How long do general practitioners work




















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Wages and Benefits. Job Outlook. How Do I Qualify? What Employers Say Close Box. Change Occupation: 1. Important Tasks and Related Skills Each task below is matched to a sample skill required to carry out the task.

View the skill definitions Task Skill Used in this Task Prescribe or administer treatment, therapy, medication, vaccination, and other specialized medical care to treat or prevent illness, disease, or injury.

Judgment and Decision Making Order, perform, and interpret tests and analyze records, reports, and examination information to diagnose patients' condition. Medicine and Dentistry Collect, record, and maintain patient information, such as medical history, reports, and examination results. Active Listening Monitor patients' conditions and progress and reevaluate treatments as necessary. Problem Sensitivity Explain procedures and discuss test results or prescribed treatments with patients.

Oral Expression Advise patients and community members concerning diet, activity, hygiene, and disease prevention. Service Orientation Refer patients to medical specialists or other practitioners when necessary.

Critical Thinking Coordinate work with nurses, social workers, rehabilitation therapists, pharmacists, psychologists, and other health care providers. Inductive Reasoning Source: U. Skill Definitions Below is a definition for each skill. View the tasks to skills list Skill Definition Judgment and Decision Making Considering the relative costs and benefits of potential actions to choose the most appropriate one.

Medicine and Dentistry Knowledge of the information and techniques needed to diagnose and treat human injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health-care measures. Active Listening Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Problem Sensitivity The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem. Oral Expression The ability to communicate information and ideas in speaking so others will understand.

Service Orientation Actively looking for ways to help people. This is a broad survey that gets sent to every physician with an E-Mail address on record with the American Medical Associated. In a total of 8, survey responses responded, sharing details about their practice patterns.

Including how many hours they work. You can see the exact results recreated here:. Or other working only days per week! Those examples are from from physicians I personally know. As you can see, our practice patterns vary significantly!

Or an ER doctor treating heart attacks at 2AM. Medicine is simply an always on kind of job. Even though the primary care doctor works easy hours, their patients still need medical care all the time. So most primary care doctors still have an after hours doctor on call or at least a nursing line to refer patients to the ER.

Every week, they take care of the same panel, or team, of patients. So we all devised our own way to share the burden. Of course, some doctors do work traditional bankers hours. These docs typically specialize in areas without emergencies. Or at least if they do, find a way to hire someone to cover those less-desirable hours. Some docs just want to treat their patients and still have dinner with their families. And maybe avoid those nasty nights and weekends.

The belief within the profession was that residents needed to spend long hours with patients -- often up to 36 hours at a stretch -- observing and treating the real-time progression of disease to become capable practitioners. During those shifts, residents had to make numerous, complex medical decisions on little or no sleep.

Work weeks of hours were normal. It was not a sustainable lifestyle for everyone, and many young physicians who started residency programs never finished. Change started in the mids, after year-old Libby Zion died in a New York hospital while under the care of overworked and unsupervised medical residents.

Public outcry led the state to pass a law limiting residents' work hours. It took the accreditation council 14 more years to implement the first sweeping nationwide work-hours regulations, limiting U. A change in work. The hour weekly cap marked a significant cultural and logistical change for residency programs.

Yet residents were still permitted under the standards to work up to 30 straight hours without sleep. The recent change takes the work restrictions one step further, shortening shifts for residents based on their level of experience.

First-year residents are limited to 16 hours straight, while more-advanced residents can work up to 24 hours per shift with "strategic napping" and a little wiggle room for handling patient transfers. Medicine is not alone in limiting the number of hours employees can work.

The U. Department of Transportation restricts drivers of commercial vehicles carrying passengers such as buses and limos to no more than 10 consecutive hours of road time. Federal Aviation Administration regulations limit commercial pilots traveling within the United States to eight hours flying time during a hour period.

Yet the concept of restricted duty hours is still relatively new and controversial within the medical profession. Thomas Nasca, chief executive of the accreditation council, said he knew that not everyone would welcome the new standards.

Before finalizing the most recent shift limits, Nasca received hundreds of comments on the issue from doctors, residents, researchers, medical students and patients. The committee's final decision, Nasca said, was based on trying to grant programs as much educational time as possible, while still protecting patients from medical errors.

James Stoller, chairman of the Cleveland Clinic Education Institute, said he understands the intention of the hour requirements but questions the strength of the science behind it. But is there that big of a difference between 16 hours versus 17 versus 18? It's hard to say. But Nasca backed the accreditation council's decision, citing several studies that looked at the relationship between errors and sleep deprivation, as well as a Institute of Medicine report that found the old hour shift system to be "out of date and out of touch with both modern medicine and our modern understanding of [sleep-related] disability.

Nasca estimates that since the accreditation council enacted the hour work week for all in , residents in surgical specialties sleep eight hours more per week than their predecessors. But even beyond the sleep research, Nasca said that the new hours signal a "philosophic change" about the purpose of residency and the right way to prepare new doctors for practice.

Many longtime clinicians view the changes to the culture of residency with skepticism. But a few, like Dr. Jerry M. Shuck, associate dean of graduate medical education at both University Hospitals of Cleveland and Case Western Reserve University, have come to embrace the changes and say "good riddance" to the old system.

Shuck has been known to take groups of residents to baseball games and concerts, and he has told at least one resident he would not sign his program's certificate of completion until he saw a ticket stub from Severance Hall.



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