Quote:
Originally posted by DoctorDoom
Why not reduce my work hours by letting me go home before noon post call? instead of staying until whenever? How about letting me not have to cover the patients on the ortho, urology, and neurosurgery services on call for GS? make the subspecialties get their own PA's instead of heaping on the GS guys just because we were there.
|
this really doesn' t need to be continued on this board...just keep in mind that going home post call at noon if you are on more than one night a week (say every third night) doesn't decrease hours enough... you have to cut back on call nights also which means more coverage on each night you are on since everyone has to take less call.
take a q 3 day call schedule....
you are there for 12 hours on monday (6am till 6pm..typically resident day)
call tuesday so there for 24 + 6 hours to clean stuff up but home by noon the following day
back on thursday for 12 hours
on call again friday but there saturday until noon since you thought leaving at noon was a good idea.
lets say you even get sunday off since residents now have one day a week off....
grand total of hours worked: 84...too many.
so call needs to be less than twice a week on any week since it throws you over too often which leaves most programs covering more and more rather than less like you would have liked. Again, same number of people but reduced call days and expected days off.
I hate the present system....and do believe that patient care has suffered not improved. We are actually changing the ICU service at my hospital to have the bare minimum of cross coverage and 24 hour coverage by a single resident every day because I feel so strongly about this.
doc t.