![]() I have done this training for quite some time, different countries and different settings. The rest was spent watching TV, playing video games and browsing the net and this was before social media era. They spent only an extra 15 min on sleep. We did a study to see what the residents were doing with their extra time. I trained before the “80 hr” rule and then was supervising the folks who were only working 80 hours max and no more than 24 hrs straight. Coffee takes 30 minutes to kick in, so coffee and a 30 min nap is the best but can not rely on it for a long-term plan. Now, the peak of sleepiness is at around 7 AM and then 2 PM, so if driving back at those times, he should be very careful, or better yet go to the call room and take a nap. The Director of Residencies also lives out about that I guess 33 miles is better, esp if no traffic. But, they want $850 a month and the $350 will pay for some considerable gas if that car holds up. There was a beautiful condo on a lake, about the same 40 minutes, though closer, because it is quite a distance from the main highway on winding two lane roads. He will be looking during the next year, and if there is a better deal closer. He says there is an oil project being developed in the area. One mobile home they were asking $700 and it had high water marks on the walls from flooding. He called me earlier today, and so far houses they found were pretty junky. He is asking around $500/month for two bedroom houses. A builder built a bunch of new houses at the 33 mile point, and has chosen to rent because no one is buying. The problem is he has until Sept 1 to start work, so they are limited on housing search. And, he will be working 12 hours as longest shift. That is 70 miles total, actually around 33 miles each way. And, he is the traditional type of man who wants to do it himself if he can. So, in a few months they will develop a cash buffer. Rent food some clothes Internet run 4 miles a day with exercises on the route fishing as a hobby and study. Hee, hee.) Actually, they have learned to live very frugally, not many luxuries or even common “necessities”. (He is going to adopt us when we get old. Yes, while we certainly can’t pay his med school debt, we can wire him a few thousand for another car if he needs it. I don’t know if all Le Sabres get great highway mileage, but at one time they cranked out over 30 mpg at 70 mph. He saw a 2009 Crown Vic Interceptor with 110,000 for $6,000. He has already looked around at used cars, because his wife will need one if she teaches. But, if some do go a long ways with highway driving and good maintenance, then I feel I told him correctly. If someone said no Maza will go 250,000 miles or ? that would be scary. The statement that it might go 500,000 or 210,001, if sincere, is what I wanted to know. In this case, the rural area has an extreme shortage of doctors, so they are hoping some will stay there after licensing. So, working over 80 hours is basically using them to make even more money for the hospital. My son says non-profits get paid a lot of money for each resident. Yes, that was a long time ago, and residents killed too many people after 24 or 30 hours without sleep. I realize there are hospitals which tell residents to write down 80 hours even if they work 110, but this director is gung-ho on education, and she says over 80 hours is not education, it is abuse. His (hospitalist) residency is going to be 80 hours a week, maximum under current Federal law. The streets are like gullies and foot deep potholes, and a lot of boarded up houses. It is not crime, city-data is like 230 I think. No, living near the hospital is not something he is going to do. His maintenance is usually carried out very well. I forgot that, but yes, he well knows to replace the timing belt on cars that need it.
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