hours rule

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eyeball01

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Why is it that interns dont write the actual amount of hours they worked especially putting less then 80 when they work close to 90. Can you really get into trouble with your program, since they are at fault for not abiding by the rules and making you work that much. what can a program do to you if you write the actual amount of hours you work?
 
Why is it that interns don't write the actual amount of hours they worked especially putting less then 80 when they work close to 90. Can you really get into trouble with your program, since they are at fault for not abiding by the rules and making you work that much. what can a program do to you if you write the actual amount of hours you work?

Well the program won't actually "do" anything to you, except perhaps send you back your time card and ask you to redo it with actual numbers and brow beat you by saying "I just don't understand how you could claim you are working all those hours when you are leaving at the same time as everyone else and they are all within the limit..."

They will brand you as inefficient, and not a team player. Which would be no big deal except that this is a team sport, and it's not the program but the teammates who will play enforcer here. It may be no big deal to you to get a program in trouble, but for someone for whom their categorical career depends on the program staying accredited might not act too kindly to you whining about your hours. So you could have the chiefs and seniors riding you for the rest of the year if you don't play ball. Which is why whistleblowing is rare. It's not so much that folks are afraid of the programs, but more that they don't really want to ruin it for everyone in the program, who needs the program to stay accredited and out of trouble. And since your day to day quality of life depends on being a team player and having people have your back and vice versa, very few people are going to test these waters, even if the program doesn't have a leg to stand on.
 
Because at the end of the day, most interns signed up for the whole doctor gig knowing that they were going to work hard. Over several months I average out duty hours, but there is no way in hell to do a hard house month and get anything done AND keep in duty hours. You do what you have to in order to take care of your patients and get your work done so you don't dump a bunch of crap work on the next person in line. Just my opinion as someone who is going to do radiology, but willing to bust ass during intern year.
 
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