You’ve underlined the problem.

From the first week of school, you are all taught that the good doctor is the one that can stay awake and autopilot paperwork for 48+ hours.

That’s a nonstarter - it’s simply broken from the beginning.

> to be fully deployed... leads to better patient outcomes and safety.

Respectfully: no.

There is no other human resource-planning concept on the planet that says using 100% of resources all of the time, or running to failure, is the safest method for the customer (patient).

You guys messed up; your members are noticing, but instead of spending time cleaning up your own house, you want to educate the public?

No: get your stumbling behemoth of an “organization” under control, please.

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theotherzod 15 hours ago | parent [-]

apologies for the confusion, by "fully deployed" I meant fully able to exercise clinical judgement - which requires adequate rest. If understaffing forces back-to-back night shifts and that becomes standard, well you clearly recognize the risk to patient safety just as well. My point is - putting hard limits and minimums on rest, forces staffing choices and this is something physician collective bargaining/organising can help with and it concerns you as a patient.

Regarding "the good doctor" and accepting a near-constant state of fatigue... this is not a personal choice, and it shouldn't be treated as such (wrapped into the box of "the price of this qualification/profession" type of stories). From my experience and I don't claim to be the authority on understanding all aspects of this problem, it's 1. part structural - not enough people (AMA's anti-expansion positions really didn't help here, true) and high demand... and 2. part cultural: medicine has normalised "heroic" endurance which makes it convenient to focus on economics and not see fatigue for what it is - safety risk. The cultural narrative isn't exclusive to medicine.

anyway, I hope community appreciates a perspective from the other side of that organisation, I was hoping to illustrate we ultimately share the same goal - better patient outcomes and safety.

	▲	DANmode 6 hours ago \| parent [-]
		Do you share the same goal enough to walk until it’s more people are being cared for properly? Not trying to personally attack - it’s a question I’d like to gently ask anyone who empathizes from within. Unfortunately there’s only so much individuals can do - we must lean on each other to really review.