Dr. Richard Bosshardt
š¤ PersonAppearances Over Time
Podcast Appearances
They came out and they took a law that was basically confined to New York from 1964 and made it nationwide. And that law was a reduction of residency hours. In other words, you can't take a trainee in any medical specialty and make them work more than 80 hours a week or more than 24 hours at a stretch.
They came out and they took a law that was basically confined to New York from 1964 and made it nationwide. And that law was a reduction of residency hours. In other words, you can't take a trainee in any medical specialty and make them work more than 80 hours a week or more than 24 hours at a stretch.
They came out and they took a law that was basically confined to New York from 1964 and made it nationwide. And that law was a reduction of residency hours. In other words, you can't take a trainee in any medical specialty and make them work more than 80 hours a week or more than 24 hours at a stretch.
And so that reduced residency hours dramatically because when I trained, it was not uncommon to work a 90 to 110 hour week. That was pretty typical. And be on call, you know, 36 hours straight. I once worked 48 hours straight. Not that that's a great thing, but, you know, you do what you have to do and you learn. You learn to operate under circumstances when you're tired and things like that.
And so that reduced residency hours dramatically because when I trained, it was not uncommon to work a 90 to 110 hour week. That was pretty typical. And be on call, you know, 36 hours straight. I once worked 48 hours straight. Not that that's a great thing, but, you know, you do what you have to do and you learn. You learn to operate under circumstances when you're tired and things like that.
And so that reduced residency hours dramatically because when I trained, it was not uncommon to work a 90 to 110 hour week. That was pretty typical. And be on call, you know, 36 hours straight. I once worked 48 hours straight. Not that that's a great thing, but, you know, you do what you have to do and you learn. You learn to operate under circumstances when you're tired and things like that.
And the idea was to reduce medical errors and things like that, which has been disproven. Studies have shown that that reduction in hours did nothing to improve medical errors. But that was one thing that cut back the hours for training and surgery. What was the motive there? The idea behind it, the reason that it occurred was because of a death.
And the idea was to reduce medical errors and things like that, which has been disproven. Studies have shown that that reduction in hours did nothing to improve medical errors. But that was one thing that cut back the hours for training and surgery. What was the motive there? The idea behind it, the reason that it occurred was because of a death.
And the idea was to reduce medical errors and things like that, which has been disproven. Studies have shown that that reduction in hours did nothing to improve medical errors. But that was one thing that cut back the hours for training and surgery. What was the motive there? The idea behind it, the reason that it occurred was because of a death.
A young woman died in New York because of a medical drug error, a very rare drug reaction. And her father happened to be a very prominent attorney. And he decided that the reason was that these residents were working too hard, they were too tired, and we needed to change that.
A young woman died in New York because of a medical drug error, a very rare drug reaction. And her father happened to be a very prominent attorney. And he decided that the reason was that these residents were working too hard, they were too tired, and we needed to change that.
A young woman died in New York because of a medical drug error, a very rare drug reaction. And her father happened to be a very prominent attorney. And he decided that the reason was that these residents were working too hard, they were too tired, and we needed to change that.
Yeah. I remember this. Yeah. And that was only confined to New York until 2003. Then it became a nationwide thing. General surgery is a five-year residency program, okay? In the first two years, you learn patient care. You learn how to take care of patients before and after you assist in operations. You do diagnostic, differential diagnosis, and you learn how to work up a problem.
Yeah. I remember this. Yeah. And that was only confined to New York until 2003. Then it became a nationwide thing. General surgery is a five-year residency program, okay? In the first two years, you learn patient care. You learn how to take care of patients before and after you assist in operations. You do diagnostic, differential diagnosis, and you learn how to work up a problem.
Yeah. I remember this. Yeah. And that was only confined to New York until 2003. Then it became a nationwide thing. General surgery is a five-year residency program, okay? In the first two years, you learn patient care. You learn how to take care of patients before and after you assist in operations. You do diagnostic, differential diagnosis, and you learn how to work up a problem.
And if you're good, if you're a good intern, if you're a good first year, second year resident, you know, they throw your bone on again. They'll let you do a hernia and they'll let you do an appendectomy and they hold your hand while you do it.
And if you're good, if you're a good intern, if you're a good first year, second year resident, you know, they throw your bone on again. They'll let you do a hernia and they'll let you do an appendectomy and they hold your hand while you do it.
And if you're good, if you're a good intern, if you're a good first year, second year resident, you know, they throw your bone on again. They'll let you do a hernia and they'll let you do an appendectomy and they hold your hand while you do it.
And then in the third and fourth years, you start to operate more, but you're always operating under the direct supervision of a senior resident or an attending, attending a fully trained surgeon. And again, you're having your hands held. I mean, they have to let you work. They got to put the knife in your hand. But they have to be good enough to do that and keep you out of trouble.
And then in the third and fourth years, you start to operate more, but you're always operating under the direct supervision of a senior resident or an attending, attending a fully trained surgeon. And again, you're having your hands held. I mean, they have to let you work. They got to put the knife in your hand. But they have to be good enough to do that and keep you out of trouble.