Another “Match Day” has come and gone, and the ancient hierarchy of medicine tries desperately to maintain its magical facade.

In Episode 3 of Against Medical Advice we dive into the longstanding biases around speciality choice for doctors and the arcane ritual of the Match. What happens when we return these newly minted interns to 24hr+ shifts from their current 16? The answers may not be as simple as they appear, Harry.

We visit with docs at the American College of Emergency Physicians (ACEP) leadership meeting in Washington, D.C. and get their take on this stuff. Also, I put the Imperius curse on the entire 800 doc audience…watch the opener and see!

Finally, we talk sleep deprivation and Shift Work Disorder. It’s another action-packed episode of Against Medical…zzzzzzzzzzzzzzzz.

Editor's Note: Before unleashing your butthurt, remember: this is satire. The idea is to point out ridiculous stereotypes and assumptions and shine a light in the dark places. Congrats to all those who have matched and do those who didn't: you will find your calling when and where you least expect it!

Harry Potter and the Sorcerer’s Match:

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4 Responses to “The Sorting Hat in Healthcare | Against Medical Advice 003”

  1. Robin Stolarik

    Just a couple of my thoughts from this last “overtime” on sleep deprivation, and the “sorting hat”. Some background, I am an L&D RN for the last 13 years (currently a travel RN at one of the busiest units in the country, Winnie Palmer Hospital for Women and Babies (I love the residents except for in July) and prior to that I ran as an EMT-I for 16 years. So sleep deprivation I know! It comes not only with those working 16-24+ hour shifts but also with those true “night-shifters” (been there for 13+ years), but is increased by the lack of understanding by those who only work day-shift, as it’s ok to call you at 1 pm (as everyone should be awake at that time, and I only have a quick question about the schedule for next week) after working 3-14 hour shifts only to have 1 night off to do it all again for 3 more! OK, rant over, on to the “sorting hat”. I wish there truly was one for nursing. As my background in EMS, I thought the normal progression for me would have been the ED. but due to living in a very rural area (far northern WI, here all ED RN’s need the ability be able to be House Supervisor and new grads just don’t know enough) I took the only other position available, L&D. This is truly my calling and I think if I would have been younger when I first got my RN (47 years old at graduation) I would have gone on for my OB or at least my Midwifery. I love what I do, and I’m hoping this week comes with the news of being hired on here at Winnie’s in Orlando permanent. Wish me luck! I want to thank you for your in-sight in all your parodies that bring light to our world, with the things that are done right and those that need change. Keep up the great work and I’ll keep watching from the other side of the country! Thank you!

  2. Bert Walker

    It took me 22 years to find my niche in hospice nursing. I’ve done a lot of different things over the years, surgical floor, CCU, PACU, OR, poison center, psych, medical floor, ED, house supervision, management (I’ll never go back!) and finally hospice. It was a long convoluted journey but I finally found my niche. I wish I would have found it sooner but, then again, no experience is wasted. All of that experience shaped me in to who I am and what I have to offer today. No sorting hat for me but I eventually found my way.

  3. micster50

    I always went for private practice clinic work as an CMA because I couldn’t do shift work. I have a REM disorder with narcolepsy (without cataplexy) that requires stringent sleep hygiene. I’d be a crying melting basket case if i had ever had to 24 or 36 hours. Thank God some can withstand the torture, because in my eyes that’s what it would be.

  4. Laura Veremakis

    Sleep deprivation is influenced by many things of which we have little formal regard and if that was actually the controlling factor in errors – they can’t be eliminated. i.e. Work load, having children, worry, caring for a family member. I also think the ‘Start to End, or almost end, or until the treatment you just ordered impacts the patient’ is of significant value in the learning process and it is short circuited by short shifts. I don’t however have any solutions.


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