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Assalamualaikum. Writing all the way from Belgaum, Karnataka, India. Missing Malaysia so much. But everything is just perfectly fine here. India makes people not just live, but SURVIVE. :)

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Sunday 28 March 2010

Doctor Wannabe: On call is what your life is all about

Let's see what's on call termed for:

On Call

Being on call while in residency means that you stay in the hospital over night and care for the patients on your team and the other teams, and care for the new admissions. This means you will be working up to 30-36 hours with little or no sleep. This is done every 2nd, 3rd, or 4th night depending on the institution and specialty you are in. This is a long-standing tradition in medicine. Many people outside the medical field see this as an unnecessary, perhaps dangerous tradition. The argument on the other side goes that the more experience you have treating patients and their diseases the better you will be as a physician. In order to see the same number of patients from 9AM-5PM, the length of training programs would need to be considerably longer. Also, someone needs to care for patients after hours. An old saying in medicine goes - the only thing wrong with being on call every other night is that you only get to see half the patients.

An intern is at the bottom of the food chain at a teaching hospital. Any unpleasant, menial task (called "scut" work) is the intern's job.

Another medical tradition during internship is the phenomenon of "see one, do one, teach one". In other words when a procedure needs to be performed you see someone do it. Next time it needs to be done you do it. The following time, now that you are an expert, you teach someone else to do it. This is how some medical knowledge gets passed on.
 
At this point you are finally being paid for your services. The mean salary for a first year resident in 1998-99 was $34,104. For each additional year of residency the mean salary increase was $1,451

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