for nearly 30 hours when labs came back showing a cancer patient 5 years old had a slightly elevated creatine level. I was so tired that I missed this result and ordered a vancomycin dose to be given without adjusting for the creatinine level. Within 12 hours this little girl's creatinine skyrocketed and she went into acute kidney failure. The oncology attending berated me the next day when she found out what happened. I was so distraught that I nearly killed myself.
Proud of you for fighting to change a broken, toxic and dangerous system!
I agree 100%, and I'd like to add a HUGE detail: much of what is talked extend to every other professional in healthcare. Every profession have it's niche problems, but much of what he said applies to everyone. Everybody is extremely overworked, systematically underpaid and chronically exposed to unsafe work conditions and abuse on the hands of hierarchically superior professionals, including doctors, who are the apples in the eye of society's healthcare imaginary, and therefore more powerfull. If anyone in a team is subjected to these, everybody they attend to can be in danger of human error. Nobody deserves this treatment and work culture
This video is underviewed, hope no algorithms are messing with this real important information.
I’m a med student and what he’s describing is one of my biggest anxieties about being a doctor.
Bravery is doing the thing even when we are scared. And fighting to make a better system along the way. Hold to the reasons you are there, find your people and supports, and show as much love and care to yourself as you do to your patients…
As a first year med student it’s terrifying to have an insight into the healthcare system’s dark side…
It’s also heart wrenching to see that this video has only reached 20000 views when the topic needs to be heard.
To all of the residents out there: we’re proud of you and never be afraid to be selfish a bit, to care for yourself too!
*Clapping while giving a standing ovation*
i worked in medical field for 25 years as a medical coder. it is amazing how spot on you are. DR. addiction is also a large public health crisis. you did a great talk💕
Jake this is so important!!! So proud of you❤
I also wanted to be a doctor but i decided to go to Medical Lab Science because the overworking of medical students is beyond what humans should endure.
As a medical student I have been told that if I need to see a psychiatrist or therapist that I need to use a fake name to protect my future career…
You have brought up so many cogent points. This, and I’m sure you are aware, extends into the medical community with far reaching consequences. Even among nurses, that is a question. I was afraid to go to the ER after a suicide attempt, because I knew that I would be reported to the board of nursing. Not for diversion, not for substance-abuse, but for the depression that led me to that attempt… I could lose my license. The last one is the most impactful and causes the most problems.
This talk was amazing! Everyone in healthcare should give this a listen ❤
It’s the politicians that should give this a listen, because everyone working healthcare already know this!
Dr. Goodman:
There are many areas that need fundamental changes in medical education, but no one is more urgent and more impactful than improving resident wellbeing. Dr. Derek Weyhrause, MD, a cardiologist, suggested some specific targets as the follows:
- Less weekly hours (60 hrs/wk)
- More *shared night call*, holidays and weekends from attendings, PAs and NPs
- Progress based on milestones / competency
- Pay residents and fellows more!
- Provide childcare!
- Add 1-2 years at a higher salary while working less weekly hours
What do you think? These for sure require tremendous efforts. Besides resident unionization and everyone acknowledges the sacrifice of residents, what changes to the medical education system MUST take place to correct and eliminate the three major problems that you articulated?
Thanks for the great talk. A first year resident here. I did not know that there's a question of seeking mental help at the licence application. Now I'll never ever consider seeking help lol
Thank you for making this problem visible.
Thank you for taking a stand.
Unfortunately the stigma of seeking mental health care doesn’t stop there, on its way to to an outright rejection of licensure for a particular profession.
I was a Paramedic for over 15yrs, a scant 5 of those in a high volume urban city that has a very large teaching hospital. I’ve seen the people you talk about and worked along side them.
After realizing I had suffered so much stress, mental trauma, and succumbing to depression, anxiety and a host of other mental and physical health challenges, I had to leave the field. I fell back on a profession I had when I was just an older teenager and into my 20’s - driving commercial vehicles. A truck driver.
Many may not know this, but the same prohibition exist it that field as well. If you are taking any medication that is known to treat depression, anxiety, PTSD, schizophrenia or the like, you can’t drive. If you answer in the affirmative that you’ve been diagnosed with a mental health disorder/problem, you can not drive a commercial vehicle.
I could go into that lifestyle and the triggers that exist for one to experience those symptoms that will eventually evolve into a condition in desperate need of help and treatment; but I’ll digress and just restate the facts. Don’t admit to it or get found out that you have mental health problems - you will be out of a job.
We as a society have a long way to go in order to achieve our full capacity for greatness.
As an aspiring doctor, thank you!!!
At this point it should be required for doctors to see a therapist once a month theres no way theres not trauma after the things that are seen especially after covid no one should feel ashamed for getting help mental health is a huge issue and something that should be monitored after seeing traumatic things daily
And you tell the therapist that you need a human level of sleep, not therapy or medication
Great job Jake! There needs to be changes! So proud! Xoxo
Go Jake!!!! Congrats!! May all docs listen to this crucial message.
Jakie! Love you 💖. Your blue eyes and a range of suiting inspire me a lot, apart from your passion for advocating justice to the poor medical training.
So good, loved this information. Keep going, this needs to change.
I watched every second of this. You are spot on. It's time to create healers.❤
Thank you so much for bringing attention to this! You're doing amazing work!
Hi, I came across this video while in my country, Indonesia, recently a resident doctor committed suicide in a suspected case of bullying by seniors. We are sad about that tragedy, and the public are demanding a medical training system.
AWESOME!! So real!!
It's definitely a time for a change.
Wow! Thank you.
Let’s go!!!! What an AMAZING talk and so needed. Well done, brother 👏👏👏
Great talk Doc ! Very interesting 🤔 Thanks 👍
These words just feel right
So important❤
Speech is amazing
Nothing changes, Jake.
It really shows that people who are medical doctors they really don’t practice the medical knowledge for themselves.
Amazing talk dr 👏🏻👏🏻👏🏻
So informative! Amazing! 👍👍
Residents, unionize!!!!!
hope change happens soon. Really!
I cried
Unfortunately for the rest of us, its the go getters of the world that raise the bar to uncomfortable levels.
Words>>
And how about when patients are humiliated, bullied, invalidated, and insulted by Doctors in the Emergency Dept.? How about that??
TOO QUIET! Can you please turn the volume up on this video? I have all my stuff turned up to the maximum and can barely hear this guy speaking.
Truth is nobody cares, we usedto be on call from Friday 4pm till Monday 2pm, for our internal medicine rotation
I heard that, in one of the respected universities in Japan (I avoid to name it), young doctors were supposed to watch a brain surgery for 24 hrs (if my recollection is correct) standing still even without going to the toilet. When I heard this from a doctor who experienced this, I thought that was impossible. How can people stand still for 24 hrs without peeing? According to him, "You'll get used it. It's doable. Nurses can help you keep awake, haha." This sounded like a torture to me. That was probably around 2005.
*cries in Latin American resident* you only reach 28 hours at MOST?
The pathological protestant work ethic has been a disaster for the human race.
What's my child's birthstone?
Start out backwards and only allow one direction ZYXWVUTSRQPONMLKJIHGFEDCBA and then ABCDEFGHIJKLMNOPQRSTUVWXYZ Might as well see were there all at with everyone that way you find out the areas of struggle to find out why.