k0mm13 t1_j91g3g6 wrote

Agreed - that was my point but you summarized it well!

I wanted to let others know that residents can’t just “pick up” and find another job like any other employee. There is a huge power imbalance between hospitals and the trainee doctors who work there. There are also essentially no market forces to dictate better conditions since medical students do not directly choose their residency program.


k0mm13 t1_j8xwf01 wrote

If you're referring to the iCOMPARE study, that is patently false. There were no differences in mortality, readmission or other patient safety indicators. Interns reported more dissatisfaction with flexible hour programs (i.e., not long shifts) while program directors felt the opposite. https://www.nejm.org/doi/full/10.1056/nejmoa1810642 https://www.nejm.org/doi/full/10.1056/NEJMoa1800965

There was similarly no difference in patient outcomes for surgical residents. https://www.nejm.org/doi/full/10.1056/NEJMoa1515724

Additionally, it is not the long shifts that are the problem. Almost everyone who does this job knows what they're signing up for at this point since your last 2 years of medical school is spent spending thousands of hours around residents. What people I've talked to have a problem with is being undervalued and abused by the healthcare systems on top of these expectations.


k0mm13 t1_j8xtsd3 wrote

Residents and many fellows participate in a process called the “match”. You interview for positions, put in your preferences and on a certain day the computer spits out where you will work. This means there are no opportunities to meaningfully compare or negotiate salary or benefits. And once you’re matched your choice is to either take the job or significantly derail your career after you’ve already spent 8 years studying (undergrads + med school).


k0mm13 t1_j7ph510 wrote

I honestly think this is overblown or people are taking experience with cheap sharpeners and extrapolating. This sharpener is very well reviewed and it’s taken care of my knives very well.


Note - I know some people are very particular about their knives as a hobby. Im just a home cook and like having sharp knives that work. From that point of view a good home sharpener has done amazingly.


k0mm13 t1_j7n4daw wrote

Unless you have lots of free time just get an electric sharpener like the Trizor xv. I had a whetstone previously and never used it because it would take so long to sharpen 3 knives. Switched to the trizor and now I sharpen every 4 months or so.