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Freakonomics, M.D.

45. Why Is July a Bad Month to Visit the Hospital?

Freakonomics, M.D.

Freakonomics Radio + Stitcher

Society & Culture, Science

4.81.1K Ratings

🗓️ 8 July 2022

⏱️ 29 minutes

🧾️ Download transcript

Summary

Learning requires practice — and if you visit a teaching hospital in July, there’s a good chance your doctor hasn’t had much of it. So, will your care suffer? The dean of a medical school, an economist, and a hospital administrator help Bapu Jena find out.

Transcript

Click on a timestamp to play from that location

0:00.0

I came out to UCSF as an intern, I've been a medical school student at Penn and Philadelphia,

0:11.1

and kind of thought they made a mistake matching me.

0:14.9

It's one of the great programs in the country and I was flabbergasted to get in.

0:20.0

That's Dr. Bob Octer, today he's professor and chair of the Department of Medicine at the

0:25.2

University of California, San Francisco.

0:28.2

Back in 1983, he was a newly minted white coat in the very same program.

0:33.6

And I remember feeling that imposter syndrome, feeling that a lot of new interns and probably

0:38.1

new people in any job feel and my first day I showed up and one of the third year residents

0:43.9

was finishing his year and handed me the beeper and said good luck sucker.

0:53.9

Students have changed a lot over the last 40 years, but this first day that Bob subscribing

0:59.2

or medical students graduate and within a few days start treating patients, that's still

1:04.7

happening.

1:05.7

About 28,000 medical students become doctors each summer, most of them starting sometime

1:11.4

between June and July.

1:13.9

You're thrown into the deep end pretty quickly and all of a sudden people are calling you

1:17.2

doctor and expecting you to make decisions.

1:19.8

When patients arrive at the hospital, they expect their doctor to make decisions, the

1:24.4

right decisions.

1:25.9

And as we all know, sometimes on your first day at a new job, you don't always know what

1:30.8

to do.

1:31.8

Now that's not a huge problem in some professions, but in a hospital it can be the difference

1:37.0

between life and death.

...

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