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by shufflerofrocks 800 days ago
One thing is that the rigid terrific schedule of the modern-day residency program was designed by a cocaine addict who made the structure to fuel and hide his addiction, so all doctors start out with a skewed sense of normal working hours. (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7828946/)

Another thing is the toxic culture perpetuated for allowing medicos to stroke their egos - toxic cultures about overtime are everywhere, but medical profession is a class apart.

2 comments

Further worthy to note the culture inside surgery departments and residency programs, which seems to feed on exactly this sort of toxicity to measure the worthiness of applicants / residents / graduates. Young surgeon hopefuls should seriously consider the residency process before committing to the field; one of my wife's former co-residents, now early in surgery residency, is surprised by her own fertility challenges, for example. Anyone 'in the business' knows cases like this, and it's a good thing that suicides are national conversation.
I remember hearing this story on the Joe Rogan podcast. I was so astonished, I could not believe it until I looked it up myself.