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Excessive Work Hours of Physicians in Training in El Salvador: Putting Patients at Risk

  • Kenneth R Fern├índez Taylor
  • Published: July 17, 2007
  • DOI: 10.1371/journal.pmed.0040205

Reader Comments (13)

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I almost forgot what I had lived...

Posted by plosmedicine on 31 Mar 2009 at 00:13 GMT

Author: Clifton Huang
Position: Pediatric Resident
Institution: Miami Children's Hospital
Submitted Date: August 26, 2007
Published Date: August 29, 2007
This comment was originally posted as a “Reader Response” on the publication date indicated above. All Reader Responses are now available as comments.

As a second year resident of Pediatrics at Miami Children's Hospital I have witnessed an excellent program that regulates the working hours in each one of the residents. In the hospital we have laws that penalize doctors who go over their hours of duty, since this already has been described in multiple studies as causing a high incidence of preventable errors, making the doctor and the institution completely liable.

Personally I believe that the change lies in the following:
1. Optimizing health resources.
Money needs to be used wisely, with the only purpose of focusing on the well being of the patient. (Sometimes this means hiring more personnel to provide the best service).

2. Laws that regulate hours of duty.
For this we need to change the mentality of all Doctors in charge of training programs who make our schedules. We need to share the same vision that Medicine is changing as well as the needs of each intern and resident to learn, to become a better professional tomorrow.

Finally I congratulate Kenneth for his publication. I also did my internship in Hospital San Rafael and I know exactly what Kenneth is talking about.

No competing interests declared.