He goes on to make the clever analogy of patients being the plane and the specialists and surgeons are the pilots guiding the plane.
Here is part of what Happy said:
- "Do you want a surgeon in training who clocks out out at 5 pm to meet residency restrictions. A surgeon that missed that case with the rare anatomical deviation because he/she worked too hard the day before? Because residency restrictions demanded it. Without extending residencies, the loss of clinical experience is a loss for patient care.
- Do you want an internist who must leave their training at noon to take a five hour nap because they are tired? Because residency restrictions demanded it. Do you want them missing that lecture on TTP. Missing that lecture on glomerularnephritis. What if you are that patient that came in with TTP? Your plane is crashing and your pilot has never studied it. Has never rehearsed it. Without extending residencies, the loss of clinical experience is a loss for patient care.
- Do you want a nurse practitioner independently managing your multiorgan failure in your ED? Remember. Study and rehearse. Study and rehearse. Do you want someone who has not experienced the breadth of training in both evaluation or management. Do you want them guiding your plane down unchartered territories."
Go over to Happy's blog to read the post in it's entirety. There are interesting comments to read as well.