- Joined
- Dec 10, 2018
- Messages
- 13
- Reaction score
- 8
I've wondered this for a while, but now that I have adequate residency experience, I feel I have some decent perspective.
My curiosity is genuine, not trying to start a war.
Question: Why does EM get by with a 60 hour work week cap while every other special is 80?
Emergency medicine is undoubtedly very stressful, but that is no different than most other specialties. Having done general surgery and orthopedics I cannot understand the logic behind this. Surgery was much much exhausting than EM. Surgery at my institution is routinely 80-100 hours per week although the official counting stops at 80, I know, how convenient. EM on the other hand, after their ten hour shift, sign out patients and go home. Most weeks they have four shifts, about one-third of the time they have five shifts per week during years two and three. I've heard others state the reasoning for these rules is because of the erratic schedule of EM. That argument doesn't hold water because surgery works those same times of the day, the only difference is they don't have all the free time in between....they're either sleeping or wish they were. Surgery hours are like EM except they don't have their time sliced into nice shifts.
Again, I'm not trying to start a war, just curious about the reason for these rules. If anything, shouldn't surgery have the 60 hour rule? Do you really want a surgery resident operating on your family when they are on hour 95 for the tenth consecutive week? Maybe EM should be condensed to two years. At my program EM could put their third year hours into years one and two an still work less than every specialty except maybe dermatology and psychiatry although they probably would still be a little less.
My curiosity is genuine, not trying to start a war.
Question: Why does EM get by with a 60 hour work week cap while every other special is 80?
Emergency medicine is undoubtedly very stressful, but that is no different than most other specialties. Having done general surgery and orthopedics I cannot understand the logic behind this. Surgery was much much exhausting than EM. Surgery at my institution is routinely 80-100 hours per week although the official counting stops at 80, I know, how convenient. EM on the other hand, after their ten hour shift, sign out patients and go home. Most weeks they have four shifts, about one-third of the time they have five shifts per week during years two and three. I've heard others state the reasoning for these rules is because of the erratic schedule of EM. That argument doesn't hold water because surgery works those same times of the day, the only difference is they don't have all the free time in between....they're either sleeping or wish they were. Surgery hours are like EM except they don't have their time sliced into nice shifts.
Again, I'm not trying to start a war, just curious about the reason for these rules. If anything, shouldn't surgery have the 60 hour rule? Do you really want a surgery resident operating on your family when they are on hour 95 for the tenth consecutive week? Maybe EM should be condensed to two years. At my program EM could put their third year hours into years one and two an still work less than every specialty except maybe dermatology and psychiatry although they probably would still be a little less.