Reply to Bank of America: former green beret dies after work 120-hour week, IB associates going on strike

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Shout out to all the medicine residents right now working these exact hours [/quote]

I thought there were laws against that?[/quote]

Ha! No! There are rules that residents cannot work more than 80 hours AVERAGED over 4 weeks so you can work 120 hours one week and 40 the next and it’s “okay.” Also for medical residents hours are based on self report so programs pressure residents to lie. Residents also frequently work 24 hour shifts (yes you read this right and no you don’t get to sleep). 
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I am a nurse in the hospital and it’s rare that they don’t sleep. They don’t sleep WELL most of the time. But there is a resident room and there are cots and they sleep at night on and off. Again- not a lot, but 30-40min here and there. Or 1-2 hours here and there on a slow night [/quote]

30-40 mins here and there isn’t much sleep. I’m a resident at a busy hospital (out on leave so on here) and we don’t sleep.[/quote]

Again, no one wants that. I dont want a resident OB who hasnt sleep 8 hours multiple times in the past 2 weeks in charge of me and my baby. I dont. We are talking about protections which come from the government and there should not be exemptions. Point blank. Including doctors. Including feds. Including associates. 60 hours is more than enough and if its not then you need more people. 
[/quote]

I know.. it scary to think about surgeons in particular who work 24 hours straight and patients have no idea :/ it’s all so dumb[/quote]

That's how surgeons afford their 4th investment property. They don't want more labor competition. In their mind, it's better to buy malpractice insurance (at the expense of patient safety) then to have more labor competition and potentially lower wages.

The purposeful throttling of medical schools seats and residency slots way below the rate of population growth is appalling. It's all driven by money.[/quote]

Forgive me for being naive on this point, but aren't most surgeons salaried employees of a hospital or surgery center? Do surgeons actually make more money by doing more surgeries? I can understand how this would be the case with surgeons doing mostly elective surgeries paid for out of pocket (many plastic surgeons, for instance, certain orthos) but I was not under the impression that neurosurgeons or obstetric surgeons who are performing life saving or necessary procedures were making more money if they did more surgeries. Obviously the hospital or center would make more money, but would the surgeon?

I have had surgery twice and both times my insurance paid the hospital. My surgeons were not even aware of billings and I don't think they financially benefitted specifically from my surgery.[/quote]

Paid-by-the-procedure doctors are the highest compensated. So yes, surgeons make more money the more procedures they complete. It's also why primary medicine doctors - eg your pediatrician - are among the lowest paid doctors.

Many surgeons have their own private practice/medical group and are contracted by hospitals to provide services. They get paid by the procedure. The economic literature bears this out:

[quote][i]
“In general, U.S. physicians are making about 50 percent more than German physicians and about more than twice as much as U.K. physicians,” internal medicine physician Atul Grover told us. Grover leads the Association of American Medical Colleges’ Research and Action Institute, teaches medicine at George Washington University and speaks with the easy authority and charisma of someone who probably deserves to be earning several times what we do.

Grover said the widest gaps were “really driven by surgeons and a handful of procedural specialties,” doctors who perform procedures with clear outcomes, rather than preventing disease or treating chronic conditions. In the United States, “we’re not about prevention, you know?” he said, noting that his own PhD is in public health. “I wish it was different, but it ain’t!”[/i][/quote]

Really fascinating read:
https://www.washingtonpost.com/business/2023/08/04/doctor-pay-shortage/[/quote]

Yep, insurance payed my (awesome) plastic surgeon $120,000 for a 4-hour surgery (post mastectomy recon), in addition to paying the hospital. [/quote]

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