This video describes my personal feelings about residency and some of the things that I've learned along the way (the good, the bad, and the ugly!). I hope that this increases transparency about residency. Below, I'm including some of the FAQs about residency:
What is Medical Residency Like in the US?
In the U.S. it requires four years of college followed by four years of medical school and, depending on the specialty, three or more years of residency training, a period when doctors routinely work up to 80 hours a week.
Is an 80-Hour Workweek Enough to Train a Doctor? (hbr.org/2019/07/is-an-80-hour...)
In 2009 one physician wrote to the editor of the New England Journal of Medicine that, as a result of the 2003 reforms, “We now force [residents] to leave a patient with whose treatment they are intimately involved or to cease the observation of an instructive surgical procedure midstream. It did not take long for this system to produce residents who would either walk away when their time had expired or else lie in order to violate the rules.”
An 80-hour workweek seems sufficient for training a doctor. Our analysis was straightforward. Because residency work-hour reforms were implemented in 2003, internists who completed residency after 2006 would have been exposed to a cap of 80 hours per week for their entire three-year residency, while internists who completed residency before 2006 would have worked longer hours for one or more years of their training. We compared the patient outcomes of newly independent doctors - first-year internists just out of residency training - before and after 2006. (These outcomes were patient mortality and readmission to the hospital within 30 days of being hospitalized, as well as the costs of care.) We also looked at second-year internists - those who completed residency two years earlier - and found identical results.
Why are Physicians in a unique Position for Advocacy?
Physicians have unique insights into the impact of government policies on vulnerable populations. Sharing these with legislators can help them design policy solutions to address public health challenges such as the opioid epidemic, drug pricing, and gun violence. However, despite widespread interest among residents in advocacy and systems-based change, most physicians receive no formal training in the skills needed to become effective physician-advocates. Advocacy training curricula for residents can equip trainees with skills to bridge this gap.
How bad is residency, really? (from a reddit perspective):
Residency is a huge sacrifice. Your personal health, your family, your happiness will all be sacrificed for the training opportunity and your patients.
You will work 80+ hours/week. You will work weekends and nights. You will suffer. There is no way around it.
Source: journals.lww.com/academicmedi...
Different ways to connect with me (so sorry in advance it takes me a bit to respond since residency is destroying my time haha):
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TIME STAMPS:
00:00-00:41 - Overview of this Video
00:41-03:05 - You're Working HOW MUCH?
03:05-04:47 - Advocate, Advocate, Advocate
04:47-07:11 - Learning the System is Just as Important as Learning the Medicine
07:11-09:33 - If You Think It Can't Get Worse, You're Wrong