The shifts that doctors in their residency work in Canadian hospitals are some of the longest in the world and may be unsafe for patients, a Marketplace investigation reveals.
Pilots, truck drivers and bus drivers in Canada are not allowed to work for more than 13 or 14 continuous hours. Some experts believe this poses a serious risk to patient safety as it can impair judgment, reflexes and decision-making a€” and can ultimately lead to mistakes. Sleep deprivation, which may occur if you work too long or sleep too little, can have a number of marked effects on the brain.
A 2012 report by the Resident Doctors of Canada found that more than 80 per cent of residents surveyed say fatigue compromises the quality of care they give patients. Czeisler's research found that residents who worked several long shifts a month reported 300 per cent more fatigue-related medical errors that resulted in a patient's death. In 2007, Bestavros challenged the legitimacy of marathon shifts when he worked at McGill University's teaching hospital, arguing long hours violate the Canadian and Quebec Charters of Rights and Freedoms. In 2011, the province agreed, and Quebec became the first and only province to limit shifts to 16 hours.
The United States, New Zealand, and the European Union have all imposed limits on doctors' shifts, but Canada does not have national guidelines that regulate resident duty hours. Some countries have changed their policy after overwork and exhaustion led to preventable medical errors.
However, in Canada, where duty hours are negotiated at a provincial level and between labour unions at a regional level, many residents report they often work shifts as long as 30 hours. The steering committee looked at the problem of resident shifts in 2013 and found that strategies, such as managing the risk of fatigue, are a better solution than limiting shift lengths.
Shortening a doctor's shifts increases the number of times that doctor has to hand a patient's case over to someone else, Imrie says, which can increase the risk of something going wrong.
Based on a Marketplace investigation by Andreas Wesley, Tyana Grundig, Ghazala Malik and David Common. By submitting a comment, you accept that CBC has the right to reproduce and publish that comment in whole or in part, in any manner CBC chooses. The practice has a formal complaints procedure which will allow us to look into and, if necessary, correct any problems that you have identified, or mistakes that have been made. But many of Canada's 12,000 resident doctors may be working almost twice that, between 24 and 26 hours, according to guidelines in several provinces. Charles Czeisler, a senior physician who specializes in sleep research at Brigham and Women's Hospital in Boston.
Working with the Western University's Brain and Mind Institute, Marketplace conducted sleep-deprivation tests on cognitive functions like decision-making and reaction time. And those who worked shifts longer than 24 hours made 460 per cent more serious diagnostic mistakes compared to when they worked shorter shifts. Charles Czeisler found residents working more than five marathon shifts per month reported 300 per cent more fatigue-related medical errors that resulted in a patienta€™s death.
Christopher Labos agreed to take part in sleep-deprivation tests at Western University for CBC Marketplace. In 1984, the death of 18-year-old Libby Zion in a New York hospital triggered a worldwide re-evaluation of how long doctors should work. Alain Bestavros challenged the legitimacy of marathon shifts in 2007, when he worked at McGill University's teaching hospital.
Kevin Imrie, president of the Royal College of Physicians and Surgeons of Canada and co-chair of a steering committee on resident duty hours.
By submitting your comments, you acknowledge that CBC has the right to reproduce, broadcast and publicize those comments or any part thereof in any manner whatsoever.
A But he promised me on his returnA back to the United States I would be the first media personality to interview him in New York City.A I never will forget how confident he was that he would return victorious. Please note that we have to respect our duty of confidentiality to patients and a patient’s consent will be necessary if a complaint is not made by the patient in person. Please note that comments are moderated and published according to our submission guidelines. The appointment booking process is easy and smooth, and we can normally acquire an appointment on the day needed. The staff are friendly and professional in their approach, and nothing is too much trouble.
A My second week at the course I got in early and became bored while waiting for my homeboys.
As soon as I walked through the door I found her manner to be friendly and approachable and this helped me feel less anxious. A My teammates and coaches were often challenged by my "Just give me the ball and get the hell out of my way" attitude.
A I was not the best athlete on the field or on the court, but I thought I was.A When the game was on the line I wanted the ball in my hands.
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A A It was a hot evening and the constant in and out of the woods was not a pleasant undertaking. Once you have registered you will be able to book appointments and order prescriptions online You said on 20 April 2012just been online to renew my prescription as in the past it was easier for me to use, and avoided me having to use your expense telephone call charges.
However discovered today, that I can no longer order my prescription online without a new login, and you have not informed me of these changes. What I thought would be a nine-hole outing turned into eighteen holes and a White House visit and a Presidential appointment in 1969.
General William Rogers, Hattie, President Nixon and HBA Petey and I would become great friends and in 1965 we would meet again.
A The United Planning Organization a self-help community organization was hiring "Neighborhood Workers." A They hired three, me, Petey and H. A Two years later Rap would be named Chairman of the Student Non-Violent Coordinating Committee. A I would become a Roving Leader (Youth Gang Task Force) for the DC Recreation Department and Petey would find his new home in radio at WOL.
A Three UPO "Neighborhood Workers" would go on to establish their own independent idenities. A Petey would win 2 Emmy Awards and in 2007 there was a feeble attempt to do his life story on the big screen. He is now in jail serving a life sentence for the murder of a black Deputy Sherrif in Fulton County, Georgia. Brian McIntyre.A He was sitting almost alone and there was no one waiting in line (compared to today's media circus). A I looked down and notice that all the white media were seated on one side of half-court and all the blacks were seated on the other side of the half-court line. He stepped in front of me and said "I got it."A It would be the start of the 4th quarter that Mark returned to the press table table and apologize for his unprofessional actions. A There were other mistakes like someone thought a black Judy Holland was VP material---far from it. A It took a minute but in the meantime, he was making an effort to bring about change in his own way.
A But according veteran (32 years) sports writer Bill Rhoden of the New York Times, progress in sports media pressrooms around the country are on a slow boat to China.A His recent appearance on the widely acclaimed television news show Meet the Press, he said, "the NBA, NFL and MLB are still dragging their feet. Media pressrooms at Deadline are still the last plantations.A A Pioneering broadcaster and former NBA CBS basketball analyst Sonny Hill and now a sports talk show host on WIP Radio in Philadelphia said, "I am not surprised by Rhoden's statement, very little has changed in media pressrooms.
A One of the problems there is no networking among blacks who have moved it up the ladder." A That is an understatement.
A The copy rights for Inside Sports is own by News Week Magazine and it is own by the Washington Post. A A First, there was a a problem with the PR Men from hell, Brian Sereno and Matt Williams. A A It was brought to my attention that Sereno was disrespecting the ladies of The Roundball Report. A The meeting was set before a Wizard's game in the press louge but Scott Hall was the lead man.
A He listened and we disagreed on some points but when we walked away from the table we were on the same page. A The community and everyone in it was a friend, the old and the young, the black and the white and the healthy and the lame.
A I was honored to speak at his retirement held at the arena just before the Bullets moved to Washington and changed their name to the Wizards.A Denny Gordon was in ticket sales and it seem like he knew everyone who brought a ticket. A He was made the scapegoat after being sold out by his assisstant coach Bernie Bickerstaff and others. A The meeting revolved around a charity all-star game scheduled for the Bahamas, the island home of NBA star Mycal Thompson. A Magic Johnson was one of All-Stars participating.A Representatives from the NBA included VP Ron Thorne, Legal Counsel Gary Bettman and head of security Horace Balmer.
A A Gary Bettman is the Commissioner of the NHL, Thorne is somewhere lurking in the NBA, Balmer has since retired and Magic is a role model for Black America? A A The short lived existence of basketball legend Michael Jordan as a Wizard's player and Executive in the front office. A After the story broke he and several teammates made light of it during introductions of a game.
A He was eventually suspended for most of the 2009a€“10 season.A The thing that I find disturbing about this Donald Sterling charade is that folks are acting like they were surprised by his rants against blacks. A A I also notice the same "Old faces and voices" are called on to respond to the racist acts by men like Sterling---when they are a part of the problem . A He and Sterling were good friends because "Birds of a feather flock together." A Check Magic's history out and you will discover the two have a lot in common.
A Magic's claim to be a minority owner of the LA Dodgers is another sham (token black face).
James Brown (CBS Sports) another mis-guilded brother claiming to be a minority baseball owner and an expert on racism. A He did finally admit on the late George Michael Show (Sports Machine) "I have no say in making baseball decisions as a minority owner." A His role as a minority owner is to be paraded out on Opening Day as the black face to read the starting line-ups.
A A This is the same Michael Wilbon that I had at least two recent conversations about the use of the N word as a term of endearment. A I have to give him credit, he will at least talk to me face to face and not behind my back. A I tried to explain that his rationale that his grandfather's use the word as a term of endearment does not make it right today.
A I told him he should not go on national television saying it is okay to use the N word among friends and family.
A It gives bigots like Donald Sterling the Green Light to do the same among his friends and family. A Plus, Michael told me he was not going to appear on the ESPN Show Outside the Lines because the white host had no horse in the race! A A I wish that Magic, James, Michael and the rest of the media experts would defer to black men like Hank Aaron, Dr. A But they wear the battle scars and have been on the front lines of the civil rights movement in real life and in the sports arenas of America.
A In other words, they have been there and done that.A I guess that is wishful thinking, especially when everyone wants to be an expert on television. A In the meantime, they don't know their asses from a hole in the ground but the beat goes on and on. A Auerbach would go a step further in the 1966-67 NBA season, when he stepped A down after winning nine titles in 11 years, and made Bill Russell player-coach. A A trailblazers, RED AND DOTIE AUERBACHi»? ON INSIDE SPORTSA Russell would eventually be the first black to win an NBA championship.
A There are far too many crying "Foul" and playing the victims in this charade, to include some NBA owners.A Let me start with my homeboy, the great Elgin Baylor who was the Clippers GM for over 2 decades.
His teams were perennial losers on the court and in attendance, but he picked up his check every two weeks and kept his mouth shut.
A A In his deposition, Elgin spoke about what he called Sterling's 'plantation mentality,' alleging the owner in the late 1990s rejected a coaching candidate, Jim Brewer, because of race.
A Talking about an organization needing a change of name and a face-lift---meet Leon Jenkins.A Jenkins seen above at a press conference trying to explain why the li»?ocal branch was honoring Sterling during the 100th Anniversary of the organization next month. A A He explained the previous award had been approved by the man he replaced and he just went along to get along. A A Sterling won't be the first to sleep black and think white when it comes to sex, politics and money. Slave owners lived by the credo and in modern day history there was the late Senator Strom Thurmond. A Nike NBA rep John Phillips and I met with VP Rod Thorn, League Counsel Gary Bettman and Head of League Security, Horace Balmer.
A The meeting centered around whether Magic Johnson, Mycal Thompson and a group of NBA All-Stars would be allowed to travel to the Bahamas for a charity basketball game without league approval. The game had been played in the Bahamas the previous year without incident or controversy.A It was obvious that there was a power-play being made by the league office to cancel the game.
Thorn open the meeting by asking who was going to be responsible if one of the players was hurt during the game?
A Magic suggested that the topic of conversation just might be centered around an injury to a player.
I tried to explain that playing the game was no different then one of the players participating in a pick-up game on a New York City playground in the off season.
A What is this some kind of plantation?"A The room went silent and Horace Balmer the only other black in the room just shook his head and seem to be lost for words. A Thorn called off the discussion and promised to get back to us but he never did.A In the meantime, Magic Johnson disappeared and changed his number. A Mycal was a class act but his hands were tied when Magic decided to do his Houdini act.A Gary Bettman now runs the NHL, Ron Thorn is still in the NBA somewhere calling the shots, Horace Balmer has since retired and Magic is the face (black) in the middle of the Donald Sterling charade. A When all is said and done, the real victim despite all of her baggage is the girlfriend (The Whistle Blower) V. A NBA Commissioner Adam Silver during his annoucement as it related to the punishment of Donald Sterling apologize to black NBA pioneers Earl Lloyd, Chuck Cooper and Magic Johnson.
A He reminds me of the controversial Celebrity Chef Paula Deen who alledgely use The N word to describe her love for black folks.
A How should we expect her to know if she has never walked in our shoes ?A When it is a part of your DNA it is difficult to rid yourself of the gene.A A One morning I was watching Ms.
This award was longed overdue and I wonder why it took the NAACP so long to finally recognized Mr.
Belafonte in accepting the award asked, "Where are today's black leaders?A Our children's blood is still running in our streets---there is work still to be done.
The coalition stated it will urge President Obama to mention an urban jobs plan in his state of the Union speech on February 12th----Good luck!
Ben Carson of John Hopkins University Hospital.A His prayer and message was centered around health care, the economy, American debt, and tax reform, thus taking dead aim at President Obama's platform for the nation. Carson spend 25 minutes talking about the nation's ills and solutions with the President sitting less than 5 feet from him.A When all was said and done, President Obama was not looking so Presidential!
Carson set the record straight from the very beginning.A He made it clear he was not taking any wooden nickels. In 2010, he became that series' youngest driver and the first black driver to win a race at Greenville-Pickens Speedway. A close friend of mine that has been partially paralyzed by strokes, pays for aids to "help".
If they show up, they usually just sit and do nothing, root through her jewelry and personal effects, and some have been caught stealing jewelry. One was there when she collapsed with another stroke, and instead of calling for help, she called her boyfriend and left, leaving her patient to manage on her own. It runs M - F from 10am - Noon and starting on Monday July 22 will repeat from 4pm - 6pm each day. My opinions about Tiger Woods or any other issue are mine and I could give a damn about what Feinstein or anybody else things about them.
In their prime at theA Washington Post, they were among the best sports writers in the country. A I was up close and personal with the sports department.A Kindred and Chad were talented writers but you could not trust them, Cornheiser and Feintstein's talent, they easily blended in with the landscape of the paper. A Feinstein called Wilbon the biggest ass kisser in sports media, if that is true he had great teacher in Cornheiser. A When Solomon tried to kick Cornheiser to the curve (fire him) in the 80s he was able to move to the Style section of the paper. A One black female Washington Post columnist wrote a book titled "Plantation on the Potomac." A She was describing her employer. A Hopefully, they were asked to participate and were of the same mindset as Wilbon not comfortable with Mr.
A Goodell makes more than any player in the NFL and he never has to make a tackle or catch a pass.A The owners recent pay out to the players for injuries suffered on their watch was peanuts compared to the billions they make year in and year out. A When he refused a request by his mother to cease using the word and a similar plea by poet Myra Angelo. Martin Luther Kinga€™s 1963 march on Washington and 46 years since his assassination in Memphis, Tenn. With the high-scoring Macauley, elite passer Cousy, and new prodigy Sharman, Auerbach had a core that provided high-octane fast-break basketball.
In the next years until 1956, the Celtics would make the playoffs every year, but never won the title. Brown was desperate to turn around his struggling and financially strapped franchise, which was reeling from a 22a€“46 record.A The still young but already seasoned Auerbach was made coach. A Nike NBA rep John Phillips and I met with VP Rod Thorn, League Counsel Gary Bettman and Head of League Security, Horace Balmer.A The meeting centered around whether Magic Johnson, Mycal Thompson and a group of NBA All-Stars would be allowed to travel to the Bahamas for a charity basketball game without league approval.
A He was right on point.A To this day I think Magic had a previous discussion with the league office. James Gholson, Red Auerbach, Biff Carter, Jessie Chase, Morgan Wooten, Everett Cookie Payne Sr., Frank Bolden, Dr. Leo Hill, Roper McNair, Earl Alfred, Maxwell Honemond, Tilman Sease, William Roundtree, Charlie Baltimore, Jaky Mathews, Ferdinand Day, Nick Turner, Walter Brooks, Ted McIntye, and my saviors, Dave Brown and Bighouse Gaines.A They knew their Xs and Os, but more important, they were there for our highs and lows.A Where have all those flowers gone? We never could have made it without them.I have given up on the Pigskin Club, but keeping hope alive for the DC Recreation Department and the Roving Leader Program. BELL 12-25-1940---8-1-2013A A GOOD COP WHO BROKE THE CODE OF SILENCE IN THE WASHINGTON, DC POLICE DEPARTMENT. A The real Serpico is seen leaving the Bronx Courthouse alone after testifying before the Knapp Commission on wide spread police corruption in the department. A In the old days police A would carry a "drop knife---an inexpensive weapon cops would bring along on patrol to drop onto or next to suspect that they had taken out so that they could say that he had threaten them.
A Today you don't even need to do that; all that you have to do is justify the use of deadly force if you are a police officer is to say that you feared for your life, for whatever reason. If the victim dies, that just means there will one less witness around to contradict the test-lie.
A In the case of Officer Michael Slager of the North Charleston police, it appears he was being extra-carefulto cover his tracks. A Probably he could have gotten away with simply declaring, as he did in the radioed report, that Walter Scott "took my taser," and that would have probably have sufficed to exonerate him. A But Slager having shot Scott eight times in the back--as everyone can see in the now famous video--perhaps felt that he needed a little help explaining what he was up to. A So apparently dropped his Taser next to Scott's body, which would obviously help to make the case that Scott "Took my taster."A If you think that what happen in North Charleston is a unique case, its not. A Only recently, in another case, a policewoman in Pennsylvania first Tasered a black man then shot him twice in the back as he lay face down in the snow. A Unless honesty is rewarded more often then corruption, the police will lose credibility altogether.
A I wrote a letter to President Bill Clinton in 1994 addressing this very issue, saying that honest cops have never been rewarded, and maybe there ought to be a medal for them, he wrote back but nothing change.
A If enough testi-lying is uncovered, then who is going to believe the police even when they are telling the truth? A A Until now the shoot first fear of my life mantra has eliminated any cause for concern in the taking of life by police. A When a civilian committs a crime, every nuance is looked at, the better to "throw the book at" the suspect. A The other day I got a letter from a journalist in Argentina who was complaining about police and judicial corruption there. A I wrote back to him, there are good cops, even where you live, but if the good cops don't want to be painted with the same broad brush as the bad cops, they need to come forward and expose the guys who are doing bad things. A Take New York City detective who was caught on camera recently abusing an Uber driver with threats and foul language, A This was truly disgusting behavior. Yet predictably enough the detective union leader, Michael Palladino, was out there making excuses for him, suggesting that, well, it was only one incident, and everyone has a bad day. A Afterward Police Commissioner William Bratton announced he was removing the detective's shield and placing him temporarily on desk duty while an investigation is conducted .
A But this man needs to be demoted to uniform at the very least, or "back in the bag" as we use to say.
A Imagine what he is capable of doing under the cover of darkness if he can talk to someone like that in broad daylight. A There are plenty legitimate incidents where police believe, correctly, that their lives are in danger.
A I was in a few of those situations myself during the course of my career.A But unless the police forces and society as a whole take action we're not going to be able to distinguish between the legititimate claims and made-up testimony.
A A long time ago Norman Rockwell painted a famous picture of a friendly neighborhood cop bending down to help a little boy. A For example; I could name someone who is a great athlete but a lousy human being or I could name someone who is a great human being but not a great athlete. A Heading the list is Muhammad Ali (The Greatest), Red Auerbach (NBA), Dave Bing (NBA), Lenny Moore (NFL), Bert R. Sugar (Boxing), Lee Jones (NBA), Roy Jefferson (NFL) and Harold McLinton (NFL), finding pro athletes like them today are far, few and in-between. A And that is a sad commentary when you think about the hundreds of men and women I have interviewed on Inside Sports and worked with as a youth advocate (Kids In Trouble).
Moore, LB Dave Robinson (2013 NFL Hall of Fame inductee) and WR Roy Jefferson host KIT toy party.
A Sam Jones (NBA), Lenny Moore (NFL) and Roy Jefferson (NFL) participate in KIT clothing drive for needy children at Union Station. A Bert Sugar (Boxing) receives KIT Life Time Achievement Award and Dave Bing (NBA) pays tribute to KIT Saturday Program All-Stars.I had the opportunity to hear an interview on Sirius A XM Radio (channel 126) on the Maggie Linton Show recently, her guest was NFL Washington Pro football player, wide receiver Peirre Garcon. A I have not been very impressed with todaya€™s pro athletes and their give back commitment to their family, friends and community. A He has three older sisters making him the youngest and the only one born in the United States.His father died when he was 4 years old leaving his mother to raise him and his 3 sisters alone.
A My background is similar to Peirrea€™s, my mother had to raise 4 boys alone with an assist from Grandma Bell.
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