@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?
@timofjungle My guess, without reading their own explanation, is "that's the way it's always been done" coupled with "I had to do that, so you should, too." @33MHz@tomcat@ClarkGoble
@jws@ClarkGoble@33MHz@timofjungle this. and wanting to get the greatest amount of work for the least number of workers. and lack of accountability. in addition, restricting supply of doctors who will be specialists (and competing in future)
@tomcat@jws@33MHz@timofjungle The argument is that it improves care by minimizing the number of shifts of the patient to different doctors. I don't buy that since were that the benefit it wouldn't be limited just to 1st year residents.
@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.
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.