Straightforward Answers On Critical Aspects For Osce For Medical Student

<img src="https://blogs.scientificamerican.com/sciam/cache/file/5C10D5DC-DB43-410F-AC3F396FEE475571_source.png" hop over to these guys width=’250px’ align=’left’ /> Thomas Nasca, ACGMEs chief executive officer, defended the change : Just as drivers learn to drive under supervision in real life on the road, residents must prepare in real patient-care settings for the situations they will encounter after graduation. The message here is that trainees need to cowboy up to join the rodeo, without opening the conversation to what sort of environment trainees are being prepared to work in. If trainees are being prepped to work 28 hours straight, what does this say about the medical communitys understanding of sleep physiology? Sleep is an essential part of our physiology that has evolved over millions of years. Even one night of sleep deprivation changes brain function so much that machine learning algorithms can distinguish rested from unrested participants with imp source 93 percent accuracy. Other studies reveal that sleep deprivation decreases cognitive performance in every measure tested, and that these decreases accumulate over time. Attempts to pharmacologically mitigate (or manage to use the medical term) brain fatigue with stimulants are only partially successful. Such evidence suggests an obvious human element: physical stamina is a limited resource. Another study , published in The New England Journal of Medicine, reported that medical interns were at a serious risk of motor vehicle accidents, near misses, or falling asleep at the wheel after a grueling 24-hour shift. Extended-duration work shifts…pose safety hazards for interns, the authors argued and then noted, medical residency programsroutinely schedule physicians to work more than 24 consecutive hours. The main argument for the euphemistic less-restrictive, 28-hour shift is that extended shifts promote continuity of care and fewer provider handoffshaving the same doctors with the same acutely ill patient for a longer period of time theoretically improves patient care. Earlier this year, however, Dr.

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