Are Residents in Asia Overworked?Created by:
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In 2003, the Accreditation Council for Graduate Medical Education imposed an 80-hour work limit for residents in training. In 2011, a new update was released that stated a maximum shift of 24 hours with a 4 hour transition work and at leat 14 hours of rest in between 24 hour duties. Many in the medical community expressed concerns over lack of training experience and possible increase in mortality due to frequent patient handoff. A journal published in New England Journal of Medicine debunked this concern by the medical community. A study comparing two groups between residents who adhered to the ACGME rules and residents who followed the conventional, unpredictable work hours. After 1 year of training, the two groups had virtually indistinguishable rates of death, overall complications, and specific types of complications. What was more important was that the group who followed ACGME rules had more supervision from consultants in order to train properly. Of course, this group expressed satisfaction and found a balance between work and life. With this study, the ACGME decided not to change their policy for this year. Residents will still enjoy the more favorable work schedule as stated above.
I feel that Asia should follow this trend rather than stick to the conventional gruelling residency schedule. I feel especially for those in the field of surgery and internal medicine as they really thread the needle in order to pursue residency training. In the Philippines, we still follow the conservationl residency schedule. The main reason for this is to follow tradition (shaking my head). For the MIMS community, do you feel that residents in Asia are overworked? What is the residency schedule in your country?
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