THAT means a preposterous and tormenting system has been continuing for decades without any objection. This should stop here. Let the public decide. People like Dr Mishra are the problem. No wonder medical fraternity is filled with such people who unwaveringly walk their egotistical high ground without fail. Residents should not be overworked and humiliated but should be nurtured to make them the best possible doctor and importantly human first.
Certainly, the govt needs to rationalize the working hours of the doctors on duty in all the hospitals—govt as well as private sector. An attentive doctor cannot work for more than 8 to 9 hours per day. Beyond this a doctor also needs suitable rest so that next day he can work again with energy, enthusiasm and focus.
But, apart from these resident doctors, all other govt. To learn work u need not do 15 hrs of work daily, u can learn even with 12 hrs if work maximum daily with a day off next to night duty…we are not donkeys to work like that…we human beings require some space between the work..
Monday, 15 November, Sign in. Forgot your password? Get help. Privacy Policy. Password recovery. They get to learn whether the diseases is progressing or worsening, or the patient is recovering, only when they are on the job round the clock.
Addressing another grievance of resident doctors, a member of Medical Council of India MCI from Delhi confirmed to TOI that residents are entitled to just 15 days casual leave and 15 days sick leave.
They are paid stipend and not salary. But he also said that the working conditions for residents had not changed over the years. They cannot work in an unsafe and unhealthy environment, he added. Also, in , the Supreme Court of India had given a ruling that residents should not work more than 12 hours at a stretch, and more than 48 hours in a week. A huge majority of residents get tuberculosis and many other infections from the hospital.
Grumbling by the old guard aside, most in the profession agreed this system was abusive, outdated, and in need of replacement. Averaging hour workweeks and regularly putting in hour shifts is still brutal by any measure. In fact, the evidence is mixed as to whether duty-hour reform did much of anything to reduce the number of hours residents actually work. However, other surveys found that the reforms led to no change in overall work or sleep hours, and that the reforms actually made residents less satisfied with their work schedules.
How could it be possible for limits on work hours to not lead to less work? Most fundamentally, duty-hour restrictions did nothing to reduce the overall workload of residents, meaning the reforms simply require residents to do the same amount of work in less time. For example, the number of patients admitted at teaching hospitals rose 46 percent from to , a period during which the number of residency spots increased only 13 percent.
It is therefore no wonder that duty-hour restrictions are often honored in the breach. Residents are regularly expected to and frequently do work beyond their allotted shifts, with up to 83 percent of them saying that they are either unable or unwilling to comply fully with the rules.
Less obvious is that the hourly caps only pertain to time spent physically in the hospital or clinic—meaning they do not account for the many responsibilities residents must now often complete on their own time.
If industry self-regulation has thus far proved less than fully successful in moderating the excesses of medical training, could unions help? Nevertheless, union membership among residents remains low —hovering between 10 and 15 percent since the ruling. And while some resident unions have succeeded in winning small, appreciable improvements in pay, benefits, and working conditions, structural barriers prevent them from having a major impact on reform: Residents are physicians in training, at the conclusion of which they are freed from the strictures of this controlled labor market.
The only way to become a fully-fledged medical doctor is to set aside complaints, sign the contract, and move on. There is little incentive to invest time, money, and energy in organizing when the end is near. In addition, it seems inconceivable that residents would engage in a sustained work stoppage to force the issue. Most doctors are in medicine for the right reason—to help people. The prevailing ethos was well illustrated to me during a major blizzard on the East Coast last winter.
This is not a group that would compromise patient care in a labor dispute. So this leaves government action. Duty-hour restrictions were, in large part, an attempt to stave off federal regulation of this sort for medical residents.
Department of Health and Human Services.
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