How much do you make during the residency?

[my_0.02]

<p>This recently published study of intern hours before and after implementation of ACGME duty hour limitation rules shows mean weekly duty of 66 hours. More than 83% of interns reported ACGME rules violations.</p>

<p>

Results Postimplementation, 1068 (83.6%; 95% confidence interval [CI], 81.4%-85.5%) of 1278 of interns reported work hours in violation of the standards during 1 or more months. Working shifts greater than 30 consecutive hours was reported by 67.4% (95% CI, 64.8%-70.0%). Averaged over 4 weeks, 43.0% (95% CI, 40.3%-45.7%) reported working more than 80 hours weekly, and 43.7% (95% CI, 41.0%-46.5%) reported not having 1 day in 7 off work duties. Violations were reported during 3765 (44.0%; 95% CI, 43.0%-45.1%) of the 8553 intern-months assessed postimplementation (including vacation and ambulatory rotations), and during 2660 (61.5%; 95% CI, 60.0%-62.9%) of 4327 intern-months during which interns worked exclusively in inpatient settings. Postimplementation, 29.0% (95% CI, 28.7%-29.7%) of reported work weeks were more than 80 hours per week, 12.1% (95% CI, 11.8%-12.6%) were 90 or more hours per week, and 3.9% (95% CI, 3.7%-4.2%) were 100 or more hours per week. Comparing preimplementation to postimplementation responses, reported mean work duration decreased 5.8% from 70.7 (95% CI, 70.5-70.9) hours to 66.6 (95% CI, 66.3-66.9) hours per week (P<.001), and reported mean sleep duration increased 6.1% (22 minutes) from 5.91 (95% CI, 5.88-5.94) hours to 6.27 (95% CI, 6.23-6.31) hours per night (P<.001). However, reported mean sleep during extended shifts decreased 4.5%, from 2.69 (95% CI, 2.66-2.73) hours to 2.57 (95% CI, 2.52-2.62) hours (P<.001).

<a href=“http://jama.ama-assn.org/cgi/content/abstract/296/9/1063?maxtoshow=&HITS=10&hits=10&RESULTFORMAT=1&title=duty+hours&andorexacttitle=or&andorexacttitleabs=and&andorexactfulltext=and&searchid=1&FIRSTINDEX=0&sortspec=relevance&fdate=1/1/2006&resourcetype=HWCIT[/url]”>Interns' Compliance With Accreditation Council for Graduate Medical Education Work-Hour Limits;

[Neuro_Girl]

<p>Residents get paid according to their PGY year, not what specialty they are in.
Neurosurgeons don’t get paid more than family practice residents, even though they work more hours.</p>

<p>Internal medicine isn’t an easy residency. Medicine residents have overnight call THROUGHOUT residency, usually q4 (every fourth night) unless you’re one of the rare lucky ones at a q5 residency program.</p>

<p>Subspecialties usually graduate to a home-call system after a few years of residency. I’m a neurology resident (PGY-4) and I did in-house call during my PGY-1 and PGY-2 years, and after that it’s q3 home call. I work around 50 hours/wk in the hospital. My friends in internal medicine are still working 80 hrs/wk (all 3 years). I don’t know any surgeons who work 80 hrs/wk. It just isn’t possible. I suppose some surgery programs must abide by ACGME work restrictions, but I bet most of them don’t.</p>