Word: houres
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...issue is whether their presence, dizzy with exhaustion, on the hospital floor is a help or a hazard. An oft cited 2004 study of intensive-care units found that medical residents made 36% more serious mistakes during 30-hour shifts than during shifts half as long. So the simple solution to ensuring patient safety - and resident sanity - would appear to be reducing the length of their shifts, a plan endorsed by a lengthy Institute of Medicine (IOM) report in December 2008 that assessed the impact of resident fatigue and proposed a new set of guidelines restricting shifts to 16 continuous...
There has been much hand-wringing over the dangers of medical residents' grueling schedules. Doctors-in-training often forgo sleep entirely, racking up as many as 30 work hours in a single stretch. The term resident is in fact no accident, says Dr. Teryl Nuckols, an internist and assistant professor at the David Geffen School of Medicine at UCLA, who says that when she was in training 10 years ago, 36-hour shifts without rest were common. "[Residents] used to live in the hospital," Nuckols says. "They were there 24/7...
...reluctant to give up their exhausting schedules, which many deem necessary for learning. Dr. Erika Roshanravan, a first-year resident in the family-medicine program at the University of Washington in Seattle, agrees that getting more sleep is crucial but thinks it makes little sense to mandate a five-hour nap in the middle of a shift. With patients' cases still fresh in the mind, and with the awareness of having get back to work soon, Roshanravan thinks few residents would actually get any rest. A better solution would be to shorten residents' workweeks while lengthening the term...
...those girls in the room with you that night - you know, a half hour in the room with you as First Lady - that potentially changes everything. I can only hope, right? You know, that's what I hope. That's what we all hope. But, you know, just to back it up, the goal is to keep being there, just keep doing that again and again and again so that it's not just one time. I don't want it to be just one time for this small group of kids. If I could divide myself...
...means that we see each other every day. And that hasn't happened for most of the kids' lifetime, right, because it's not just this position. He was a state senator; had to run for that seat. The state senate is in Springfield; it's a five-hour drive away. Then it was the U.S. Senate. There was the campaign in between there. The U.S. Senate is in Washington, D.C. - well, I'm telling you the obvious - and on and on and on. It's been all of their lives that it's rare to have Dad at home...