0 4 U. THE NATIONALCOLLEGE NEWSPAPER0
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Newstatures SEPTEMBER 19890
SEPTEMBER 1989 dent Body
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U. THE NATIONA OLLEGE NEWSPAPER
Stressed, overworked residents risk patients' safety
C
LAS
S
IFIE
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S
By Delores Lutz
. The Minnesota Daily
U. of Minnesota, Twin Cities
The young doctor was tired, but the
patient had to be examined.
So the physician put his stethoscope to
the patient's abdomen. While listening
for telltale sounds, the doctor fell asleep
- right there on the patient's belly.
The patient had to wake him up. }
This story circulating in the U. of
Minnesota Medical School illustrates a
growing controversy in the nation's
teaching hospitals.
Across the country, professionals
debate the pending revolution in residen-
cy programs -the postgraduate medical
education that turns doctors into special-
ists.
The stress of 16-hour work days and
120-hour work weeks must end, reform-
ers say. The "macho" custom of depriving
young doctors of sleep and food - even
bathroom breaks - is out of date.
"It's the John Wayne mentality of res-
ident training - the idea that the man
who can hold his urine longest is the
best," said Laurel Ferris, a consultant
who teaches the doctors of the American
Medical Association how to deal with
stress.
UH, DOCZ...
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students help speed reforms by refusing
to apply to the most demanding residen-
cy programs.
The reform movement began in 1984
when circumstances surrounding the
death of Libby Zion, an 18-year-old
patient at a prestigious New York hospi-
tal, were brought before a grand jury.
The grand jury concluded that fatigue
forced Zion's four young doctors to make
errors injudgment and decided to indict
the system instead of the residents.
The state health commissioner then
initiated an investigation that brought
about the reforms the New York health
department has adopted.
In some states, such as California and
Massachusetts, legislators are consider-
ing bills that would force residency pro-
grams to change.
The subsequent hearings have
shocked the public, according to Dr. Janet
Freedman, an attending physician at
Bellevue Hospital in New York.
Doctors have calmly told stories about
surgeons who fell asleep standing up in
the operating room and about doctors
who have stabbed themselves acciden-
tally with needles.
"People were horrified to learn what is
going on in teaching hospitals," said
Freedman.
.,
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AMAZING BICYCLE TIRE
Reformers are led by the New York
state government, which passed regula-
tions that took effect July 1 limiting res-;
idents to 12 consecutive hours on duty in
emergency rooms and 24 consecutive
hours on call in other departments.
Those residents also will be restricted to i
an 80-hour work week.E
The changes not only will cut down on
stress among residents, advocates say.
The rules also will benefit patients withj
higher quality care.
National experts at a forum at the U.I
of Minnesota recommended that medical
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Students protest optional prof evaluations
Juggling fun and classes . .. Students
at Humboldt State U. don'thave to run
away to join the circus. Students canj
take a half-semester circus arts class
and learn to juggle, tumble, walk the
tightrope and ride a unicycle. "It's
playing for units," said theater arts
major Kevin Lingener. "It's something
most people have always wanted to
do." Bob Morse, who teaches the class,
said this specialized physical theater
helps performers because it takes
extreme coordination and concentra-
tion. Students in the class said they
like to entertain friends with their
newly devleped skills and also like to
teach them to others. "It's fun to teach,
fun to learn and fun to watch,"
Lingener said. " Melissa Jauregui,
The Lumberjack, Humboldt State U.
By Michelle M. Perez
. The Miami Hurricane
U. of Miami
The U. of Miami Student Government
was outraged by a Faculty Senate deci-
sion to give faculty members the option of
not having their evaluations published,
but the university president promised
students he would veto the proposal.
"Through our advertisements, through
coverage in the Hurricane and through
our actions in SG, the student body is
going to be made aware of this problem,
and I hope we can muster their support,
because it's something we all feel very
strongly about," Student Government
President Freddie Stebbins said.
A month after the Faculty Senate deci-
sion, U. of Miami President Edward T.
Foote said he would veto the proposal. "I
think we need to go back to the drawing
board and come up with a solution that
takes into account the various interests
involved and benefits both faculty and
students."
The Student Government had passed
proposals calling for mandatory, pub-
lished evaluations with the option for stu-
dent government to publish its own eval-
uations if the university did not comply.
In February, the senate allowed for the
release of the results, but also permitted
professors to opt out of both being evalu-
ated and having the results published.
George Alexandrakis, chairperson of
the Faculty Senate, said the measure is
primarily aimed at new faculty members
who may be hesitant about being evalu-
ated.
Alexandrakis called the vote an
improvement because professors now
can be evaluated without having to worry
about the results being published.
In any case, he said, faculty members
have always had the option of not being
evaluated.
The only exceptions made to the stu-
dent government's proposals would be for
professors who had taught at the
University less than three semesters.
Evaluations of such professors could be
withheld by the Faculty Senate, the leg-
islation maintained.
The issue began a year ago when the
Faculty Senate decided the release of fac-
ulty evaluation results was unnecessary.
Cindy Corzo, Amy Ellis and Jon
Leinwand, The Miami Hurricane, U. of
Miami contributed to this story.
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Student gambler tells story of debt,
bookie tells story of easy money
Tutors
Continued from page 1
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By Kenny DeBenedictis
. The Observer
Northern Essex Community College
It's college football time. The road to
the bowl games. It's time for spectacular
half-time shows and Keith Jackson.
It's also a peak sports gambling season,
a time when some people - including
students - see visions of dollar signs
dancing in their heads.
"People just don't realize the number
of students who are involved. It's a big
business," said Ben, a Northern Essex
Community College student who wished
to remain anonymous.
Ben gambled heavily during last year's
football season. Everything went
smoothly for him until New Year's Day.
Ben placed bets on all eight college bowl
games played that day and lost them all.
"I remember being at a friend's house
and feeling really nauseated while star-
ing at the TV screen in disbelief. I was
$360 in debt with only $11.50 to my
name, no job and a week to come up with
the money. I now call it Black Monday."
To earn money to pay off his debt, Ben
was forced to have a house party and
charge admission.
One local bookmaker doesn't see the
harm in gambling. "I don't think it is a
problem because people have been gam-
bling for generations. It's sort of an
American tradition," he said.
According to the bookmaker, who was
interviewed during the NCAA basketball
tournament this past spring, the number
of clients in the area is growing, and the
majority of them are college students."I
booked action for a lot of gamblers from a
certain high school. Now they are college
students with many friends," he said.
"And just because they bet doesn't
always mean they lose," he said. "A sig-
nificant number of them win. It's a real
easy way to make money." But soon after
New Year's Day, Ben quit gambling. "I
still have the urge, but I know the price
I might have to pay if I lose."
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