Residents, attendings, and the physicians who remember training writing on KevinMD about residency: intern year, duty hours, supervision and autonomy, pay and unions, having a family during training, mistreatment, the Match for international medical graduates, and what physicians say should change about how residents are trained. Many contributors write anonymously, and many write while still in training. For a maintained record of what residents and attendings have said about residency itself on KevinMD since 2004, from intern year through the end of training, attributed by author and date and organized by question, see Residency: what residents and attendings say, in their own words. For what international medical graduates have said about the Match, visas, and being foreign in American medicine, see Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words. The board exams that follow training, and the fight over maintenance of certification, are on Board certification: what physicians say about the boards and MOC, in their own words. Medical school itself is a separate record.
Here are some of the more interesting comments readers have left recently.1. Mediaslackers on the UK's proposed 48-hour physician workweek:I agree there are significant dangers inherent with limiting the number of hours a doctor can work in a week, but…
Here are some of the more interesting comments readers have left recently.
1. Mediaslackers on the UK’s proposed 48-hour physician workweek: I agree there are significant dangers inherent with limiting the number of hours a doctor can work in a week, but I don’t think they are totally insurmountable or all that much greater than when a doctor is working 30 hours straight, getting a divorce …
Here are some of the more interesting comments readers have left recently.1. Manalive on quality measures:It is almost always a leap of faith to apply evidence-based guidelines to the frail elderly, to patients with many medical problems, to alcoholics, to…
Here are some of the more interesting comments readers have left recently.
1. Manalive on quality measures: It is almost always a leap of faith to apply evidence-based guidelines to the frail elderly, to patients with many medical problems, to alcoholics, to the poorly insured — in short, to a large percentage of my practice. Accordingly, I have been on the wrong end of too many …
The following is reader take by Half MD.The third Thursday of March each year is Match Day for fourth-year medical students. There are many smiles and frowns made on this day when soon-to-be doctors discover where they will obtain their…
The third Thursday of March each year is Match Day for fourth-year medical students. There are many smiles and frowns made on this day when soon-to-be doctors discover where they will obtain their first job to continue their medical training. While Match Day is the most famous day of the week, Monday and Tuesday are the …
Would Natasha Richardson be alive today if she had gone skiing in the United States instead?I don't think it would have made a difference.To recap the tragedy, Ms. Richardson died from an epidural bleed, after she fell while skiing. Her…
Would Natasha Richardson be alive today if she had gone skiing in the United States instead?
I don’t think it would have made a difference.
To recap the tragedy, Ms. Richardson died from an epidural bleed, after she fell while skiing. Her presentation was somewhat classic, with the well-described “lucid” period before she deteriorated.
According to Canada’s Globe and Mail, “ambulance workers were not …
For those who don't know, every piece of work that a doctor performs is quantified and measured.The base unit of physician work is known as the relative value unit (RVU). Most physician salaries are determined by the amount of RVUs…
For those who don’t know, every piece of work that a doctor performs is quantified and measured.
The base unit of physician work is known as the relative value unit (RVU). Most physician salaries are determined by the amount of RVUs a doctor produces in a given year, and in most cases, can range between$35 and $45 per RVU in primary care, depending on geographic location and …
The following op-ed was published on December 3rd, 2008 in the USA Today. Emblematic of soaring health care costs, which are projected to reach $3 trillion by 2011,is the nationwide crisis of emergency department overcrowding. More than $18 billion is…
The following op-ed was published on December 3rd, 2008 in the USA Today.
Emblematic of soaring health care costs, which are projected to reach $3 trillion by 2011,is the nationwide crisis of emergency department overcrowding. More than $18 billion is wasted annually on unnecessary visits to the ER,with volume rising by 32% and wait times almost doubling to one hour during the past decade. Relieving this strain …
