It seems insane to me to first limit how many there can be, and then overwork the ones you do allow to become doctors.
The darker side of being a doctor (2017)
11–20 of 521 posts
Re: The darker side of being a doctor (2017)
#12Re: The darker side of being a doctor (2017)
#13Earlier quoted context omitted.
The understaffed healthcare system works with overworked doctors on the basis that having a tired and overworked doctor is a lot of the times better than having no doctor at all, because (s)he most likely can end up saving more lives than taking with their tired brain. If your operations have a 90% survivability rate it could still be considered a success despite those 10% they end up killing, because 90% is a lot be…
but the alternative isn't having no doctor at all, but to get more doctors, so the "basic game theory" is about why the limits on more doctors stay in place despite the higher risk of death etc.
Have you found that magic fountain of endless doctors?
Re: The darker side of being a doctor (2017)
#14tl;dr: professional feels like a proletarian.
Re: The darker side of being a doctor (2017)
#15Earlier quoted context omitted.
but the alternative isn't having no doctor at all, but to get more doctors, so the "basic game theory" is about why the limits on more doctors stay in place despite the higher risk of death etc.
> but to get more doctors Have you found that magic fountain of endless doctors?
- Valuing work gives meaning (money, appreciation)
- Autonomy gives feeling of control
- Managing burden prevents overwork, exhaustion and fatigue
Re: The darker side of being a doctor (2017)
#16Most of the issues mentioned in the article and the included email are concerning, however they also oddly seem to be common in many places across the globe. The surgeon mentioned was in Australia, I have seen these issues first hand in the Netherlands and am aware of very similar of the first 2 out of 3 issues (caused by overwork/understaffing/over-fatigue etc) in Belgium, Germany, the UK, India and god knows how ma…
The understaffed healthcare system works with overworked doctors on the basis that having a tired and overworked doctor is a lot of the times better than having no doctor at all, because (s)he most likely can end up saving more lives than taking with their tired brain. If your operations have a 90% survivability rate it could still be considered a success despite those 10% they end up killing, because 90% is a lot be…
First, those are not the only choices. There is also the the option of training and hiring more doctors. 2
Probably, there is also an option of making more efficient use of doctors time, but that one is more complicated.
Most of the work of doctors is not life-saving.
I think, you see a standard problem of pushing shit down or up. Government lowers budget, pushes quotas down, which gets pushed down further until it reaches the bottom rank and file, the doctors.
They have to "do more with less" (Not limited to public sector, see Boeing), and that works for a while, until it doesn't.
Re: The darker side of being a doctor (2017)
#17Most of the issues mentioned in the article and the included email are concerning, however they also oddly seem to be common in many places across the globe. The surgeon mentioned was in Australia, I have seen these issues first hand in the Netherlands and am aware of very similar of the first 2 out of 3 issues (caused by overwork/understaffing/over-fatigue etc) in Belgium, Germany, the UK, India and god knows how ma…
The understaffed healthcare system works with overworked doctors on the basis that having a tired and overworked doctor is a lot of the times better than having no doctor at all, because (s)he most likely can end up saving more lives than taking with their tired brain. If your operations have a 90% survivability rate it could still be considered a success despite those 10% they end up killing, because 90% is a lot be…
We should impose work limits on doctors, just like pilots.
Re: The darker side of being a doctor (2017)
#18Most of the issues mentioned in the article and the included email are concerning, however they also oddly seem to be common in many places across the globe. The surgeon mentioned was in Australia, I have seen these issues first hand in the Netherlands and am aware of very similar of the first 2 out of 3 issues (caused by overwork/understaffing/over-fatigue etc) in Belgium, Germany, the UK, India and god knows how ma…
I think the answer here is that if you there aren't enough pilots, schedules can be reduced. You can't scale back (in any ethical way, anyway) the demand for healthcare. People will just die at a higher rate and outcomes will worsen.
Re: The darker side of being a doctor (2017)
#19Re: The darker side of being a doctor (2017)
#20Most of the issues mentioned in the article and the included email are concerning, however they also oddly seem to be common in many places across the globe. The surgeon mentioned was in Australia, I have seen these issues first hand in the Netherlands and am aware of very similar of the first 2 out of 3 issues (caused by overwork/understaffing/over-fatigue etc) in Belgium, Germany, the UK, India and god knows how ma…
My best friend from high school became an MD and I witnessed doctors in training being proud of powering through extremely long, back to back shifts with little rest.
Meanwhile, as an engineer I've seen short and strict shift limits on employees operating machinery like trucks and forklifts. Under the obvious principle that insufficient sleep impairs judgement, put lives at risk and creates massive liability.