What also sucks is that if you are supposedly off, but still have to show up for clinic. Or even worse, mid-day clinic!
Fake days off
- Thread starter Perrotfish
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QofQuimica
Seriously, dude, I think you're overreacting....
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Upper levels already *are* picking up the slack, because unlike interns, we don't have 16 hour shift limits. Not only that, but a month into your intern year, you're not exactly making less work for your upper levels, who, if they have any sense whatsoever, are double checking every single thing you do in the ICU like a hawk. That's fine, because backing up your freshly graduated interns is part of the training process, and everyone has to learn some time. We were all new interns once. But at the same time, cut your seniors some slack, because A) unless they're chiefs, they're probably not the ones who made your schedule, and B) they have a sucky schedule too.
PF, at my program, we do flip back and forth between nights and days every week in the ICU. No idea why. I agree it would be much better to just flip once. I wind up with four "days off," but they're all conference days, so I don't really get them off unless I skip conference. On the other hand, I'd rather head bob through a half day of conference once a week than spend that day in the ICU, so....
PF, at my program, we do flip back and forth between nights and days every week in the ICU. No idea why. I agree it would be much better to just flip once. I wind up with four "days off," but they're all conference days, so I don't really get them off unless I skip conference. On the other hand, I'd rather head bob through a half day of conference once a week than spend that day in the ICU, so....
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QofQuimica said:
These sound like flat out violations. 'It's a day off, because a day is 24 hours' is a legalism. 'Its a day off but you still need to show up to work' is nonsense. That's not a day off to even the most litigious mind.
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I agree with this. From my understanding, didactics and whatnot are work hours. Clinic for sure is work hours, and you're likely violating time off between shifts with those afternoon clinics.
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QofQuimica
Seriously, dude, I think you're overreacting....
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Conference does count toward the work hour limits for us. The system sucks, but it's not a violation as long as I get one 24 hour period per week on average off. So if I have conference during the day on Monday and work Tuesday overnight, that is a 24 hour period off even though there is no whole day off. In fact, there is no day this entire month that I do not have to physically be in the hospital for at least part of it. But the work hour rules are never violated, although I do have to miss a few hours of conference on the weeks I switch from nights back to days in order to stay compliant.
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when I did my EM rotation, conference time was not counted as work time - they counted work time as actual shifts worked. In my IM rotations (and specialties in medicine), in-house didactic conference time IS counted as work time. Now out of town conferences (say an ACP conference for 3 days in New Orleans), does NOT count as work time. Odd, but at least my Wednesday morning didactics count.
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Didactics count in general, but it's all self report as some programs/departments are very clearly aware. You can't get penalized for missing that conference in specific from what I understand, which is why most of the residencies at my place do attendance by %age or attending a certain # of conferences.
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And yeah... if your whole ICU month is DOMAs, you might just be in a malignant program.
QofQuimica
Seriously, dude, I think you're overreacting....
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Depends on how you define "malignant." I'm considered an off-service resident on this rotation, and I would argue that hours aside, this department is less "malignant" than my home department is in terms of the kind of tough love they dish out. Don't get me wrong: I hate hanging out in the ICU all night. This is the ICU where they send people to die. But considering that I'm sitting here griping about it on SDN rather than doing any real work besides fielding concerns about SBP of 160 from the nurses, I can't really complain. I've been stalking the ED and it looks like we will be getting a new admission soon though. 😎
