Word: restful
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...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 hours if no rest is granted, mandatory uninterrupted five-hour naps for longer work sessions, lighter workloads and more oversight from experienced physicians. (The current standards set in 2003 by the Accreditation Council for Graduate Medical Education, or ACGME, mandate 80-hour average workweeks, with no shift to exceed 30 hours.) (See the most common...
...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...
...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 of the residency overall. In Roshanravan's native Switzerland, where she attended medical school subsidized by the government, she says the family-medicine specialty takes five years, not three as in the U.S. But that would require...
...first-year resident at the University of Florida who will begin his training in radiology this summer, says more sleep would enable him to better retain everything, "to consolidate some of the learning that happens on an almost daily basis," he explains. But he worries that more mandatory rest could mean missed educational opportunities. "More days off always sounds nice, but it distances us from what is going on in day-to-day patient care. A lot can change in 24 to 48 hours," he says...
...There is no excuse for what Steven Green did," defense attorney Scott Wendelsdorf conceded during his closing, "but there is an explanation," which, he argued, made Green's living the rest of his life in jail without possibility of parole a more just punishment. Summarizing the horrific conditions Green's unit lived and fought under, the breakdowns in leadership it experienced and the fact that Green's superiors knew he was obsessed with killing Iraqi civilians yet kept him on the front lines, Wendelsdorf said, "The United States of America failed Steven Green. And that would not amount...