Why DOCTORS & PILOTS Are NOT the Same!
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- Опубліковано 11 чер 2024
- As you may or may not know, there are a TON of similarities between medicine and the airline industry. Since the main concern is safety, with both of these industries, it only makes sense that they would be nearly identical. In this video I wanted to touch on 10 examples that I found in a recent article. I'm curious to see what my airline industry friends think about this!
01:00 - Resource Managment
02:01 - Customer Service
02:57 - Redundancy
03:50 - Expensive stuff
04:26 - Teamwork makes the dream work
05:31 - Checklists
06:06 - Training and certification requirements
06:53 - Sleep
07:43 - Safety
08:36 - Narcissism
Link to Article: www.kevinmd.com/2022/04/10-wa...
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#healthcare #airline #pilot
I’m a surgical assist and I feel so bad for our general surgeons. Three to four days on call. Our hospital policy says EVERY trauma most first go through GS…..even if it’s broken bones (which they don’t fix) or any neuro injury (which we don’t do at our hospital). But they are still expected to have their normal office hours, perform scheduled surgeries, take countless calls for post-op patients, consult almost everything, and then perform all emergencies. I know I get a little pissy after 24 hours of call. Can’t even fathom 4 straight days.
I also have the perspective from being the wife and mother of airline pilots. It’s super crazy what they go through.
Passengers getting so irate that a flight is delayed/cancelled because the flight crew has timed out. You REALLY don’t want your flight crew exhausted. Weather is something lots of people don’t understand. A flight is delayed/cancelled because of bad weather. But all they see is the sun shining outside. It’s because the weather you would be flying through or to is dangerous.
So LOTS of similarities…..medical just doesn’t get to sleep.
Hi, cst here! I really wonder if it’s even worth the money to basically sell one’s life most days of the week. My heart always wept when a GS had an emergency appy at 3am and has an elective scheduled for 7am. Really doesn’t make sound sense to me but they still do it
@@kuhataparunks so very true! One of the hospitals in the area do not allow surgeons to schedule cases on a day after call. They are a much bigger hospital with a lot more surgeons, though. We have 4. 🥺
Same thing with being a truck driver. It’s a 70 hour work clock, and you can run off recycled hours called recap, and the work shift is 14 hours when you start your shift, can only drive 11 hours, required to take 30 min break in 8 hours, and have to go off duty before 14 hour clock runs out, with a required 10 hour off duty period, which is sleeping/resting to take on the crazy drivers on the road, essentially avoiding killing people for 14 hours a day….cutting you off and slowing down in front of you going down hills with 9.8 m/s^2 having more influence than your brakes that can catch on fire and fail, smushing everything in your path with 80,000 lbs…
truck drivers are one of the TRUE KEY WORKERS! Big respect
Airline Pilot here (I’ve come out from lurking in the shadows). You hit the nail on the head with this video.
It’s astonishing how y’all in the medical field don’t have rest requirements. In aviation, they are followed to the T.
Just a few weeks ago myself and 3 or 4 other flight crews were at our hotel when the fire alarm malfunctioned and went off at like 2am. All of us hung out downstairs until it finally turned off several hours later. All of us called in fatigued and we didn’t fly out until 9 hours later.
So there’s 4 delayed flights just over a fire alarm.
It's a machismo thing. During medical school and residency, people boasted on performing surgery after working more than 30 hours without sleep. There is a similar culture in the air force. Pilots boast pulling 10-12 G's while endangering themselves and the expensive aircraft unnecessarily.
This topic is fascinating!
My wife and I are both Air Force Pilots right now, and we definitely appreciate the "crew rest" rules that we have. 12 hours before we have to show up to fly we are not allowed to be contacted for work related things and we aren't allowed to be at work. If this is "broken" then we are not allowed to fly.
It all came about because aviation committees successfully lobbied for these rights. They did so by using the same scientific studies and research on sleep that doctors could also use in their lobbying. However, I personally believe that since an airplane crash is such a scary/tragic event that the public CAN see, pilots have/had that leverage in their debates. Maybe if hospitals weren't able to hide negative things so well they wouldn't be able to argue against implementing these rules either?
My wife and I would like to step into the physician realm in the next few years, and this is a topic that we both are really going to look into.
I just wanted to start off by saying you and your wife are bad ass. I’m a Paramedic and we In EMS have similar rules. It’s it mandatory to have 8 hours off in between shifts, we are not allowed to be contacted about work or at work in those 8 hours.
I found my calling twice--the first time as a physician, and now as a pilot. I was the first doctor my my family, but all of my male family members were Air Force pilots. My grandfather was in the first Chinese naval air force. He fought the Japanese during WW II. Both of my uncles were fighter jet pilots, and subsequently flew commercial airlines.
Why stop at one dream?
One similarities between the two are age restriction. As both age, their duties are limited due to age-related decline. However, the difference is that a doctor can have limited duties but still employed or work as long it doesn’t hinder their ability to work( ie surgeons retired from surgical cases but continue to do non-surgical management); Whereas in the case of pilots, they are usually “grounded” and even replaced without assuring they can be remain in any advisory/management capacity.
There are tons of pilot jobs for those over 65. The only thing you can’t do in the US is fly for the airlines. Charter and corporate are still available.
@@Saturate15
They don't pay that much though. Basically a pilot can't rely too much on those jobs. They need to set up their retirement before they reach that age.
@@bobfg3130 I don't consider six figures bad pay.
@@Saturate15
They don't get six figures most of the time. Like I've said before, they need to set up their retirement before they reach that age.
@@bobfg3130 if they aren't making six figures it's their choice to work park time and they're probably just flying contract for a day rate of $1200-2000. Any full time job for someone with experience (since you're using the example of retiring from the airlines) is going to be six figures, and most likely closer to 200k. Feel free to look at the latest NBAA salary survey.
Awesome topics as always Dr. Cellini!
I have been a doctor for 23 years, and I am about to become a commercial airline pilot.
How has it been?
How about an update.
Anaesthesia also compares to flying..
Hours of boredom watching the monitors followed by sudden requirements to make life saving decisions and actions.
As a recently certified pilot and an incoming medical student I can def see the cross over between the two fields. Tons of redundancy, you need to know what you’re doing and make quick decisions, and the consequences are just as big for wrong decisions. With that being said I think one of the biggest differences is the FAA and safety side which isn’t quite the same.
When an airplane crashes the FAA does a thorough investigation. Why? For passenger and well - overall industry safety. This is how checklists were made, this is also how regulations were made.
In contrast, look at the recent Radonda Vought case. They went after her and did absolutely nothing to prevent this from ever happening again. No industry wide regulations mandating a 2 nurse override system, etc. This is one of the biggest differences I’ve noticed in my experience from both these worlds. The FAA is more concerned for the root of the problem and how they can address it more so than the pilot themself.
New sub here. I'm addicted to your videos. Keep up the good work!
I would actually say that there is less overlap between physicians and pilots given the nature of our work. We work with lots of unknowns and the complexity of the human body in the context of a society and patient preferences. Putting these together, it makes outcomes less certain even if you do everything medically correct by our current standard of care.
Hey Doc. Most people aren't aware that pre-surgical checklists came from military aviation, and in the 70s and 80s, and a significant number of pilots became doctors and surgeons in civilian hospitals. The physician assistant program, and nursing was another route for medevac crew to become civilian health providers, checklists included.
BTW For some reason this video has a weird zoom effect of suddenly in and out that makes it hard to watch.
7:35 YES !
LOL I had the same reaction to the required amount of sleep for physicians 😂
I think doctors don't have hour restrictions because: 1) They share the same character flaw -- an inability to say "no" to others. Administrators, driven by money, take advantage of this. 2) Laws haven't been enacted to impose limitations and rest requirements for them like was done for pilots. 3) Employers aren't held accountable for medical errors. Regulators don't seem to care except in a miniscule number of cases. It's extremely difficult for harmed patients to sue and settle/win a lawsuit against a doctor let alone the facility.
What age did you finish residency?
My father is a retired Diagnostic Radiologist and no Medicine is not the same as aviation. In aviation, you rely more on machinery and equipment where a Radiologist relies on memory. A surgeon is obviously more hands on with patients but definitely not the same as a routine flight as a patients life is on the line. My father is also a pilot so I know how he handles an aircraft which is more routine instruments.
These comparisons are also done in the military, same top ten
The sleep deprivation dilemma, oh such a sore spot in the medical community. Although I'm not in medicine, I've been told it's training you for crisis management situations such as mass casualty. Let's say an earthquake took out several skyscrapers and all hospitals are overwhelmed with critical care patients. The idea is to manage the workload and provide the quickest and safest care to every patient. Since it will be an a hands on deck scenario you can see how much endurance is necessary to function throughout the scenario. This is also practiced in the military to overcome the stress and anxiety you are forced to deal with and maintain a calm, cool and collected mindset to meet the demands being placed upon you. It's practice that helps you cope with these demands of the situation and the more you train for it, the better you can handle it when it comes your way
Yes to adequate sleep for healthcare providers, it will help increase resiliency to burn out!
My dream is to become pilot but instead land in hospital becoming doctor.
Nice video
Thanks!
Book 📕 Recommendation “The Checklist Manifesto
You should do a video with Dr.Mike. if you know who he is
I say yes all federal workers including everybody who works in hospital where they're a nurse a doctor a CNA whatever everybody needs to get a decent amount of sleep
Yes there should be a restriction on how many hours per day doctors or anyone in the health field should work!!
2:44
When the hospitalist hadn’t drawn my blood for 4 days, while I was on daily IVIG, I told him to discharge me. He said, no, I’ll draw your blood tomorrow. I said, you will have my blood drawn before I leave. I am not leaving against medical advice, I am leaving for my safety from you negligence (because of multiple other reasons/factors).
“And, see this iPad? It has recorded our entire conversation.”
I am a nurse of 25 years and am such a loss for the lack of knowledge and experience that there is in the hospital these days.
I went in as a direct admit per my neurologist who Dx me with GBS after 3 ER and 2 neurologists got the Dx wrong. SMH. I wish I had the strength to be back in the hospital to help and prevent these ding-dongs from harming people.
Overworked doctors and nurses are an issue. They shouldn't be overworked. Now, there are some serious issues with getting through medical school and that weeds out many candidates. Another thing that weeds out candidates is the fact that in some countries medical school is expensive. Basically there probably is a personnel issue and you can't be picky when you have one but some countries are.
Aeronautical medicine makes sure you have healthy pilots!
Well. In theory that’s true. I was married to a commercial pilot for 22 years, there’s a LOT of ‘turning a blind eye’.
@@vickiecoles8214 What happened in the 23rd year?
@@jcheck6 he passed away.
@@vickiecoles8214 I am so sorry Vickie, the poem High Flight comes to mind in remembering him. May he rest in peace. I got very sick in my 25th year and had to retire early from a major airline.
@@jcheck6 I looked it up…..so powerful! Thank you for sharing and thank you for the sentiments. And I’m so sorry you had to leave your beloved profession.
👍👍
Is it because one of them flies a plane?
commenting for the algorithm
checklists/algorithms/MDCalc are important for medicine, but you can't just get rid of critical thinking! I'm sure pilots are the same
didn't the title say "not same?" but the video is all about similarities?
clickbait?
A tired pilot because he or she works beyond recommended hours and crashes the plane can kill large number of passengers.
Pilot's work hours are well documented and other pilots are available to take over.
A tired doctor may kill a patient or two or injure them.
Who will document the hours a physician works or monitor his or her work hours. Who will take over the patient care from a tired doctor and know all of patient's details.
It's just impractical.
interesting video and comparison. BUT... OMG - can you stop having so many edit breaks?? Either just record with some not perfect stuff - or learn to edit better so it doesn't show the breaks.
Enjoy your vids for a long time. The frequent Zoom flipping is distracting. I had to scroll the video off the screen. If movies did this people would not to watch it.
The bite-sized oven postprandially educate because gum undeniably precede besides a kindhearted bandana. chubby, keen windshield
Duh, Pilots fly planes and Doctors do medical stuff on people.