When I started my first year of residency in internal medicine at the Massachusetts General Hospital in 1998, there were 20 percent more patient admissions per intern in my residency program than there had been just three years earlier. The sheer number and complexity of my patients was nearly overwhelming—and I was worried that at best, they were not getting the care they had a right to expect, and at worst, that they were not safe.
Each week, the Internet Archive's tumblr account is completely transformed by a digital resident along a theme of their choosing. [more inside]
Chagos Islanders Lose the European Court Battle but the Struggle Continues Former residents of the Chagos Islands have lost their latest legal bid for the right to return following a European ruling. What next for the islanders? James Wan recaps the decades long struggle and the implications of the latest ruling on the fate of the former residents of Diego Garcia. Previously in 2002, 2003 2006 and some archives.
French hospitals have rooms where medical students (internes) can rest, lunch and vent off steam between calls, but these salles de garde are not your usual staff room. They are brightly decorated with lively mural paintings showing the current internes, the doctors and other hospital staff engaging in very (very) explicit sex acts. The frescos are done by the students themselves or commissioned from local artists, and are replaced on a regular basis. Here are some choice examples (sorted by hospital): Ambroise Paré, Cochin, Widal, Louis Mourier, Saint-Louis, Saint-Vincent-de-Paul, Institut Gustave Roussy (ibid) (ibid), Lariboisière, Robert Debré, Saint-Cloud, Tenon. Many other images can be seen on the website of an association of former internes. [Totally NSFW unless you're a medical student training in France] [more inside]
The Phantom Menace of Sleep Deprived Doctors: Young doctors are no longer working long, stupor-inducing hours. So why aren’t hospitals any safer?
"I felt that some punishment or deterrent was needed for other individuals who might think to defraud the various school systems."
Kelly Williams-Bolar has been sentenced to ten days in prison in a school residency case. The African-American mother of two lives in public housing in Akron, Ohio, and forged court records so that her children could attend a better school in nearby Copley Township. Judge Patricia Cosgrove sentenced her to 10 days in prison, 80 hours of community service, and two years of probation. Ms. Williams-Bolar works as a special education classroom aide, and was working towards a teaching degree. Because of the felony conviction she may no longer be eligible to teach in the state of Ohio.
Today, about 17,000 American medical students and almost as many foreign trained doctors learn what types of doctors they will be. Yes, it’s Match Day. Ok, while most people probably could care less about this post, it presents an intriguing look into the forces (i.e. how the ratio between specialists and generalists arises and to note: more specialists equals more procedures and costlier health care) that shape American health care today. And, it represents the strange culmination of years of study (at least 8+ years after high school) that many students take just to leave it up to a strange algorithm that is under a anti-trust lawsuit as they wake up one day in March and learn where they will be spending the next (at least) three years of their life. Also, if you see a recent graduate of an "ADORE+P" residency -- Anesthesiology, Dermatology, Orthopedics/Optho, Radiology, ENT/Emergency Room medicine (plus, of course, Plastic surgery) -- (the professions that work great hours and make the most money) -- congratulate her or him on being the best (statistically) of the crop.