Last year I had my appendix removed. My surgeon came in and said Im going to hand you off to a surgeon that just started her shift because I’m too sleep deprived. I will always be thankful for that surgeon’s honesty. He went home after doing a 24 hour shift!
Yeah people usually can only stay up for 12 or so hours before getting tired. And it’s a myth you can “catch up on sleep over the weekend.” Truck drivers also can crash and hurt others and themselves, definitely shouldn’t by either
As a former critical care nurse of many years who has worked with many residents, I can attest to the concerns mentioned. Many times we walked and talked them through things, advising and assisting since fatigue was wearing them. We all worked together as a team for the patients. We worked 12 hour shifts and I had two jobs. I couldn't work more than 16 hours. Even that could be tiring so 26 hours would be brutal and lead to chronic sleep problems. I hope things change for residents.
what's there break schedule like. my gf, can work crew at grocery store and 2nd job and nap 10 min and bang out 5more hours of work. Residents work long hours but. thy get great training and who a person becomes under that restraint will be crucial. and there not doing all diagnoses. you really should be caring about how it's always being put in put into computers and they say there's a HIPAA law protecting our medical privacy.
The problem is the culture within the medical field. Residents are taught not show any sign of "weakness" whatsoever, even if it jeopardizes patient safety. That is why even the residents in this show are reluctant to flat out say it's wrong. In the U.S. there are STILL residents that go as long as 36 hours in the hospital then are forced to submit a false report saying that they only work the legal limit of hours.
stardust An haven forbid after working that many hours a resident calls off an no one come to relive you. You have to keep working ( at least true for nurses )
Absolutely ... nurses can't leave until there is someone to take over the care of the patients. Too bad if you have already been working 10 or 12 hours (normal length of shift at my hospital).
When Dr. Emery answered the question about bringing his family members in front of a doctor that's been awake for 23 hours, his body language shows that he is clearly lying.
I noticed he said, "our residents *and staff* like... you don't have full confidence in the residents as the question was stated. Other staff need to be involved because you don't trust actually trust them fully.
I love these investigations by Marketplace. I think it's one of the best programs in the world in the category of "investigative journalism". Moreover: these problems are actually the same all over the world. Ambulance personnel in Belgium practically always work 24h shifts. And they are first responders! While I often do not agree with the research methodology, I think Marketplace touches quite a few topics that are very important to think about. It's still journalism and not actual research, so I can accept that.
As a doctor's child, I grew up around doctors & the stories I heard, the things I have seen would leave anyone terrified of ever stepping foot in a hospital. Even on regular hours, the number of mistakes can be staggering. I stopped counting before the age of 12 the number of times my dad came home with yet another story of having to repair someone's mistake. So add tiredness to the mix & it gets so much worse. Our nurses family friends had the worse stories to tell. In the worst cases, they basically assigned one of them to follow around sleep deprived doctors & correct mistakes on the fly, as discretely as possible. Because of course, they had to manage doctor egos & what they were allowed to do legally as nurses. Sometimes it was questions like did you mean 10 or 20ml of said medicine, or I didn't hear well, did you say medicine B (instead of A, the wrong one). Just enough for the doctor to think & pretend they had the right answer from the beginning.
Not only Doctors shouldn't be allowed to work longer than a Max amount of hours but they need to be tested at Random to see if they should have less time on the clock vs another doctor to see how the individual doctor can be up to a certain standard. It should be no more than 12 hours for the Max shift. If they can preform a certain level this will determine how long the doctor can handle the job for the amount of hours. It wasn't mentioned how much sleep should be between each shift at a Minim. In most settings Doctors are called in & have to sometimes come in earlier than when they are suppose to be in because there may be am emergency come up. If a Doctor has to stay longer for some reason at the hospital what standards are in place where once a doctor has reached their Max allowed hours on duty but they can't leave the hospital but still need to be there where doctors can get the needed sleep & what is the Minim amount of sleep. What type of conditions at the hospital are there for doctors to get sleep. Is there an area like on a cruse ship where doctors can go when they need sleep so they can be on site but separate from other patients? Another question is the amount of stress & long hours that a doctor or resident works, how does this effect the health of the doctor or resident? The reason I would ask this is because most people who work stressful jobs tend to have different mental health issues or other health problems later on in life. How does this effect the Lifespan of a Doctor or Resident? This is not only a risk factor for the patient because while they are in the hospital and may not be able to react properly if a doctor is not alert but it can effect that health of the doctor. Better tests need to be preformed because if doctors are on Uppers & Downers this is going to reek havoc on both the patient & doctor. This is why we need to stop Privatizing our health care system. The more stress over long periods of time will cause Physical & mental problems down the road & can cut your life expectancy down drastically.
Dr Emory is lying. Hospitals are businesses; it is all about the money. Working in the medical field I have had to pull 24-48 shifts and no way in hell would I trust a family member under the care of a sleep deprived resident...even a well-rested resident concerns me.
If a person shouldn't be endangering human lives by driving while sleep-deprived, then doctors shouldn't be endangering human lives by practicing medicine while sleep-deprived. It's THAT SIMPLE!!
This is a really insightful investigation. Why can't Ontario and all of the provinces bring down the max shift length to 16 hrs like Quebec?? Anything over 12 hours seems very tiring to me but 26 hrs is absolutely ridiculous!! Poor hospital residents :(
As a nurse with 41 years experience in public hospitals I can tell you that one of the biggest barriers to getting better conditions for medical staff is the attitude of the senior medical staff ... "we had to do it so they should too."
My overworked private surgeon almost killed me during surgery and the reason he was tired was simply because he was greedy and took on more patients than he could handle.
The assumption is that the shifts have been limited now that there are rules but it likely isn't the reality in many specialties/hospitals. There are fatigue rules that consistently get broken in many places. Some hospital departments limit the amount of overtime that junior doctors can put on their timesheets even though they have worked it. Others do not count things like early morning ward rounds and afterhours meetings. In addition there is little sympathy for jr. doctors when they have their own health problems.
they do not let truck drivers drive for too long. why the hell would they make doctors and medical personnel work so many hours.. doctor shortage? how bout making it more rewarding to be a doctor so we do not have a shortage anymore...
Doctors in canada have a lot of rewards... rewards for coming on time...rewards for washing their hands after seeing a patient...rewards for wearing their work attire...rewards given in the form of more money....and I am not even shitting you right now. And they still do horrible jobs so yeah rewards does nothing. Believe it.
I can't listen to Dr. Emery anymore. He's a pathological liar
5 ปีที่แล้ว +2
During my internship i made shifts of almost 40 hours..as a general surgery at first (2 years) and then as an Ortho trauma resident i got to work up to 40 hours every four days...with no right to complain...you got to stand on your feet or leave....
It's all of hospital staff. Totally overworked, and expected to do the work of several staff members, and with much less resources available, but with the same level or proficiency and speed as would be expected out of several staff members.
Not just doctors, nurses as well. I was in the hospital this summer, and a nurse pulling a double shift got my meds wrong three times. Fortunately, it was forgetting things like my iron pill, and I was cognizant enough to catch and correct the errors but it was scary!
speaking as a medical resident who is just finishing their training, 16 hour shifts would be a nightmare... too much handover leads to patient complications and you end up more fatigued because you work 16 hours and come back to work 8 hours later... 7 days a week
You don't understand how this works. After 16 hours straight you get at least a 24 hour rest period... That's what they have to give me when i work 16 hours.
If you were able to survive sleep deprivation for your entire residency, than you would easily make it through eight weeks of boot camp in the USA! The last week of basic lasted 23 hours straight with one hour given to sleep.
@@infinity-gn9xqThen my reply as a person of color to improve the school of choice making all schools with quality education for even the poorest child, and provide programs where kids can become encouraged for certain fields that need filling. Then help with lowering tuition and no more than 15 hours for doctors.
I did my graduate thesis on sleep and sleep debt. Specifically, the airline community. Operating at those lengths without rest is equivalent or worse than working while drunk/intoxicated.
over a decade of watching my ex psychiatrist's eyes roll back in his head, or go cross. My fav is when I looked up after a huge reveal that left me a puddle on a chair and he was faaaaaast asleep. so much hurt at their hands.
Not only Doctors shouldn't be allowed to work longer than a Max amount of hours but they need to be tested at Random to see if they should have less time on the clock vs another doctor to see how the individual doctor can be up to a certain standard. It should be no more than 12 hours for the Max shift. If they can preform a certain level this will determine how long the doctor can handle the job for the amount of hours. It wasn't mentioned how much sleep should be between each shift at a Minim. In most settings Doctors are called in & have to sometimes come in earlier than when they are suppose to be in because there may be am emergency come up. If a Doctor has to stay longer for some reason at the hospital what standards are in place where once a doctor has reached their Max allowed hours on duty but they can't leave the hospital but still need to be there where doctors can get the needed sleep & what is the Minim amount of sleep. What type of conditions at the hospital are there for doctors to get sleep. Is there an area like on a cruse ship where doctors can go when they need sleep so they can be on site but separate from other patients? Another question is the amount of stress & long hours that a doctor or resident works, how does this effect the health of the doctor or resident? The reason I would ask this is because most people who work stressful jobs tend to have different mental health issues or other health problems later on in life. How does this effect the Lifespan of a Doctor or Resident? This is not only a risk factor for the patient because while they are in the hospital and may not be able to react properly if a doctor is not alert but it can effect that health of the doctor. Better tests need to be preformed because if doctors are on Uppers & Downers this is going to reek havoc on both the patient & doctor. This is why we need to stop Privatizing our health care system. The more stress over long periods of time will cause Physical & mental problems down the road & can cut your life expectancy down drastically.
In some regions there's only one doctor, nurses, but only one doctor and some times even if it's the weekend or the middle of the night they would be paged and called back to work if there's a patient or an issue the nurses cannot deal with
Ania Lee that makes a lot of sense but what i don't understand is why they do them in cities like mine. We have over 100,000 people living here and we have plenty of doctors that could take over the shift.
First, I want to say that this report is given through a very narrow minded POV. They don't say that there are doctors lounges in most hospitals that do have beds for on duty doctors to sleep when not needed. That said, anyone who has watched an episode of ER or Grey's anatomy knows the basics of a teaching hospital. Residency is where doctors receive training is his or her chosen specialty under the guidance of an attending doctor. The idea is for the resident to follow and care for patients over a given period of time and do the jobs attendings don't have the time to do. A little less sleep is a part of that. I
Its a fair statement. What you aren't told is, when a doctor is oncall ... he isn't always awake. He could be asleep the whole night if there are no cases. Which is why Nurses don't do on calls and why Emergency doctors don't do on calls either. But it's an old system that should be updated anyway. Also ... never go see a doctor at night what you can in the day. They tend to be not as alert during that time. i'd rather wait an extra hour than risk my health for no reason.
Why would you page someone who has gone home. You need to call them via their mobile. Also if one on call attending is not reachable, they should try different one in case of emergency (there's usually will be more than one attending on their roster) Also, the maximum legally rostered number of hours for junior doctors in NSW, Australia is now 13 hours (but of course you can still go overtime if really needed) :)
+Allan C-B It might seem like a good but It's not really, you might end up pushing your elective surgery from 6 months to a year...! Also you already waited long enough before getting this spot for your surgery...! You will put yourself into a very stressful situation on top of going through the surgery Itself, plus retarding your surgery may make your condition worse & remember, the surgeon isn't alone in the operating room its call a team that are there to help & support the surgeon...! What are you gonna do if you end up with the same problem during your 2ND attempts, are you gonna push back your surgery again & put your life in a greater danger than if you had your surgery when 1ST scheduled ???
Some surgeon who is so tired, he makes a wrong cut, or does some accidental damage is going to be far worse, than waiting a day or two longer. Allowing doctors to work more than 12 hours is wrong. You don't see truck drivers driving longer than 13 hours for a reason! Because it would be dangerous!
I guess I'll come here to watch the newest episodes of Marketplace because even now the CBC player site still won't play this episode. One would think that with all money that CBC takes from our pockets they could get their shows to actually play properly and in a timely fashion.
Well, it's different when you're active for those 24 hours, and used to being awake for that long, like the resident. But, it's weird that these doctors are defending being awake that long... they shouldn't be on shift that long. It shouldn't happen. Also, you'd think that hospitals would be more concerned with lawsuits for mistakes made at that point?
I was hoping to see what the outcome was for Katie's surgery. but a good program, really makes you wonder. I had 3 surgies on my left leg, all went fine , but it makes me think.
I think marketplace has a bit of a NARROW lens for a VERY complicated issue. PATIENT SAFETY is a very complex issue, and while 24 hour shifts are (somewhat) crazy, things like HANDOVERS are also VERY HAZARDOUS and it is often just as hazardous to have a critically ill patient being cared for by three DIFFERENT physicians over a 24 hour period (assuming three eight hour periods) compared to a single MD FAMILIAR with the patient working 24 hours. While there is GOOD DATA to suggest that INDIVIDUAL physician performance suffers over 24 hours, there is LITTLE DATA to suggest that LESS ERRORS occur OVERALL, as the handovers, etc. add extra hazard that would not otherwise be present.
Name one other career that works those shifts? Pilots & truck drivers can't do it because it puts others lives at risk. All that needs to happen is one, single non-lethal mistake and that hospital will be sued for 10 MD's salaries worth of money. There is not a single reason this should be okay.
I agree, 24 hours is almost certainly TOO LONG and needs to change. The only issue is this report is dangerously one-sided. Maybe 16 hour maximums are a good idea for decreasing fatigue and potentially errors by INDIVIDUAL physicians, however, from an OVERALL perspective, you need to have MORE ROBUST systems in place to prevent handover errors if you shorten hours as currently, there is little data to suggest that shorter (eg. 16 hours) shifts decrease errors OVERALL compared to 24 hours. There are other reasons besides money (including training requirements, etc) that have delayed transitions from the 24 hour system that the report doesn't mention. The report is probably right about the changes that need to happen, however, a bit too "provocative" for the sake of good TV rather than insightful.
+Jonathon Dunn I agree it needs to be lowered but I don't think your examples exactly apply here :) Neither truck drivers nor pilots deal in person with anyone on the same level as a doctor does. They don't have to get to know a patient (or a customer) and their history, their symptoms, etc. Hmm...here's another way of maybe looking at it. You personally might not have had this issue, but let's give the example of having an issue with your cellphone bill. You call in and Agent A says they'll handle it. You end the call feeling good, everything's taken care of. But then you get another bill...and it's not. You call again. Now, Agent B has to go over everything Agent A has in their notes and everything they said they'd do. You had to start over from scratch though explaining to Agent B your problem...taking up more time. Agent B also assures you it'll be resolved, they promise! But...it's not. So you call in AGAIN. Each time, you have to start all over, wait for the new agent to review what the previous agent did and then they have to come up with something new or figure out what the previous agent did wrong. You'd probably be hitting your head against the wall by that point, lol. Again, please understand I'm not attacking your comment and I mean no malice. I do agree that 26 or 24 hours is just...ridiculous and absolutely scary. But the handover that the original person mentioned could really affect a patient. You get a better-rested doctor, which is amazing, but different doctors could mean different treatments, different levels of knowledge, possible mistakes because Doctor A doesn't do things the way Doctor B does, and...as a patient, I don't know how I'd feel having to constantly get reacquainted with a new doctor, whom would have to review the list of notes left by the other doctors. I'm still definitely on the side of lowering those hours, but the original person brought up some interesting points that I never had considered and makes this issue a little more complex.
DR. CZEISLER: Handovers have been the bogeyman that those who are in favour of these marathon shifts pull out all the time. They actually cite a study that was done more than 20 years ago here at the Brigham and Women's Hospital, which showed that if six teams of physicians who are caring for patients all over the hospital, handed over care to one team that was covering overnight, and didn't discuss what was wrong with any of the patients on those six teams, that there was a significant increase in the risk of medical errors during the overnight shift of this overworked team of physicians trying to take care of a whole group of patients that they didn't know. Two years after that study was published, we showed at this hospital that if when the handover of care was given you went over a simple checklist saying, ‘This is Mrs. Jones, this is what's wrong with her, this is the medications she's on,’ and so on, ‘This is Mr. Smith, this is what's wrong with him, these are the medications, you have to watch out for this,’ and so on, a simple checklist for each patient, then there was no increase of errors associated with the handovers of care. In fact a few years after that there was another study done here at the Brigham and Women's Hospital in the anaesthesia department showing that when you changed anaesthesiologists in the course of cases, that it actually reduced errors because the one taking over saw things that the other physicians had not been aware of. So there's no evidence that handovers of care can't be managed appropriately, and in fact in some circumstances they could lead to a reduction in errors.
That dr. with no problems must not like his mother. I believe 12 hours should be the max. I have seen way too many mistakes. I stopped at an R.N. due to this craziness of hours put on a resident, and doctors in general. Too many people have died for no reason, I have seen this way too often, and it needs to stop now.
One of the main resistance that been neglected in that experiment is boredom... being bored alone sitting for a long time causes errors in the experiment.
That is the reason i did not become a doctor and stopped at an R.N. You can still do 24 hours but that is usually only in the military. I will not go over 24 hours, and that is too much.
I've been up for 4 days at a time sometimes, doing oilfield used to have my faince call me every 15min to make sure I don't fall asleep and dont go crazy or leave my post.
What this illustrates is the College of Physicians and Surgeons unwillingness to admit there is a problem and to change and adapt for the benefit of patients and their families and also for the physicians and other healthcare professionals. All this does is makes their professions look old and outdated and stubborn
My mother was misdiagnosed 3 separate times at the same hospital, by 3 different Dr's, they kept telling her that it was because she drank on a regular basis & told her to just quit, it wasn't until she was finally taken to a different hospital that the Dr looked past the drinking, did actual tests & diagnosed her Werth 3 brain aneurysms. She had to have 2 brain operations. If she hadn't been taken to that other hospital, she would've died. Now that was because the Dr's were tired, it's because of racism & stereotyping. She's a native woman who drinks, sooo, that's got to be the issue right?? Not really. But just wanted to share. But she's okay now, she's got a metal plate in her head tho, still working for the Federal government. This happened about 8 years ago, but it still wasn't a great experience for her or us.
If peoples are still functional after 23 hours without sleep then nobody needs to sleep at all. I am wondering why are we spending money on bed & pillows. Dr. Emery should be the leading health officials in Canada, perhaps the health minister!!!!!!!!?
The doctors at st George's hospital in london uk opposite big Ben Westminster were so tired they soured there speech and looked I'll and that was in 2005 ,things are getting worst too
Are there enough doctors for extra shifts? This doc completely leaves out that part of the equation. Are there enough docs to cover extra shifts? If not, can others be substituted? Is that appropriate? Do they have enough training? This is solving a single problem without analyzing what other problems it could create.
A key statistic not covered by this segment is how patient errors occur most often during handover. Decreasing resident hours will also increase the number of handovers. www.news.utoronto.ca/does-residents-shift-length-affect-patient-safety
DR. CZEISLER: Handovers have been the bogeyman that those who are in favour of these marathon shifts pull out all the time. They actually cite a study that was done more than 20 years ago here at the Brigham and Women's Hospital, which showed that if six teams of physicians who are caring for patients all over the hospital, handed over care to one team that was covering overnight, and didn't discuss what was wrong with any of the patients on those six teams, that there was a significant increase in the risk of medical errors during the overnight shift of this overworked team of physicians trying to take care of a whole group of patients that they didn't know. Two years after that study was published, we showed at this hospital that if when the handover of care was given you went over a simple checklist saying, ‘This is Mrs. Jones, this is what's wrong with her, this is the medications she's on,’ and so on, ‘This is Mr. Smith, this is what's wrong with him, these are the medications, you have to watch out for this,’ and so on, a simple checklist for each patient, then there was no increase of errors associated with the handovers of care. In fact a few years after that there was another study done here at the Brigham and Women's Hospital in the anaesthesia department showing that when you changed anaesthesiologists in the course of cases, that it actually reduced errors because the one taking over saw things that the other physicians had not been aware of. So there's no evidence that handovers of care can't be managed appropriately, and in fact in some circumstances they could lead to a reduction in errors.
Maybe introducing doctor assistants with more privledges than a nurse could help? They might only have to complete a bachelor's or master's in biology/chemistry. Could help the sleepy doctors out.
Its true working for 24hrs is wrong but if ur doing sumthing ur passionate in, u have energy. Thats why the student qas able to perform well. But its not for 24 hrs straight consistently...so geneally if u like what u do then ull be more alert
There should be laws against workaholic culture and strong enforcement plus very brutal legal actions against businesses and company managers for doing that with reasons like “too expensive to hire more people” or “we have not enough money” should be considered invalid excuse regardless of how well the company is doing. Shifts should also be capped at no more than 6 hours ( from experience both working and pulling 6 hours assignments for 6 weeks 5 days a week) and the person is required a minimum of 8 hours rest before doing another shift (btw for hospitals thus should be full pay regardless of duration).
Sounds like Dr. Emory will say anything to not admit there's problem. You can see it in his face trying to justify his irresponsible position. There's no way in hell he would let his kids or family members near someone who's legally drunk from lack of sleep. IT'S ALL ABOUT THE BENJAMINS BABY$$
I can tell when my doctor has been working night shift at hospital then right to her practice, sometimes from her practice the day before. she misses some steps, is irritable and not focused. I just reschedule
My last 24 hour shift I fellasleep while standing up right at the begining of s surgery and hallucinated an argument between as resident and myself. Whem I went tot hte charge nurse to tell her I needed to be relieved she gave me attritude and told asked me what was wrong with me and to suck it up. Hospitals administration doesn't care. tehy only care about it after someone gets hurt and sues. None of these managers or admins have any idea what they are doing and nonse of them have ever hard to do what helthcare professionals do. They all leave at 5 pm and ahve weekends off and if you mention "on-call" they give you a dumbfounded look because they have no idea what it even is.
I don't understand. If they are paying residents to work 26 hours why would they need to pay a consultant to fill in if they reduced resident's hours? Why can't they just employ more residents? Surely it would cost the same money to pay 2 residents to work 13 hours each or one resident 26 hours.
This is an issue in regards to smaller towns. Cut backs to all levels in hospitals are creating a petri dish full of possible things that can go wrong. Then there is the possible "do not say anything because you are a looser if you do" lets face Drs are humans as well and can run the risk of being drug dependant just as easily as someone who takes pain meds for injuries.
Firefighters and paramedics work 24hours. There were many times I was up the whole shift. Try driving or making split second decisions after that amount of time.
>be me >doctor >already stressed because of the immense burden of handling human lives on the regular >suddenly being told to "get ready for your first 96 hour shift fella, good luck :)" >STOPSTOPI'MALREADYDEAD.mp4
In the US, poor hellcare professionals are tired charging $200-300-400-500 an hour. In their defense, have to admit that - despite their efforts - patient sometimes lives.
the problem with Canada is that there is no state strategy, everything is left up to the province which means things aren't tracked like resident mistakes and the hospitals capitalizing from students at the expense of the patient. I see all the time at work here in Toronto but its all justified that they are med students so they need to go through it they are students... anyway the white coat pursuit is real. I'm in school to become a physician assistant
:D the most I have ever laster was almost 60-65 hours no sleep nothing but instead of moving a lot I was just sitting so I guess it is easer to stay awake then then moving none stop. :D GAMER FOR LIFE
*Dr. Emory* : we _definitely_ know fatigue and sleep deprivation _definitely_ affects performance *Interviewer* : so... we should set limits on work shifts then? *Dr. Emory* : we don't believe in restrictions
Last year I had my appendix removed. My surgeon came in and said Im going to hand you off to a surgeon that just started her shift because I’m too sleep deprived. I will always be thankful for that surgeon’s honesty. He went home after doing a 24 hour shift!
When truck drivers aren't allow to stay awake for long stretch of time, why should doctors who hold hundreds of lives per shift.
Good point
KayanThePepper L wow, right?
i mean 26 hour shifts are most likely tiring.
Yeah people usually can only stay up for 12 or so hours before getting tired. And it’s a myth you can “catch up on sleep over the weekend.” Truck drivers also can crash and hurt others and themselves, definitely shouldn’t by either
doctors doesn't have to concentrate 100% of the shift, truck driver does.
As a former critical care nurse of many years who has worked with many residents, I can attest to the concerns mentioned. Many times we walked and talked them through things, advising and assisting since fatigue was wearing them. We all worked together as a team for the patients. We worked 12 hour shifts and I had two jobs. I couldn't work more than 16 hours. Even that could be tiring so 26 hours would be brutal and lead to chronic sleep problems. I hope things change for residents.
what's there break schedule like. my gf, can work crew at grocery store and 2nd job and nap 10 min and bang out 5more hours of work.
Residents work long hours but. thy get great training and who a person becomes under that restraint will be crucial. and there not doing all diagnoses. you really should be caring about how it's always being put in put into computers and they say there's a HIPAA law protecting our medical privacy.
The problem is the culture within the medical field. Residents are taught not show any sign of "weakness" whatsoever, even if it jeopardizes patient safety. That is why even the residents in this show are reluctant to flat out say it's wrong. In the U.S. there are STILL residents that go as long as 36 hours in the hospital then are forced to submit a false report saying that they only work the legal limit of hours.
stardust An haven forbid after working that many hours a resident calls off an no one come to relive you. You have to keep working ( at least true for nurses )
Absolutely ... nurses can't leave until there is someone to take over the care of the patients. Too bad if you have already been working 10 or 12 hours (normal length of shift at my hospital).
When Dr. Emery answered the question about bringing his family members in front of a doctor that's been awake for 23 hours, his body language shows that he is clearly lying.
Greedy bastard. I noticed that too.
I noticed he said, "our residents *and staff* like... you don't have full confidence in the residents as the question was stated. Other staff need to be involved because you don't trust actually trust them fully.
Yeah, also as he say "absolutely, I will feel confident" he is ADAMANTLY shaking his head no.
I love these investigations by Marketplace. I think it's one of the best programs in the world in the category of "investigative journalism". Moreover: these problems are actually the same all over the world. Ambulance personnel in Belgium practically always work 24h shifts. And they are first responders!
While I often do not agree with the research methodology, I think Marketplace touches quite a few topics that are very important to think about. It's still journalism and not actual research, so I can accept that.
Dima Oliynyk
Justin JSC I totally think so
As a doctor's child, I grew up around doctors & the stories I heard, the things I have seen would leave anyone terrified of ever stepping foot in a hospital. Even on regular hours, the number of mistakes can be staggering. I stopped counting before the age of 12 the number of times my dad came home with yet another story of having to repair someone's mistake. So add tiredness to the mix & it gets so much worse. Our nurses family friends had the worse stories to tell. In the worst cases, they basically assigned one of them to follow around sleep deprived doctors & correct mistakes on the fly, as discretely as possible. Because of course, they had to manage doctor egos & what they were allowed to do legally as nurses. Sometimes it was questions like did you mean 10 or 20ml of said medicine, or I didn't hear well, did you say medicine B (instead of A, the wrong one). Just enough for the doctor to think & pretend they had the right answer from the beginning.
oh god that's scary, thank god for those nurses.
Not only Doctors shouldn't be allowed to work longer than a Max amount of hours but they need to be tested at Random to see if they should have less time on the clock vs another doctor to see how the individual doctor can be up to a certain standard. It should be no more than 12 hours for the Max shift. If they can preform a certain level this will determine how long the doctor can handle the job for the amount of hours.
It wasn't mentioned how much sleep should be between each shift at a Minim. In most settings Doctors are called in & have to sometimes come in earlier than when they are suppose to be in because there may be am emergency come up.
If a Doctor has to stay longer for some reason at the hospital what standards are in place where once a doctor has reached their Max allowed hours on duty but they can't leave the hospital but still need to be there where doctors can get the needed sleep & what is the Minim amount of sleep. What type of conditions at the hospital are there for doctors to get sleep. Is there an area like on a cruse ship where doctors can go when they need sleep so they can be on site but separate from other patients?
Another question is the amount of stress & long hours that a doctor or resident works, how does this effect the health of the doctor or resident? The reason I would ask this is because most people who work stressful jobs tend to have different mental health issues or other health problems later on in life. How does this effect the Lifespan of a Doctor or Resident? This is not only a risk factor for the patient because while they are in the hospital and may not be able to react properly if a doctor is not alert but it can effect that health of the doctor.
Better tests need to be preformed because if doctors are on Uppers & Downers this is going to reek havoc on both the patient & doctor. This is why we need to stop Privatizing our health care system. The more stress over long periods of time will cause Physical & mental problems down the road & can cut your life expectancy down drastically.
This is RIDICULOUS. Doctors are HUMANS too. Everyone needs sleep .
more jobs gone... thank you automation.
Dr Emory is lying. Hospitals are businesses; it is all about the money. Working in the medical field I have had to pull 24-48 shifts and no way in hell would I trust a family member under the care of a sleep deprived resident...even a well-rested resident concerns me.
I thought you were making a sarcastic joke untill I read it more carefully and it disappoints me as a Canadian
🤭🤭🤭🤭🤭🤭 no lie
should be 12-16 at most hour shifts. I think most doctors would prefer 8-10 hour shifts. 12 hour shifts would probably be optimal.
If a person shouldn't be endangering human lives by driving while sleep-deprived, then doctors shouldn't be endangering human lives by practicing medicine while sleep-deprived. It's THAT SIMPLE!!
This is a really insightful investigation. Why can't Ontario and all of the provinces bring down the max shift length to 16 hrs like Quebec?? Anything over 12 hours seems very tiring to me but 26 hrs is absolutely ridiculous!! Poor hospital residents :(
As a nurse with 41 years experience in public hospitals I can tell you that one of the biggest barriers to getting better conditions for medical staff is the attitude of the senior medical staff ... "we had to do it so they should too."
@@IndyIndie59 well move to Montreal than LOL.. fool
My overworked private surgeon almost killed me during surgery and the reason he was tired was simply because he was greedy and took on more patients than he could handle.
This why I think doctors/residents should be payed hourly, not salary or by procedures, and should not work more that 16 hours.
@@kingjames4886 That would force the owners to give them less hours because they don't want to spend much.
16 is still way too long. Not everyone can just sleep at will either, which means probably more than 16 hours in a row awake.
I love Marketplace!!! 💗💗💗💗💗💗💗💗💗💗💗💗💗💗💗💗💗💗💗
I don't live in Canada but they should bring down shifts to only 15 hours max or less
The assumption is that the shifts have been limited now that there are rules but it likely isn't the reality in many specialties/hospitals. There are fatigue rules that consistently get broken in many places. Some hospital departments limit the amount of overtime that junior doctors can put on their timesheets even though they have worked it. Others do not count things like early morning ward rounds and afterhours meetings. In addition there is little sympathy for jr. doctors when they have their own health problems.
4:11 Taylor would be about 3 months older than me if she lived until now! Wow! RIP
The India Dr that filed a grievance is a rare dr of ethics. A rare man, a rare Hunan, and so brave. !!!!!!
Oh God bless this father! Thanks for your service doctors!
the irony is the people who diagnose our health are forced to sacrifice their own
they do not let truck drivers drive for too long. why the hell would they make doctors and medical personnel work so many hours.. doctor shortage? how bout making it more rewarding to be a doctor so we do not have a shortage anymore...
Phil Audiostrike healthcare is free in canada , so I dont think its that rewarding.
Doctors in canada have a lot of rewards... rewards for coming on time...rewards for washing their hands after seeing a patient...rewards for wearing their work attire...rewards given in the form of more money....and I am not even shitting you right now. And they still do horrible jobs so yeah rewards does nothing. Believe it.
I can't listen to Dr. Emery anymore. He's a pathological liar
During my internship i made shifts of almost 40 hours..as a general surgery at first (2 years) and then as an Ortho trauma resident i got to work up to 40 hours every four days...with no right to complain...you got to stand on your feet or leave....
It's all of hospital staff. Totally overworked, and expected to do the work of several staff members, and with much less resources available, but with the same level or proficiency and speed as would be expected out of several staff members.
Not just doctors, nurses as well. I was in the hospital this summer, and a nurse pulling a double shift got my meds wrong three times. Fortunately, it was forgetting things like my iron pill, and I was cognizant enough to catch and correct the errors but it was scary!
speaking as a medical resident who is just finishing their training, 16 hour shifts would be a nightmare... too much handover leads to patient complications and you end up more fatigued because you work 16 hours and come back to work 8 hours later... 7 days a week
You don't understand how this works. After 16 hours straight you get at least a 24 hour rest period...
That's what they have to give me when i work 16 hours.
If you were able to survive sleep deprivation for your entire residency, than you would easily make it through eight weeks of boot camp in the USA! The last week of basic lasted 23 hours straight with one hour given to sleep.
They should really fire Dr. Kevin Emery for making poor decisions. NOT ACCEPTABLE !
Total Social u have to understand.. If they don't do those long shifts.. There won't be enough residents to cover the hospitals for 24×7...
@@infinity-gn9xqThen my reply as a person of color to improve the school of choice making all schools with quality education for even the poorest child, and provide programs where kids can become encouraged for certain fields that need filling.
Then help with lowering tuition and no more than 15 hours for doctors.
@@dominiqueransom sounds good to me..
I did my graduate thesis on sleep and sleep debt. Specifically, the airline community. Operating at those lengths without rest is equivalent or worse than working while drunk/intoxicated.
its a complicated issue that no one wants to address.
over a decade of watching my ex psychiatrist's eyes roll back in his head, or go cross. My fav is when I looked up after a huge reveal that left me a puddle on a chair and he was faaaaaast asleep. so much hurt at their hands.
Not only Doctors shouldn't be allowed to work longer than a Max amount of hours but they need to be tested at Random to see if they should have less time on the clock vs another doctor to see how the individual doctor can be up to a certain standard. It should be no more than 12 hours for the Max shift. If they can preform a certain level this will determine how long the doctor can handle the job for the amount of hours.
It wasn't mentioned how much sleep should be between each shift at a Minim. In most settings Doctors are called in & have to sometimes come in earlier than when they are suppose to be in because there may be am emergency come up.
If a Doctor has to stay longer for some reason at the hospital what standards are in place where once a doctor has reached their Max allowed hours on duty but they can't leave the hospital but still need to be there where doctors can get the needed sleep & what is the Minim amount of sleep. What type of conditions at the hospital are there for doctors to get sleep. Is there an area like on a cruse ship where doctors can go when they need sleep so they can be on site but separate from other patients?
Another question is the amount of stress & long hours that a doctor or resident works, how does this effect the health of the doctor or resident? The reason I would ask this is because most people who work stressful jobs tend to have different mental health issues or other health problems later on in life. How does this effect the Lifespan of a Doctor or Resident? This is not only a risk factor for the patient because while they are in the hospital and may not be able to react properly if a doctor is not alert but it can effect that health of the doctor.
Better tests need to be preformed because if doctors are on Uppers & Downers this is going to reek havoc on both the patient & doctor. This is why we need to stop Privatizing our health care system. The more stress over long periods of time will cause Physical & mental problems down the road & can cut your life expectancy down drastically.
I don’t know why I’m obsessed with this marketplace show. I’m not even Canadian eh
TaraStarable lol same
Most doctors I worked with were up 24-36 hours and would let the nurses do most of the work and sign off when they woke up.
why do they even have 24 hour shifts???
In some regions there's only one doctor, nurses, but only one doctor and some times even if it's the weekend or the middle of the night they would be paged and called back to work if there's a patient or an issue the nurses cannot deal with
Ania Lee that makes a lot of sense but what i don't understand is why they do them in cities like mine. We have over 100,000 people living here and we have plenty of doctors that could take over the shift.
Actually, there aren't enough physicians. That's the problem.
First, I want to say that this report is given through a very narrow minded POV. They don't say that there are doctors lounges in most hospitals that do have beds for on duty doctors to sleep when not needed.
That said, anyone who has watched an episode of ER or Grey's anatomy knows the basics of a teaching hospital.
Residency is where doctors receive training is his or her chosen specialty under the guidance of an attending doctor. The idea is for the resident to follow and care for patients over a given period of time and do the jobs attendings don't have the time to do. A little less sleep is a part of that.
I
Its a fair statement. What you aren't told is, when a doctor is oncall ... he isn't always awake. He could be asleep the whole night if there are no cases. Which is why Nurses don't do on calls and why Emergency doctors don't do on calls either. But it's an old system that should be updated anyway.
Also ... never go see a doctor at night what you can in the day. They tend to be not as alert during that time. i'd rather wait an extra hour than risk my health for no reason.
Why do the government treat medical professionals, who look after our health, so poorly?
Why would you page someone who has gone home. You need to call them via their mobile. Also if one on call attending is not reachable, they should try different one in case of emergency (there's usually will be more than one attending on their roster)
Also, the maximum legally rostered number of hours for junior doctors in NSW, Australia is now 13 hours (but of course you can still go overtime if really needed) :)
When I don't get my sleep I feel physically sick to my stomach. Actually I feel like throwing up.
where is the original host??? I miss them sooo much...
same :(
I think from now on, I'll ask how long they've been awake ...
+Allan C-B It might seem like a good but It's not really, you might end up pushing your elective surgery from 6 months to a year...! Also you already waited long enough before getting this spot for your surgery...! You will put yourself into a very stressful situation on top of going through the surgery Itself, plus retarding your surgery may make your condition worse & remember, the surgeon isn't alone in the operating room its call a team that are there to help & support the surgeon...!
What are you gonna do if you end up with the same problem during your 2ND attempts, are you gonna push back your surgery again & put your life in a greater danger than if you had your surgery when 1ST scheduled ???
Some surgeon who is so tired, he makes a wrong cut, or does some accidental damage is going to be far worse, than waiting a day or two longer. Allowing doctors to work more than 12 hours is wrong. You don't see truck drivers driving longer than 13 hours for a reason!
Because it would be dangerous!
I guess I'll come here to watch the newest episodes of Marketplace because even now the CBC player site still won't play this episode. One would think that with all money that CBC takes from our pockets they could get their shows to actually play properly and in a timely fashion.
Well, it's different when you're active for those 24 hours, and used to being awake for that long, like the resident. But, it's weird that these doctors are defending being awake that long... they shouldn't be on shift that long. It shouldn't happen.
Also, you'd think that hospitals would be more concerned with lawsuits for mistakes made at that point?
So everyone agrees that they shouldn't work that many hours aaaaand then they are forced to work that many hours.
I was hoping to see what the outcome was for Katie's surgery. but a good program, really makes you wonder. I had 3 surgies on my left leg, all went fine , but it makes me think.
I think marketplace has a bit of a NARROW lens for a VERY complicated issue. PATIENT SAFETY is a very complex issue, and while 24 hour shifts are (somewhat) crazy, things like HANDOVERS are also VERY HAZARDOUS and it is often just as hazardous to have a critically ill patient being cared for by three DIFFERENT physicians over a 24 hour period (assuming three eight hour periods) compared to a single MD FAMILIAR with the patient working 24 hours. While there is GOOD DATA to suggest that INDIVIDUAL physician performance suffers over 24 hours, there is LITTLE DATA to suggest that LESS ERRORS occur OVERALL, as the handovers, etc. add extra hazard that would not otherwise be present.
Name one other career that works those shifts? Pilots & truck drivers can't do it because it puts others lives at risk. All that needs to happen is one, single non-lethal mistake and that hospital will be sued for 10 MD's salaries worth of money. There is not a single reason this should be okay.
I agree, 24 hours is almost certainly TOO LONG and needs to change. The only issue is this report is dangerously one-sided. Maybe 16 hour maximums are a good idea for decreasing fatigue and potentially errors by INDIVIDUAL physicians, however, from an OVERALL perspective, you need to have MORE ROBUST systems in place to prevent handover errors if you shorten hours as currently, there is little data to suggest that shorter (eg. 16 hours) shifts decrease errors OVERALL compared to 24 hours. There are other reasons besides money (including training requirements, etc) that have delayed transitions from the 24 hour system that the report doesn't mention. The report is probably right about the changes that need to happen, however, a bit too "provocative" for the sake of good TV rather than insightful.
+Jonathon Dunn I agree it needs to be lowered but I don't think your examples exactly apply here :) Neither truck drivers nor pilots deal in person with anyone on the same level as a doctor does. They don't have to get to know a patient (or a customer) and their history, their symptoms, etc.
Hmm...here's another way of maybe looking at it. You personally might not have had this issue, but let's give the example of having an issue with your cellphone bill. You call in and Agent A says they'll handle it. You end the call feeling good, everything's taken care of. But then you get another bill...and it's not. You call again. Now, Agent B has to go over everything Agent A has in their notes and everything they said they'd do. You had to start over from scratch though explaining to Agent B your problem...taking up more time. Agent B also assures you it'll be resolved, they promise! But...it's not. So you call in AGAIN. Each time, you have to start all over, wait for the new agent to review what the previous agent did and then they have to come up with something new or figure out what the previous agent did wrong. You'd probably be hitting your head against the wall by that point, lol.
Again, please understand I'm not attacking your comment and I mean no malice. I do agree that 26 or 24 hours is just...ridiculous and absolutely scary. But the handover that the original person mentioned could really affect a patient. You get a better-rested doctor, which is amazing, but different doctors could mean different treatments, different levels of knowledge, possible mistakes because Doctor A doesn't do things the way Doctor B does, and...as a patient, I don't know how I'd feel having to constantly get reacquainted with a new doctor, whom would have to review the list of notes left by the other doctors.
I'm still definitely on the side of lowering those hours, but the original person brought up some interesting points that I never had considered and makes this issue a little more complex.
DR. CZEISLER: Handovers have been the bogeyman that those who are in favour of these marathon shifts pull out all the time. They actually cite a study that was done more than 20 years ago here at the Brigham and Women's Hospital, which showed that if six teams of physicians who are caring for patients all over the hospital, handed over care to one team that was covering overnight, and didn't discuss what was wrong with any of the patients on those six teams, that there was a significant increase in the risk of medical errors during the overnight shift of this overworked team of physicians trying to take care of a whole group of patients that they didn't know.
Two years after that study was published, we showed at this hospital that if when the handover of care was given you went over a simple checklist saying, ‘This is Mrs. Jones, this is what's wrong with her, this is the medications she's on,’ and so on, ‘This is Mr. Smith, this is what's wrong with him, these are the medications, you have to watch out for this,’ and so on, a simple checklist for each patient, then there was no increase of errors associated with the handovers of care. In fact a few years after that there was another study done here at the Brigham and Women's Hospital in the anaesthesia department showing that when you changed anaesthesiologists in the course of cases, that it actually reduced errors because the one taking over saw things that the other physicians had not been aware of.
So there's no evidence that handovers of care can't be managed appropriately, and in fact in some circumstances they could lead to a reduction in errors.
Very good point.
I'm on 40 minutes no sleep...I don't know if i'm gonna make it, man. 😂
I wake up at 3:45 in the morning for my shift. Its 10-12 hours and I make the IV drugs for the patients in my hospital. I'm tired alllll the time
That dr. with no problems must not like his mother. I believe 12 hours should be the max. I have seen way too many mistakes. I stopped at an R.N. due to this craziness of hours put on a resident, and doctors in general. Too many people have died for no reason, I have seen this way too often, and it needs to stop now.
I am amazed that the Hospitals/Clinics employing these Doctors agreed for them to participate.
One of the main resistance that been neglected in that experiment is boredom... being bored alone sitting for a long time causes errors in the experiment.
That is the reason i did not become a doctor and stopped at an R.N. You can still do 24 hours but that is usually only in the military. I will not go over 24 hours, and that is too much.
I've been up for 4 days at a time sometimes, doing oilfield used to have my faince call me every 15min to make sure I don't fall asleep and dont go crazy or leave my post.
What this illustrates is the College of Physicians and Surgeons unwillingness to admit there is a problem and to change and adapt for the benefit of patients and their families and also for the physicians and other healthcare professionals. All this does is makes their professions look old and outdated and stubborn
My mother was misdiagnosed 3 separate times at the same hospital, by 3 different Dr's, they kept telling her that it was because she drank on a regular basis & told her to just quit, it wasn't until she was finally taken to a different hospital that the Dr looked past the drinking, did actual tests & diagnosed her Werth 3 brain aneurysms. She had to have 2 brain operations. If she hadn't been taken to that other hospital, she would've died. Now that was because the Dr's were tired, it's because of racism & stereotyping. She's a native woman who drinks, sooo, that's got to be the issue right?? Not really. But just wanted to share. But she's okay now, she's got a metal plate in her head tho, still working for the Federal government. This happened about 8 years ago, but it still wasn't a great experience for her or us.
If peoples are still functional after 23 hours without sleep then nobody needs to sleep at all. I am wondering why are we spending money on bed & pillows. Dr. Emery should be the leading health officials in Canada, perhaps the health minister!!!!!!!!?
how come they didn't include coffee or other stimulants that people use to keep awake>?
they didn't restrict them so I'm assuming they consumed what they normally would during the course of a day
The doctors at st George's hospital in london uk opposite big Ben Westminster were so tired they soured there speech and looked I'll and that was in 2005 ,things are getting worst too
Are there enough doctors for extra shifts? This doc completely leaves out that part of the equation. Are there enough docs to cover extra shifts? If not, can others be substituted? Is that appropriate? Do they have enough training? This is solving a single problem without analyzing what other problems it could create.
A key statistic not covered by this segment is how patient errors occur most often during handover. Decreasing resident hours will also increase the number of handovers. www.news.utoronto.ca/does-residents-shift-length-affect-patient-safety
DR. CZEISLER: Handovers have been the bogeyman that those who are in favour of these marathon shifts pull out all the time. They actually cite a study that was done more than 20 years ago here at the Brigham and Women's Hospital, which showed that if six teams of physicians who are caring for patients all over the hospital, handed over care to one team that was covering overnight, and didn't discuss what was wrong with any of the patients on those six teams, that there was a significant increase in the risk of medical errors during the overnight shift of this overworked team of physicians trying to take care of a whole group of patients that they didn't know.
Two years after that study was published, we showed at this hospital that if when the handover of care was given you went over a simple checklist saying, ‘This is Mrs. Jones, this is what's wrong with her, this is the medications she's on,’ and so on, ‘This is Mr. Smith, this is what's wrong with him, these are the medications, you have to watch out for this,’ and so on, a simple checklist for each patient, then there was no increase of errors associated with the handovers of care. In fact a few years after that there was another study done here at the Brigham and Women's Hospital in the anaesthesia department showing that when you changed anaesthesiologists in the course of cases, that it actually reduced errors because the one taking over saw things that the other physicians had not been aware of.
So there's no evidence that handovers of care can't be managed appropriately, and in fact in some circumstances they could lead to a reduction in errors.
Maybe introducing doctor assistants with more privledges than a nurse could help? They might only have to complete a bachelor's or master's in biology/chemistry. Could help the sleepy doctors out.
If you don’t sit down when your body tells you to sooner or later it will” sit you down”
Its true working for 24hrs is wrong but if ur doing sumthing ur passionate in, u have energy. Thats why the student qas able to perform well. But its not for 24 hrs straight consistently...so geneally if u like what u do then ull be more alert
Noodilious u have to understand its not for once or twice... Weeks after weeks.. For entire residency which can be 3-7 years long
is it sad that i was distracted by the cute doggo.
There should be laws against workaholic culture and strong enforcement plus very brutal legal actions against businesses and company managers for doing that with reasons like “too expensive to hire more people” or “we have not enough money” should be considered invalid excuse regardless of how well the company is doing. Shifts should also be capped at no more than 6 hours ( from experience both working and pulling 6 hours assignments for 6 weeks 5 days a week) and the person is required a minimum of 8 hours rest before doing another shift (btw for hospitals thus should be full pay regardless of duration).
Looking and listening to David talk to the other guys @ 14.00. he seems drunk and irritable.
Wow!!! Here I am thinking about potentially trying to become a doctor! I am worried. 😦
Sounds like Dr. Emory will say anything to not admit there's problem. You can see it in his face trying to justify his irresponsible position. There's no way in hell he would let his kids or family members near someone who's legally drunk from lack of sleep. IT'S ALL ABOUT THE BENJAMINS BABY$$
I can tell when my doctor has been working night shift at hospital then right to her practice, sometimes from her practice the day before. she misses some steps, is irritable and not focused. I just reschedule
At 8:59 the Xbox 360 Slim is on the desk but at 9:10 it suddenly disappears!
My last 24 hour shift I fellasleep while standing up right at the begining of s surgery and hallucinated an argument between as resident and myself. Whem I went tot hte charge nurse to tell her I needed to be relieved she gave me attritude and told asked me what was wrong with me and to suck it up. Hospitals administration doesn't care. tehy only care about it after someone gets hurt and sues. None of these managers or admins have any idea what they are doing and nonse of them have ever hard to do what helthcare professionals do. They all leave at 5 pm and ahve weekends off and if you mention "on-call" they give you a dumbfounded look because they have no idea what it even is.
31 hour shifts in the USA
16 Hours is still insane, never mind 26!!
I don't understand. If they are paying residents to work 26 hours why would they need to pay a consultant to fill in if they reduced resident's hours? Why can't they just employ more residents? Surely it would cost the same money to pay 2 residents to work 13 hours each or one resident 26 hours.
This is an issue in regards to smaller towns. Cut backs to all levels in hospitals are creating a petri dish full of possible things that can go wrong. Then there is the possible "do not say anything because you are a looser if you do" lets face Drs are humans as well and can run the risk of being drug dependant just as easily as someone who takes pain meds for injuries.
Firefighters and paramedics work 24hours. There were many times I was up the whole shift. Try driving or making split second decisions after that amount of time.
Yep. Hence you should have been stopped and your driving license taken away. You were a danger to yourself and the public.
Doctors should work in 8 hours intervals should be the law!!
I understand the need for testing but for it to be accurate wouldn't they normally be drinking coffee & moving around keeping their adrenalin pumping?
14:45 they were all high ~~~
Totally off topic but was that a bike share lock up in London, Ontario @1:26?!
This is like watching an interview with a Neanderthal. Dr. Kevin Emry
I’m America life lite nurses have 24 hour shifts yet the pilots only have 12 hours.
Cool dog Dr. Common. He almost looks like my dog.
What is the maximum hours in USA for residents or doctors?
in india 🇮🇳 we do shift for 36 hrs sometimes
>be me
>doctor
>already stressed because of the immense burden of handling human lives on the regular
>suddenly being told to "get ready for your first 96 hour shift fella, good luck :)"
>STOPSTOPI'MALREADYDEAD.mp4
hospital i work in drs only work 12hrs nys
In the US, poor hellcare professionals are tired charging $200-300-400-500 an hour. In their defense, have to admit that - despite their efforts - patient sometimes lives.
I want to visit Canada so bad!!
true its very bad.
i would,nt work more than 16hrs i can drive after that
Hospitals that encourage these ling shifts should have their funding cut off.
the problem with Canada is that there is no state strategy, everything is left up to the province which means things aren't tracked like resident mistakes and the hospitals capitalizing from students at the expense of the patient. I see all the time at work here in Toronto but its all justified that they are med students so they need to go through it they are students... anyway the white coat pursuit is real. I'm in school to become a physician assistant
Hi
Dr. Emery reminds me of Charlie McCarthy.
:D the most I have ever laster was almost 60-65 hours no sleep nothing but instead of moving a lot I was just sitting so I guess it is easer to stay awake then then moving none stop. :D GAMER FOR LIFE
My doctor treats me as a number and not as a person
i mean cant
Do as I say not as I do.
*Dr. Emory* : we _definitely_ know fatigue and sleep deprivation _definitely_ affects performance
*Interviewer* : so... we should set limits on work shifts then?
*Dr. Emory* : we don't believe in restrictions
What is even the point of having doctors work such long shifts??