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by habosa 2012 days ago
I remember a previous study showing that junior doctors were actually associated with better results since they were more recently trained and had less ingrained habits/biases.

Don't know if it applied to surgery though.

4 comments

Most critical cases (with higher chance of death) would probably be given to more senior, experienced surgeons, and that skews the statistics.
Sounds like you're remembering the heart attack during cardiology conferences study? https://media.jamanetwork.com/news-item/patient-outcomes-whe...
I would be surprised if it did. I believe the reduction in doctors’ overtime was a wash for parent safety as more shift handoffs and less sleep deprivation more or less canceled except in surgery where it increased mistakes.
Those studies are silly though—-the “reduced” schedule is often still something like 24 hours on-duty (vs 28).

Hand-off is also something that could, in principle, be improved whereas long shifts are just butting up against the limits of human physiology.

I suppose what you want is someone with enough experience, but who hasn't been out of medical school for too long. Probably 7-10 years of experience would be the sweet spot.

I wonder if this applies to other domains as well.