There was no patient safety benefit to having attending internal medicine physicians physically join rounds on established (not new) inpatients. My application of this to the ED is to make sure I give our residents enough autonomy to learn.
I recently read an article entitled The Mid-Career Demon. Finding myself in mid-career, and with such a provocative title, my curiosity was piqued. The concept of acedia, the “mid-career demon,” intrigued me. I had felt this way too. Here is how I am making it through mid-career.
Internal Medicine interns and residents were either exposed to standard duty-hour policies of the 2011 Accreditation Council for Graduate Medical Education (ACGME) or flexible policies that did not specify limits on shift length or mandatory time off between shifts. Read more to see what they found.