A Call for Change: Fixing A Broken Medical Training System | Jake Goodman | TEDxUGA

[aminuahmadm]

Your description of the system is 💯, and I realized now that it's the same across the globe.. as a resident in internal medicine here in Nigeria U can only imagine the workload we are facing, couple with the brain drain phenomenon, poor working conditions, poor salaries, to the extent a doctor cannot afford his own health care if he falls sick😢... And the system completely not in our favor.
I believe it's time we join hands together and change the narrative.
Weldone, Jake MD

[alenicolle]

As a medical student who relates all too well to the mental health crisis in medicine, THANK YOU! Conversations that educate and elaborate on the systemic issues in medical training are exactly how we can fight for change.

[dodgewrench]

EMS it gets even worse, I’ve worked 108 hour shifts (voluntarily). I got to sleep but rarely more than four hours at a time. I feel it’s pretty wild that during those shifts I worked codes, performed RSI, managed traumas, and drove 10, 000 lb ambulances thousands of miles while running on redbull, zyns, and prayers

[larrygoodman]

Proud of you for fighting to change a broken, toxic and dangerous system!

[ThePlaton]

When I was an intern I was on call covering the general peds unit as well as the heme/onc floor. I had been up for nearly 30 hours when labs came back showing a cancer patient 5 years old had a slightly elevated creatine level. I was so tired that I missed this result and ordered a vancomycin dose to be given without adjusting for the creatinine level. Within 12 hours this little girl's creatinine skyrocketed and she went into acute kidney failure. The oncology attending berated me the next day when she found out what happened. I was so distraught that I nearly killed myself.

[akirafujiwara]

This video is underviewed, hope no algorithms are messing with this real important information.

[tannerrisk]

I’m a med student and what he’s describing is one of my biggest anxieties about being a doctor.

[delanieperez]

We NEED reform!!!! This cycle needs to end. Everything about this system puts human lives at risk, providers and patients.

[peterevelin]

As a first year med student it’s terrifying to have an insight into the healthcare system’s dark side…
It’s also heart wrenching to see that this video has only reached 20000 views when the topic needs to be heard.
To all of the residents out there: we’re proud of you and never be afraid to be selfish a bit, to care for yourself too!

[AlineBert]

I agree 100%, and I'd like to add a HUGE detail: much of what is talked extend to every other professional in healthcare. Every profession have it's niche problems, but much of what he said applies to everyone. Everybody is extremely overworked, systematically underpaid and chronically exposed to unsafe work conditions and abuse on the hands of hierarchically superior professionals, including doctors, who are the apples in the eye of society's healthcare imaginary, and therefore more powerfull. If anyone in a team is subjected to these, everybody they attend to can be in danger of human error. Nobody deserves this treatment and work culture

[nightshockplayz]

*Clapping while giving a standing ovation*

[southernbychoice]

i worked in medical field for 25 years as a medical coder. it is amazing how spot on you are. DR. addiction is also a large public health crisis. you did a great talk💕

[Michaelhead]

As a medical student I have been told that if I need to see a psychiatrist or therapist that I need to use a fake name to protect my future career…

[mytube]

Dr. Goodman:

There are many areas that need fundamental changes in medical education, but no one is more urgent and more impactful than improving resident wellbeing. Dr. Derek Weyhrause, MD, a cardiologist, suggested some specific targets as the follows:

- Less weekly hours (60 hrs/wk)
- More *shared night call*, holidays and weekends from attendings, PAs and NPs
- Progress based on milestones / competency
- Pay residents and fellows more!
- Provide childcare!
- Add 1-2 years at a higher salary while working less weekly hours

What do you think? These for sure require tremendous efforts. Besides resident unionization and everyone acknowledges the sacrifice of residents, what changes to the medical education system MUST take place to correct and eliminate the three major problems that you articulated?

[zbs]

I also wanted to be a doctor but i decided to go to Medical Lab Science because the overworking of medical students is beyond what humans should endure.

[arynphillips]

You have brought up so many cogent points. This, and I’m sure you are aware, extends into the medical community with far reaching consequences. Even among nurses, that is a question. I was afraid to go to the ER after a suicide attempt, because I knew that I would be reported to the board of nursing. Not for diversion, not for substance-abuse, but for the depression that led me to that attempt… I could lose my license. The last one is the most impactful and causes the most problems.

[sammiejones]

At this point it should be required for doctors to see a therapist once a month theres no way theres not trauma after the things that are seen especially after covid no one should feel ashamed for getting help mental health is a huge issue and something that should be monitored after seeing traumatic things daily

[LittleMissTiff]

This talk was amazing! Everyone in healthcare should give this a listen ❤

[Mazyone_]

Thanks for the great talk. A first year resident here. I did not know that there's a question of seeking mental help at the licence application. Now I'll never ever consider seeking help lol

[AkuIraWulandari]

Hi, I came across this video while in my country, Indonesia, recently a resident doctor committed suicide in a suspected case of bullying by seniors. We are sad about that tragedy, and the public are demanding a medical training system.