Author: Thomas Hull, MSIV
Medical Student
Loyola University Chicago SSOM
AAEM/RSA Social Media Committee
The eyes do not see what the mind does not know,” a common saying many of us have come to hear in medicine. A simple and powerful aphorism illustrating the fundamental connection between awareness and intelligence; it urges us to keep reading and expanding our education. The connection between study and clinical success may seem obvious, and even elementary, but one cannot dismiss it as reductive. A deeper proverb is speaking here about the connection between mind-body, or more specifically, consciousness and well-being. We all know the feeling after a long day, with energy running low and emotional barriers wearing thin, of being “brain-dead.” The medical community has been forced to deal with this in recent decades, most prominently and publicly with residency duty restrictions. Now this November with conclusions by the Accreditation Council on General Medical Education (ACGME) task force that 24-hour call (with 4 additional hours allowed for transition) for first-year residents does not affect patient care,[1] it’s even more relevant. Their recommendation has found support in the idea that increasing number of handoffs and transitions of care could result in an actual rise in medical errors. A 24-hour shift may also be desirable to some, as one long shift with a day off after may seem better than to two rigorous 16-hour shifts abutted. Though the ACGME has requested public discourse on this topic before making its official 2017-2018 recommendations on December 19th, it’s likely these changes will take affect and highlights the importance of maintaining healthy balance heading into residency. After all, these hours are already the standard for PGY2 and beyond, thus it’s only a matter of time.