16 Hours


16 HOURS….A new report has — once again — stated the obvious: it’s insane to require doctors to work long shifts without sleep. And — once again — not everyone agrees:

The report, produced by the Institute of Medicine, an arm of the National Academies, recommended that medical residents ideally should work no longer than 16 consecutive hours, considerably less than the 30-hour shifts now allowed.

….Dr. Mark I. Langdorf, medical director of the emergency department at UC Irvine Medical Center and associate director of the residency program, called the recommendations “nuts.”

“The problem here is balancing the need for patient safety, which I acknowledge, with the need to have the training in medicine be an apprenticeship,” he said. “It sells the educational process short to make training so intermittent that you don’t really get continuity.”

“Continuity of care” has been the excuse for 30-hour shifts forever, but I’ve never seen a single person actually make a coherent case for objecting to a five-hour nap in the middle of a shift. They just chant continuity like a mantra and expect the rest of us to believe that 30 hours is some kind of talismanic number even though it really doesn’t make any sense. Hell, I don’t think I could even blog intelligibly after 30 hours, let alone make subtle and potentially life-saving diagnostic decisions. This may be an ancient practice, but so was bleeding patients until we figured out better. It’s time to stop being idiots about this.

THANK YOU.

We recently wrapped up the crowdfunding campaign for our ambitious Mother Jones Corruption Project, and it was a smashing success. About 10,364 readers pitched in with donations averaging $45, and together they contributed about $467,374 toward our $500,000 goal.

That's amazing. We still have donations from letters we sent in the mail coming back to us, so we're on pace to hit—if not exceed—that goal. Thank you so much. We'll keep you posted here as the project ramps up, and you can join the hundreds of readers who have alerted us to corruption to dig into.

We Recommend

Latest

Sign up for our newsletters

Subscribe and we'll send Mother Jones straight to your inbox.

Get our award-winning magazine

Save big on a full year of investigations, ideas, and insights.

Subscribe

Support our journalism

Help Mother Jones' reporters dig deep with a tax-deductible donation.

Donate

Share your feedback: We’re planning to launch a new version of the comments section. Help us test it.