Word: shifting
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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...
...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 of the residency overall. In Roshanravan's native Switzerland...
...that? And since the Inauguration, there's a Pew poll that says even among Republican women, since the Inauguration, since January, your approval rating has gone up 21 points or something like that, to high levels, even by First Lady standards. What do you make of that shift and how things have changed since then? You know, I think that today there is consistency and probably a depth to people's exposure to me. When you're in a campaign setting, there's just a narrow prism through which people see not just the wives but the candidates themselves. That...
...around the clock. Former East Wing veterans marvel at the lovesick coverage she gets: when Oscar de la Renta questions her fashion sense - "You don't ... go to Buckingham Palace in a sweater" - the response is, essentially, Well, what does he know? This is what a paradigm shift looks like. (See pictures of Michelle Obama's fashion diplomacy...
...bathrooms and in which all domestic tasks are taken care of. "She thinks it's nice that people play 'Hail to the Chief,' " the President says. "But I still am expected for family dinner on time, and I still have to walk the dog." He gets the night shift, Michelle says. "That's usually right before bed. It's like 10 p.m. We sort of handle Bo like we did the kids. I'm the early-morning person ... Once I go to bed, I don't care what happens. Just make sure the dog doesn't have an accident...