Medical interns and postgraduates have historically occupied the bottom rungs within the hierarchy of coaching. From an instructional standpoint, this appears truthful and in congruence with any skilled coaching pathway. Sadly, many years of exploitation of this construction have resulted in a system that’s detached at finest and malignant at worst for our young trainees.
The frequent citizen at this time has been jolted awake to the systemic deficiencies in our healthcare methods. Whereas grappling with these, it’s also essential to shed gentle upon the struggles of probably the most susceptible members of the care giving staff. These embrace young medical interns, postgraduates, nurses, physiotherapists, pharmacists and different allied well being workers.
Even earlier than the pandemic, it was frequent in most public hospitals to have responsibility hour restrictions flouted, with sleep-deprived postgraduates working 100-hour weeks. Furthermore, the stipends are erratic, with states like Tamil Nadu and Himachal Pradesh awarding among the lowest month-to-month stipends to first-year residents at Rs 35-37,000.
Through the pandemic, as we hailed healthcare workers as warriors, a deaf ear was turned to the essential requirements wanted on this “struggle”. With the mounting variety of instances, most public hospitals had young interns, postgraduates, nurses and technicians workers fever clinics, wards and ICUs. They had been overburdened by the huge quantity of sufferers. Managing advanced ventilator settings and drug interactions in a affected person with a number of co-morbidities within the Covid ward requires super cognitive effort. Add to that the bodily misery of being on one’s ft for 8-12 hours in a stuffy PPE swimsuit and tightly-fitted face masks, all of the whereas unable to take a rest room break.
Because the second wave hit, hospitals elevated their beds and ICU capability. One query remained: Would issues be totally different this time for our “healthcare heroes”? The reply, sadly, stays no. The surge has stretched our healthcare workers skinny. And the burden has been compounded by poorly-informed public well being measures and an general improve in public frustration and indifference. With the delay within the NEET postgraduate exams this 12 months, the scarcity of personnel will proceed to overburden them.
The rising quantity of disinformation on social media fuelling mistrust in opposition to medical doctors and nurses has left most trainees in a hapless place. On the one hand, they must defend the advantage and rigour of scientific proof that informs medical follow. However, they must defend themselves in opposition to the a number of situations of violence and abuse by affected person attendees.
Maybe most heartbreaking has been the toll on the nicely being of young trainees. Being away from household whereas concurrently worrying about their security amidst a worldwide pandemic impacts their psychological well being. Throughout the nation, suicide has claimed the lives of scholars, interns and postgraduates previously 12 months. Triggered by the stress of relentless responsibility hours (some even affected by extreme situations themselves,) their deaths are actually a statistic that disproportionately impacts healthcare workers to start with.
As we re-evaluate the state of healthcare in our nation, it’s time we convey an finish to our apathy in the direction of healthcare workers. Amendments to the Epidemic Illness Act to guard frontline workers from violence and centrally-sponsored insurance coverage schemes are welcome. Residents should now converse out in opposition to the exploitation of our young trainees. It’s our ethical duty to finish this poisonous tradition that feeds off public apathy.
In any case tomorrow, it may be your kids or siblings that take up this noble career. And we need to be a rustic that celebrates their sacrifices not solely in gesture, but additionally in motion.
The author is resident doctor, Washington Hospital Middle, Georgetown College, Washington DC