That said, I agree that neither system is necessarily the best. The change back appears motivated by metrics to me. It helps that the metrics concur with my own clinical experience.
@tomcat@jws@33MHz@timofjungle I confess I don't buy it in the least. If there current system is problematic I'm far from convinced the solution is to go back to dangerous hours. It seems like a false dichotomy.
Having trained in both systems, I'm convinced the call system is better. This is borne out in outcome studies where errors were more frequent and educational outcomes were poorer after the move to night float.
@ClarkGoble@tomcat@jws@33MHz So...if it's both obviously unsafe and clearly worse for education to allow interns to resume taking overnight call, why are the people responsible for medical education in America doing it? Malice? Stupidity?
It's actually not a new thing...I had 28 hour call as an intern, and they changed it the next year (5 years ago?). They're going back because the night float systems you had to do to avoid the calls were actually worse sleep wise, and training suffered.
It's only residents during training...all their decisions are supervised, and they need the volume so that they get enough experience to be on their own when training is over. Non-trainees don't work 28 hours straight.
@Sunshine@lukasros@33MHz I thought the system was really fun, and I'm excited for the next time we play.
On an unrelated note, will broadsword do channels, or do I need a different app?
@thrrgilag@c Good morning/afternoon to the two of you. Kind of a strangely slow day at work this AM. Usually bursting at the seams by this time on Mondays.