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It's amazing what a human can do while effectively sleepwalking. Life tip: (politely) ask how long your doctor has been awake, perhaps disguising the question as how long the shift has been.



Yeah, we know this one. No, we will not tell you we've been up for 28 hours. It creates issues, both of the liability type and the shifting-work-unto-your-coworkers type.

If you don't want an exhausted doc, you have to tackle it at the policy level. There are advocacy groups working on this, and the proper targets are your legislators and state medical societies.


patients are similarly well aware that doctors will lie to us to cover their ass. possibly why so many of us resent paying you exorbitant sums to do poor work?


Leaving aside he topic of money, as I've no intention of going down that rabbit hole of bs:

People have no idea what the quality of our work is: bad, good, or in-between. You have neither the expertise nor the information by which to judge. The Chief Quality Officer (and former anesthesiologist) at (major academic medical center) once told me, "I have access to more quality data than absolutely anyone else in this hospital ... and I still have no idea who the good surgeons are and who the bad ones are. I haven't known that since I left working in the operating room every day, when I actually saw them all work day after day." What he doesn't know, you certainly do not.

You know all those posts here about how managers have unrealistic expectations, and constantly misunderstand what software devs actually do? It's like that, only moreso.




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