Residency training in the United States has historically been a period of abusive hours and intense training. Until recently, there was no limit to the number of hours per week a resident could work. In fact, that has something to do with why they’re called “residents” in the first place: they practically lived in the hospitals in which they worked.

Then came the Libby Zion case, in which a young woman died while under the care of overtired residents. Suddenly America realized that it probably wasn’t a good idea to have inexperienced doctors taking care of really sick people on less than three hours of sleep per night. Read more →

There is a phrase in the medical world that a lot of doctors can relate to – Unconscious Competence. Sigmund Freud, the famous Austrian neurologist and psychiatrist, first described the unconscious as part of the mind that lay outside of someone’s conscience, working behind the scenes. Freud eventually started using the terms Ego, Superego, and Id, in replacement of the unconscious. Read more →

From our previous discussion, Scott (a commentator) proposed a very interesting basis for the disparity of mental health management in contemporary health care: lack of medical training on the subject. Typically, mental health disorders are covered in a short course in the classroom training of medical students. Then, in the hospital, medical students learn clinical aspects of mental health in psychiatry and other rotations (e.g., emergency medicine). Also, general pharmacology for medical students covers anti-psychotics, antidepressants, and anxiolytics (drugs to relieve anxiety) generally across a few lessons. Given the high prevalence of mental illness, certainly many topics in medicine are disproportionately lectured. Read more →