NEJM has put out 3 separate pieces of anti-wellness content in the last few weeks.
Hereโs the problem with their thesis - duty hour limitations are not a wellness intervention. They are a workers rights issue along with low wage labor, FMLA, and maternity leave.
There is much discourse about gleaning life advice from the regrets of others (the dying, the accomplished, the disappointed). But I question the value in synthesizing advice from regrets; as a general rule, I try to capture lessons from what people categorically don't regret.
We are told time and time again that life isn't fair, which is a relatively easy concept to wrap out our head around intellectually. But to face it every day, often in its most extreme and devastating permutations has been disheartening and philosophically/morally challenging.
Working in medicine has extinguished any prior belief I've had that karma is real. Bad things happen to good people and some bad people never get their comeuppance. Anyone else struggle with this realization and its constant reminders in medical exposure? #MedTwitter
In my Canadian residency, I get 20 vacation days, 10 study days, and 7 conference days/year. This, I'm learning, is much more humane that what is offered to my American friends/counterparts. I'm grateful, but this contrast further brings the American system into sharp relief.