24 hour shifts are LEGAL and COMMON in residency. I’m advocating for change.

Рет қаралды 25,919

Жыл бұрын

In residency, 24-hr shifts are legal, common, & accepted
But they shouldn’t be.
Research from the CDC reveals that being awake for 24 hours, is similar to having a blood alcohol content of 0.1, which is above the legal limit to drive. If it’s not safe for resident doctors working 24 hours straight to operate a vehicle, is it safe for them to operate on or treat a person?
Sleep deprivation in residency is NOT a rite of passage, it’s a recipe for disaster.
I will be addressing this, and more issues & solutions in medical training, in my TEDx Talk this Friday, March 31st at 7pm at @universityofgeorgia
Livestream information in the comments.
Video footage from the incredible CreateDaley
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SOURCES:
www.cdc.gov/niosh/emres/longh...
DISCLAIMERS:
- Opinions and information expressed in my speech & content are solely my own and do not express the views or opinions of my employer.
- My speech & content is not directed at, or indicative of, any one residency program or institution including my own.
- My speech & content’s purpose is to advocate for improving medical trainee wellness by exposing systemic issues and providing solutions to improve them
- My content is for educational and marketing purposes and should not be used in place of therapy or treatment
#TEDx #TEDxTalk #TEDTalk #doctor #mentalhealth #medicalschool #residency

Пікірлер: 75

@MontanezMonti Жыл бұрын

Absolutely agree with him. There's no good reason to have a resident Dr. work these ridiculous amount of hours other than to save money to the hospital. If a R.Dr., is involved in an accident because if this rule, he or she should sue the hospital.

@environmentalnews6040 Жыл бұрын

That is how capitalism works, as Biden said. Hospital's gotta make a profit.

@JakeGoodmanMD Жыл бұрын

Hey KZfaq Family , I’m giving a TED Talk live in Athens, Georgia to a sold out theatre at 7pm ET this Friday, March 31st. I’ve been preparing for this talk for months and would love for you to support and watch it live if you are free! (If you are busy doing that time, don’t worry - the talk will be posted on TED’s KZfaq a few weeks later.) There are some great speakers after me including the first female host of NBC Sports’ Football Night in America, an Olympic runner, and several more impressive alumni and faculty of UGA. The link for livestream tickets is here: gail.uga.edu/events/jrnl/tedxuga-2023-general Livestream tickets are $10! Please send some good vibes my way!

@ThatweirdEMTnerd Жыл бұрын

Good luck bro! You got this!!

@roxanneiamawake4311 Жыл бұрын

I work at Amazon doing the three 12.5 Hr night shifts and I have to drive home in the morning during morning rush hour traffic to get my kid then get her ready take her to school get home shower watch some KZfaq to try to wind down for sleep make breakfast then I have about three hours too sleep if I even can then pick her up make dinner homework get her ready for the babysitter drive her and do it all again sometimes they make us do extra mandatory on top of those the night 12.5 hour shifts in a week and I can’t function at all doing it anymore I can’t imagine 24 hours sometimes I literally cannot drive home

@MFLapin Жыл бұрын

Thank you for speaking the truth! Our medical system is so sick, the caregivers need to be well themselves to be able to teach & encourage wellness. Your voice is so important!

@adarshsenthil5276 Жыл бұрын

Love that you’re using KZfaq to voice serious issues in the medical field!

@Itme Жыл бұрын

For now. He will get blacklisted for speaking out. Same as the crazy doc that advised washing hands and instruments between cadaver and woman giving birth. His license revoked and he died in mental institution. Speak docs. We need y’all.

@ronsworld1228 Жыл бұрын

As an EMT, we work 24s. Heck, I’ve worked 108 hours without going home before. Sometimes you can sleep, and usually you’re not running constantly, but there’s always a possibility…

@Firefighter_Hogue Жыл бұрын

It’s also how most EMS and Fire agencies run was well, we pull 24, 36 & 48 hr shifts. Some districts are not as busy so your not running none stop but others are slammed the whole shift.

@Julia-cm9ir Жыл бұрын

As a patient, I just want to let you know that I really appreciate all your hard work. It's amazing to see that people can make such sacrifices for others. I am truly sorry for exhausting conditions. And I'm really, really thankful for all the doctors' work. Thank you, dr. Jake. For everything❤

@masantonio8790 Жыл бұрын

I’m going to be a freshman a major university this fall to pursue pre-med and eventually medicine. Thank you for the change you look to make in the medical world.

@KMA66 11 ай бұрын

Dr., Thank goodness that you are speaking up on behalf of all residents. It is very dangerous for patients AND for you.

@UpasnaParikh151 Жыл бұрын

Wish you Good luck on the Ted talk 😊

@colkemker Жыл бұрын

I've definitely been pulled over for driving mistakes made 2/2 sleep deprivation. The struggle is real.

@DrKGW Жыл бұрын

I never knew this! Omg if I married a doctor and he had to work shifts like this I would drive him to work and pick him up so he could rest in the car.

@jamiehlchen Жыл бұрын

It’s crazy how that I’m even hearing some doctors work over 24 hours, often 26 or 32 hours

@melanie_meanders Жыл бұрын

so fkn proud of you… this amazing mental health psa and on the bottom of all your videos now? “by a licensed doctor” ❤❤❤❤

@rinnylee9405 Жыл бұрын

I've pulled 24 hour work days, and my brain is at 50-70% at the end of it. No way would I want someone doing medical procedures or making decisions about my healthcare in that state.

@MishaThePolly_Therian 11 ай бұрын

I never thought about this before. I knew Drs at the ER have 24 hr shifts so only 1 Dr oversees a patient if possible, but that seems ridiculous when you think about what it does to their ability to think. This seems like negligence in the laws and hospitals that oversee a person. Its scary.

@evgeniy1332 Жыл бұрын

In 2003, the Accreditation Council for Graduate Medical Education (ACGME) implemented rules limiting work hours for all residents, with the key components being that residents should work no more than 80 hours per week or 24 consecutive hours on duty,

@zephyramarin6030 Жыл бұрын

I got pulled over, after working a double as an EMT. I had been unknowingly changing speeds, and lane drifting on the highway. Thankfully the officer understood it was sleep deprivation, and asked me to make it home safe. Could have gone another way.

@HZH121 Жыл бұрын

I’m a general surgery resident We work +30 hours most of our on call days One of the things that will surely let many enthusiastic doctors quit medicine

@EJofLA Жыл бұрын

That is outrageous. Keep up the fight- good for you and other residents.

@Propercornishmaid 11 ай бұрын

I have severe myalgic encephalomyelitis and I drive but only when I feel good enough. Here in the uk the police use a finger prick road test now to determine if your tired driving and if you are, they treat you as if they would someone drink driving. God knows how that would work on someone like me as what they look for I continuously have in my blood which is done by doctors every month as I almost died in 21 from hypernatreamia, a sodium level of 120.

@judew.5872 Жыл бұрын

When I was in my 20s, my doctor encouraged me to become a doctor. He definitely meant well but I already knew what was required. I fully realized that no matter how much my interest in medicine was, I'd NEVER be able to handle it. Even now, just a couple of nights with insufficient sleep and I start making stupid mistakes. I'd only end up killing some poor patient.

@caitlinvannatten1952 11 ай бұрын

(Piggybacking): 12 hour shifts need to be rethought as well. Studies clearly show that after 8 hours; the chance of med errors and other issues increase drastically.

@dailydoseofmedicinee Жыл бұрын

thank you so much

@Rosemary-gn6pz Жыл бұрын

I agree 24 hour shift is crazymaking in that sleep deprivation can cause hallucinations or one to fall asleep mid action and that action or incomplete action could have serious consequences for the patient and or the doc or others in proximity!!

@capydream Жыл бұрын

You're brave, thank you for spreading awareness!

@erinnorwood6124 10 ай бұрын

If you find out about residencies without 24 hr shifts or disability accommodations for nights, please share. Thanks for the advocacy

@alpage9306 Жыл бұрын

I admire doctors all that they go through, man I couldn't do it!!!!

@harth3432 Жыл бұрын

This is one of the only developed Nations I think in the world that still allows this to happen. I talked to a whole bunch of Junior physicians in Europe and Norway and Switzerland or rather under the EU and the Schengen area and on top of being able to work normal hours they get 30 days PTO per year and a solid salary and full benefits when they start their position usually at a non-university hospital. I think it's asinine that we should hold ourselves as so advanced and yet continue to essentially demand in human conditions. Also any physician who's been working for more than the correct amount of time should not be in contact with a patient as they could put their lives in risks

@amberphillips3407 11 ай бұрын

I think EMTs do 24 hr shifts too. That's completely insane. 16 hrs is alot but 24 hrs is just crazy!!

@MsLoma1212 Жыл бұрын

no one should work more than 12 hours shifts. i always think about doctors who work 24 hours and i just don't know how you guys can do it. for sure things need to change

@ver4135 Жыл бұрын

The European commission said police nurses doctors firemen etc are exempt from labour law protections

@environmentalnews6040 Жыл бұрын

Boom! Jake with the facts.

@Shadow1Yaz Жыл бұрын

Drowsy driving scares me. You’re driving around, impaired as a skunk but you will pass a breathalyzer test. 😬

@idkwhoiamo.o Жыл бұрын

can you make a video about how parents and school stresses out teens today? i personally always start to stress when i have finals and i wont stop stressing until my grades come out which takes a couple of days to do. i don't think it's healthy and my parents seem to not really care about it :/

@PerArduaFitness 8 ай бұрын

I did this working in security, the denied it happened and refused to pay me. Never again.

@pinkgiraffe378 11 ай бұрын

24 hour shifts are insane, especially for doctors, who are literally operating on people, that's just dangerous.

@mohamadkhanafer2630 Жыл бұрын

Just like being a Navy Seal/marine is not for everyone, medicine too is not for everyone. During the training for becoming a marine you have to undergo "Hell week" which is a total of 130 continous Hours of brutal physical exercice with a maximum of 7 Hours sleep during the whole process and that is perfectly legal. Considering this 24 Hours shift should be considered as a game...

@Fig1942 10 ай бұрын

WOW!! Maybe my daughter is not as drunk as she seems to be at times.

@zarachakir7129 Жыл бұрын

Underrated

@Luverofmysoul2 Жыл бұрын

EMTs too

@shawnabrummer3818 11 ай бұрын

This!!!!

@Zzzzzzzzzzzz56 7 ай бұрын

36 hours Here

@jenniferdoty7246 Жыл бұрын

It isn’t just medical residents; it’s any medical provider. Even as a student nurse anesthesiologist I routinely worked 24 hrs or longer. Now I do 24 hr call up to 72 hrs as a CRNA.

@yellowdayz1800 Жыл бұрын

I agreeeeeee stop taking life away from professionals who had to work so hard to get where they are. This should go for detectives, fbi agents and so on!

@georgerobins4110 10 ай бұрын

That’s absolutely insane. 24 hours straight awake is bad enough. 24 hours straight WORKING??? B R U H

@Hights_ Жыл бұрын

Saul's nicer and more careing cousin

@barbswaine6197 Жыл бұрын

Agree100%

@jacksonjohnson2132 9 ай бұрын

I mean some operators take longer then 24 hours :/

@Itme Жыл бұрын

I have powerful nursing union. Providers…unionize.

@amandineafonso2427 Жыл бұрын

Omg! YES YES YES!!!

@amandineafonso2427 Жыл бұрын

Go!! You’re amazing!! I feel so bad for all of our doctors working like slaves!! It’s not fair to them that their professional work is not managed in a healthy way as it shall be as we shall live by example!!!

@amandineafonso2427 Жыл бұрын

One of the reason why I chose to become an acupuncture physician instead… it fits my beliefs in health and I can make it fit my dreams

@evieealba1004 Жыл бұрын

That’s cruel

@Deba7777 Жыл бұрын

Wow! That's just wrong!

@rocb1319 Жыл бұрын

I’m an RN and I know it’s illegal for us to do a 24hr shift for those reasons so why is a Dr different? Makes zero sense … oh silly me I forgot if it fits powerful peoples agenda there are exceptions 🤦‍♀️

@suilaynio9367 Жыл бұрын

To work 24hours is a nonsense. 12 hours is the max. People need to take a rest. Or the work will not optimum. It's dangerous to drive with only 3 hours sleep. I ever slept while driving a motorcycle with 3 hours sleep before. Thank God i still alive after the driving. I promise to never sleep only 3 hours again. The rule is a joke. How can it be made by profesional institution like doctors?

@crazycreed6675 Жыл бұрын

plz make a video about PSSD plzzzz make a video of Pssd Google PSSD Google PSSD plz make a video of it

@samreynolds3789 Жыл бұрын

Blackbeard You HAVE TO EXPERIENCE IT ! Papper WORK MEANS 👎🏾👎🏼!’

@kaiyin3842 Жыл бұрын

Doctors ownself make the rules and ownself complain about the rules they made 🤦🏻‍♀️ Instead of making it the patients problem, why not change the rules yourselves? You Doctors made those rules anyways 🤦🏻‍♀️🙄

@maecarpenter6735 10 ай бұрын

Absolutely barbaric!

@lindacahoon760 Жыл бұрын

thats becaus e they are cheap labor

@spongebitchbobface Жыл бұрын

Huh, doctor? Why are you putting your coat on in the middle of surgery? Wait... where are you going doctor? Doctor! *DOCTOR!*

@blackbeard4663 Жыл бұрын

I disagree. 24 hour shifts are hard but are generally not 24 straight hours of work. Additionally, physicians know what they are signing up for and need to be able to perform. Reducing working hours as a resident will drastically increase residency training.

@MFLapin Жыл бұрын

How much sleep are you actually getting in that 24 hours?

@blackbeard4663 Жыл бұрын

@@MFLapin Enough to function. Could I do 24hour shifts my whole life? Absolutely not. Intermittently for a handful of years as a resident? 100%

@harth3432 Жыл бұрын

Yes most Resident training is between a solid 6 or 5 years in EU and Schengen countries they also get 30 days PTO and depending on their local states have holidays completely off. Essentially they have more time to themselves and to study for their exams then we do here. You wonder why suicide rates are so low in other countries compared to here in those fields all you have to do is look at the hours and the benefits offer

@MFLapin Жыл бұрын

@@blackbeard4663 What do you mean by enough to function? I still do not think it is setting up healthcare workers to be healthy themselves.

@blackbeard4663 Жыл бұрын

@@MFLapin I agree. Sleep deprivation etc is not healthy. However in a specialty like EM, Surgery it is NOT POSSIBLE to not have people work through the night. We need to ensure Residents are not working 24 hours a day all the time but the occasional 24 hour shift is part of the job.