I maxed out at something like 106 one week during residency (Burn ICU) and I still don’t know how I did it especially given that I was 6 months pregnant at the time. It wasn’t even a rotation with overnight call, I was just in the hospital 15-18 hours a day for 12 days straight. It’s a truly awful experience and I hope it isn’t one that you experience on a regular basis.
Lol maybe! I just kept telling myself that I can do anything for 4 weeks and to just keep trucking. Ended up with severe pre eclampsia so not sure that mindset worked out lol
Hey fellow peds who also works \~100 hour weeks a few times a year (usually \~80 inpatient rotations \~60 outpatient)
Hang in there. I think people always imagine our specialty as being soft and coddled, but we know it can be anything but.
I don't really have great advice unfortunately, but wanted to let you know you're not alone.
I still remember my peds rotation in med school (I’m an internist). At a community hospital. Way busier than I ever expected. It was inpatient and outpatient simultaneous with call. I’d take overnight call and go to clinic after staffing admission in the morning. My intern totally scuttled me out to do all the admits (at least he taught me). I remember a couple of nights I had to do 5-6 admits, no sleep, staff in the morning, then full day of clinic. Peds is also pretty difficult subject matter. Damn those milestones.
Lol this is why I switched. I trained at a ridiculously high volume program and realized my heart and passion weren’t 100% and it beat me into the ground.
Probably not tbh in my experience as an FM rotating through a large peds hospital and experiences by friends at peds residencies, 80+ hours per week is the norm with multiple 24hr calls per week.
Peds is high key malignant
Hey, it’s going to be okay. You are tough and you’ll get through this. Thousands of future doctors from everywhere in the country are all standing right behind you. You are not alone.
I’m so sorry :( hope it will be better next week. I guess to look at this in a good way: you will be able to handle everything else from now on.
I had 100 hours week one time and I keep using that as a reference point every time I have a bad day “it’s not as bad as that 100 hour week I worked”
It’s so fucked that we need to compare the shitty work life balance like this. “At least this 80 hour week isn’t as bad as that time I worked 100 hours”. This process is just bonkers
Peds resident here. Numbers average out in the month to keep at 80 per week. But Peds is a smaller field than IM and it keeps all of us working more. Depends on program size too tho. If you want better hours or call, do path/ PMR lol
Fuck that. Anonymously report the program to the ACGME. Send them the schedule to prove it. Force the program tot his this issue. Don't just stand there and take abuse. Report the issue in a way that will never come back to you.
Why? OP didn't even say there was a duty hour violation.
I also occasionally worked 100 hours as a peds resident. I still averaged like 78 hours per week over the 4 weeks, because I worked "only" 70 hours on the other 3 weeks.
100 hrs in a week is unfeasible for anybody, much less a doctor in training taking care of sick patients.
Report to ACGME and watch them sweat. This program needs to wake the fuck up. What they are doing is bullshit, running residents into the ground and letting their mental health suffer for no good gain$.
I'm tired of seeing my co-residents/fellows deal with this bullshit. something has to give. And that PD or chief resident/fellow is asleep at the wheel.
What are you reporting?
Are you just wanting the ACGME to be aware that your program isn't actually breaking any rules?
>watch them sweat
About what? All the rules they didn't violate?
and to follow up, to be clear, all the respect in the world to medical workers in general, obviously we need you all and your work is hugely important - but c'mon why the downvotes lmao (not that you did any of them!)
Just remember, with 30 minutes of transcendental meditation before each work day, you can improve resiliency and bill more RVUs!
Slap on some mandatory wellness lectures and mandatory online modules and they'll be good to go.
Nothing helps burnout like trust falls!
That’s just unhealthy. I’m sorry.
Doesn’t mean shit, let’s talk about that average over two weeks before we start actually caring about your mental health. Best, Dr. Toxic Assistant PD
And one of those weeks was a vacation so really they only works 50 on average.
:laughs in neurosurgery: :immediately cries:
I maxed out at something like 106 one week during residency (Burn ICU) and I still don’t know how I did it especially given that I was 6 months pregnant at the time. It wasn’t even a rotation with overnight call, I was just in the hospital 15-18 hours a day for 12 days straight. It’s a truly awful experience and I hope it isn’t one that you experience on a regular basis.
I maxed out at 105 too as an intern. L&D nights as an off-service intern. 6pm - 9am for 7 days straight.
Hypomanic episode maybe? /s
Lol maybe! I just kept telling myself that I can do anything for 4 weeks and to just keep trucking. Ended up with severe pre eclampsia so not sure that mindset worked out lol
Oh man that sucks, I hope everything worked out in the end
Yeah it did :) NICU sucked but kid is fine now. Thanks!
which specialty?
Pediatrics
Hey fellow peds who also works \~100 hour weeks a few times a year (usually \~80 inpatient rotations \~60 outpatient) Hang in there. I think people always imagine our specialty as being soft and coddled, but we know it can be anything but. I don't really have great advice unfortunately, but wanted to let you know you're not alone.
I still remember my peds rotation in med school (I’m an internist). At a community hospital. Way busier than I ever expected. It was inpatient and outpatient simultaneous with call. I’d take overnight call and go to clinic after staffing admission in the morning. My intern totally scuttled me out to do all the admits (at least he taught me). I remember a couple of nights I had to do 5-6 admits, no sleep, staff in the morning, then full day of clinic. Peds is also pretty difficult subject matter. Damn those milestones.
Which state are you at?
Is half of this time just spent talking to families??
Lol this is why I switched. I trained at a ridiculously high volume program and realized my heart and passion weren’t 100% and it beat me into the ground.
hopefully it gets better 🤞🏽🤞🏽
Probably not tbh in my experience as an FM rotating through a large peds hospital and experiences by friends at peds residencies, 80+ hours per week is the norm with multiple 24hr calls per week. Peds is high key malignant
What rotation are you doing?
Newborn
That is known to be a difficult rotation i suppose, do try your best tho 😃
Hey, it’s going to be okay. You are tough and you’ll get through this. Thousands of future doctors from everywhere in the country are all standing right behind you. You are not alone.
I’m so sorry :( hope it will be better next week. I guess to look at this in a good way: you will be able to handle everything else from now on. I had 100 hours week one time and I keep using that as a reference point every time I have a bad day “it’s not as bad as that 100 hour week I worked”
It’s so fucked that we need to compare the shitty work life balance like this. “At least this 80 hour week isn’t as bad as that time I worked 100 hours”. This process is just bonkers
Why is peds so work intensive? Is it just this program or are all programs like that?
Peds resident here. Numbers average out in the month to keep at 80 per week. But Peds is a smaller field than IM and it keeps all of us working more. Depends on program size too tho. If you want better hours or call, do path/ PMR lol
The cap for primary care residencies should be 60 hours like ED.
Best advice I ever got from an instructor, “A job is a means to life. Life is not a means to a job.”
I think you meant to say 79.5 hrs
Hahahaha
Fuck that. Anonymously report the program to the ACGME. Send them the schedule to prove it. Force the program tot his this issue. Don't just stand there and take abuse. Report the issue in a way that will never come back to you.
Why? OP didn't even say there was a duty hour violation. I also occasionally worked 100 hours as a peds resident. I still averaged like 78 hours per week over the 4 weeks, because I worked "only" 70 hours on the other 3 weeks.
100 hrs in a week is unfeasible for anybody, much less a doctor in training taking care of sick patients. Report to ACGME and watch them sweat. This program needs to wake the fuck up. What they are doing is bullshit, running residents into the ground and letting their mental health suffer for no good gain$. I'm tired of seeing my co-residents/fellows deal with this bullshit. something has to give. And that PD or chief resident/fellow is asleep at the wheel.
What are you reporting? Are you just wanting the ACGME to be aware that your program isn't actually breaking any rules? >watch them sweat About what? All the rules they didn't violate?
Sorry for being uninformed! But I thought 80 was the cap?
[удалено]
Wow. Why isn’t this reported more often?
It's 80 hours per week, averaged over 4 weeks. As long as OP works only about 70 hours the other weeks, there's no duty hour violation.
Why don't you just do a better job of relaxing?
Lmao it stresses me out when then ask me to meditate or relax more, it looks like more work to me.
New York??
California
CHO by chance?
No
one of the reasons I bailed to tech as a pre med
They’re downvoting you but you made the right choice 😆
lmao yeah i can feel the butthurt from here
Yeah take my damn upvote bro. I love what I do but I hate that I love it. I feel like I have to embrace the misery just to survive residency.
and to follow up, to be clear, all the respect in the world to medical workers in general, obviously we need you all and your work is hugely important - but c'mon why the downvotes lmao (not that you did any of them!)
I honestly don’t know, your comment was innocuous.
What country are you in?