[JambalayaJimbo]

Are residents and people working on ships actually making decisions for 100 hours a week? It's the cognitive load that I find difficult to believe about these numbers, not the

At one point I was also working crazy hours at a fast food shop. But that was only possible because I could "zone out" and just pour the customer's coffee and make sandwiches. Writing code for that long would have been impossible.

[cfu28]

Obviously not every moment of every hour in a residents day is deep clinical thinking with high cognitive load, but we’re definitely not “zoning out” when making medical decisions. Patient statuses change very quickly and very often in the hospital, and every problem should be re-evaluated like it is a fresh concern. Decisions can be made quicker with more experience but you’re expected to be “on” all the time. Plus, lots of things contribute to cognitive load outside sheer medical decisions - social work, dispo issues, patient preferences, etc. Luckily my residency is closer to 60-70 hours a week but 100 is still common.

Remember - the 80 hour a week limit is not a max limit. It is the max hours per week AVERAGED OVER 4 weeks. You can easily work 100 hours this week if you do 60 the next.

[trenchpilgrim]

> Are residents and people working on ships actually making decisions for 100 hours a week?

Residencies? Yeah. The guy who came up with the US' system for medical residency was high on cocaine pretty much constantly and expected everyone to perform at his level.

https://www.wolterskluwer.com/en/expert-insights/a-day-in-th...

https://en.wikipedia.org/wiki/William_Stewart_Halsted