Thursday, October 22, 2020

Why is the intern hours problem so slow to be properly addressed??

So, last night I was at a high school awards night, and the guest speaker was a graduate from 2008 who now works as a doctor in the Queensland hospital system.

She explained that she initially studied for a science degree, but after a couple of years swapped to medicine.   This means she would have been an intern only about, what?, 5 years ago?

While she is very happy in her job now, she did say that the intern years were the worst - 70 hour weeks I think she said, and so stressed and tired she would cry when she got home.  And get this:  if she raised her exhaustion at work, the response from senior doctors was the old "well, that's what we had to go through, so suck it up."

That way of thinking has been driving me nuts for decades!   I saw it in an unrelated profession in my 20's, and it has offended me ever since.  (That's a story for another day.)

It's consistent with a Four Corners story on this problem in 2015 (and in fact, she would have been an intern around then.)

But 5 years later, what sign is there that the problem is being actually addressed?

Here's a report from last year:

Almost half of Queensland's junior doctors working in the public system are concerned they are so exhausted that they will make a clinical error, the state's peak doctors association has warned.

The Australian Medical Association Queensland's latest Resident Hospital Health Check report surveyed almost 900 of the state's junior doctors, of which 46 per cent reported concern about their long working hours burning them out.

The figure is unchanged from the year before....

Dr Abdeen said junior doctors worked long hours, with some going on call for 120 hours in a row.

"You're working day shifts, you're on call all night, getting called multiple times per day, and then going back to work the next day, of course you're going to be fatigued," Dr Abdeen said.

"All of these factors lead to a person who is going to be burnt out and ultimately prone to mistakes."

Dr Abdeen said he himself had just recently covered two other doctors on a single shift, forcing him to do the work of three doctors and treat all of their patients.

Here's a report from earlier this year:

The Black Dog Institute and UNSW Sydney have published Australian-first research examining the relationship between average working hours and the mental health of junior doctors.
 
And the results are stark.
 
A quarter of all junior doctors work unsafe hours, which researchers found doubles their risk of developing mental health issues and suicidal ideation.
 
Associate Professor Samuel Harvey, study co-author and Chief Psychiatrist at the Black Dog Institute said working long hours has been an accepted part of the culture of medical training for decades, but ongoing research is changing perceptions.

‘We’re now starting to understand the human cost behind these excessive workloads,’ he said.
 
‘Pressure on junior doctors to “earn their stripes” by taking on long work hours has always been common, but what we now know is that this can have profound mental health impacts, with concerning implications for both the individual doctors and our broader health system.’
 
A cohort of almost 43,000 randomly selected junior doctors in Australia were invited to participate in Beyond Blue’s National Mental Health Survey, with 12,252 providing data to form the research – the largest and most up-to-date national figures available on doctors’ mental health outcomes.
 
Junior doctors who worked over 55 hours a week were more than twice as likely to report common mental health disorders and suicide ideation, compared to those working 40–44 hours per week.  
 
The same results applied regardless of age, gender, level of training, location, marital status or whether the doctor was trained overseas or locally, confirming a link between long working hours and poorer mental health among junior doctors.

So it's pretty clear that the problem is still not being adequately addressed.

I presume it's a combination of inadequate hospital funding, variable intern numbers, and A PERSISTENTLY STUPID ATTITUDE OF [SOME] SENIOR DOCTORS IN HOSPITALS.

Because honestly, if it wasn't for the latter, you should have doctors at every election telling people to vote for governments that will do their utmost to address the problem.

 

5 comments:

Not Trampis said...

It was happening when I was only in my teens and continues today.

I live next door to resident

I cannot see it changing at all.

GMB said...

The reason is because under Rockefeller medicine doctors are subject to trauma-based mind control. The kids are deprived of sleep to guarantee that they will accidentally kill someone because of sleep deprivation. They kill someone and thats part of a complex initiation.

Steve said...

Oh my freaking God, Graeme: you manage to bring Jews into the question of how Australian hospitals and their senior doctors have spent probably a century overworking their interns??

If you haven't been told already today: you're a nut.

GMB said...

We've never been able to prove that Rockefellers were Jews. Maybe you and your people know more about this then me. But old man Rockefeller at least posed as a Southern Baptist and I'd tend to believe him since he did donate a lot of money to the Church.

But yes Rockefeller medicine controls the way our student doctors are treated. And we have never been able to give the kids healthy hours because of it. Every student doctor will kill someone through sleep deprivation and then he may kill himself as well. That is the system that we have adopted. Rockefeller medicine is imperialist. So if they decide in the United States that they don't want us to use Hydroxy-Chloroquine then our people fall in line. If they decide they want us to cut, burn and poison cancer patients that is what we will do. If they think that they want to sell vaccines for newborns that only a full-time prostitute might choose to take voluntarily we will inject the babies with this vaccine.

So thats why even when we had a lot of union power the kids were never subject to normal health and safety rules with regards to the hours they keep. That is why this is an eternal suicide problem. The decision is not in our hands.

Steve said...

Sorry, I saw a name with R being criticised by you, and got mixed up between Rothschild and Rockefeller.

An excusable mistake. In any event, now that you talk about "not being able to prove Rockefeller was Jewish" you still sound nuts.