Residency should be long enough to be well trained and short enough to keep me sane!
I have transitioned from completing my residency in three intense years to now pursuing fellowship in a country which allows me to be relaxed and put in 48 hours a week. It has been quite contrasting in terms of work pattern and learning experience.
Medical education is not universally standardised. It is tailor made for each country. And hence while it may easier for people working in other fields to move to a different place for work, doctors often have to clear licensing exams to prove that their training so far has been upto acceptable standards.
I am not an expert on residency programmes world wide. Just my personal experience having worked in two different countries.
Residency brevis: short and intense!
Well having completed MD in India, I have been through the standard residency programme. 3 years, no working time limits, alternate day on calls which include straight 36-48 hour shifts, alternate weekends on call.
1. Completion of training in 3 years.
2. High volume of cases seen and hands on experience.
3. Variety of cases due to high numbers.
4. Gaining experience to work in acute scenarios.
5. Seen many complications and learned from mistakes.
1. Stressful and may affect health.
2. Less time for academics and Research.
3. Personal life is affected.
Residency longus: long and relaxed.
7 year residency programme with structured module based learning. 48 hours a week to be completed which includes on call rota.
1. More structured approach to learning.
2. Time well spent of each module.
3. Personal and professional life can coexist!
4. Academics and newer research can be incorporated during training.
1. Trainees can leave at the shift end irrespective of whether the case is completed or not.
2. Less number of cases.
3. Too stretched out residency programme.
Personally for me, I would say I loved the 3 years intense period, however I do not miss it! It made me more confident and pliable. Having learnt basics now I can concentrate on refining my skills and techniques.
Which kind of residency program would you like to be trained in?