Over 2,500 medical interns resign in protest of 26-hour shifts

Resignation set to take effect within two weeks if issue not resolved after doctors-in-training reject government plan to reduce shifts to 18 hours in select hospitals by 2026
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More than 2,500 medical interns resigned en-masse on Thursday in protest of the 26-hour shifts they are forced to work.
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  • Representatives of the 2,590 young doctors arrived at the Health Ministry's offices in Tel Aviv and submitted their resignations letters which are set to come into effect within two weeks' time if the issue is not resolved.
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    ד"ר ריי ביטון בהצהרת המתמחים שהגישו את התפטרותם
    ד"ר ריי ביטון בהצהרת המתמחים שהגישו את התפטרותם
    Medical interns demonstrate for better work conditions outside the Tel Aviv District Health Office on Thursday
    (Photo: Lihi Krupnik)
    "This resignation is presented to you, the health minister [Nitzan Horowitz], with a heavy heart and with no choice due to shifts of 26 hours of continuous work," the letters stated.
    "Without sleep or rest, we are unable to perform medical operations or make fateful decisions regarding the lives of our patients who depend on us. Under this work schedule, we cannot provide the best treatment they need and deserve, as expected of us as doctors and physicians. These employment conditions also harm our personal health and the lives of our families.
    "You [Horowitz] have broken your promises to shorten shifts for all interns without exception... This letter was sent after all our efforts have failed. Therefore, we, the undersigned, each one personally and with heavy heart, have come to the conclusion that we are unable to continue."
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    ניצן הורוביץ במסיבת העיתונאים
    ניצן הורוביץ במסיבת העיתונאים
    Health Minister Nitzan Horowitz
    (Photo: Yoav Dudkevitch)
    Interns are demanding that their shifts be cut from 26 to 18 hours, saying that the long hours and subsequent fatigue are detrimental to their health and that of their patients.
    The government presented a multi-phased plan to reduce shifts to 18 hours by 2026 but only in 10 hospitals in outlying areas which interns have rejected. Horowitz and other ministry officials tried to dissuade residents from resigning, but talks ultimately fell through. The health minister dubbed the move "unnecessary."
    Health Ministry officials refused to accept the resignation of the doctors-in-training and closed the doors to the office in fear that such a move could cripple Israel's already overburdened healthcare system. Instead, protest leaders stuck their personal letters to the front door and placed a binder containing thousands more on the building's forecourt.
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    Overworked interns
    My training as a medical intern in the US many years ago had us working up to100 hours a week, with 36 hour shifts every four nights. It was brutal. But it allowed us to see many more patients in that year to better prepare us for residency. In addition, we needed to learn to respond to emergencies even when exhausted. For the rest of my career, when i was often awakened by a phone call from the emergency room, and sometimes had to drive to the hospital in the middle of the night, it was no big deal, because I had been trained to do this. Training for special jobs, like special forces in the military, is never pleasant, but it bears fruit in making us better at what we do.
    Herb| 10.07.21
    07
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