"This patient better die today. He needs to die," said my resident.
And, yeah, the patient's in bad shape, suffering, in pain, nothing we can really do, the family's just waiting for the inevitable.
"And he'd better die by 6:00, because I have concert tickets."
These are the perverse incentives created by the system.
If all of your patients die, hey, you can sign out early!
I mean, you still have to stay until 3:30, but it's a heck of a lot better than being here until 10:30 checking on blood work that's slow to come back.
Well, better for you. Not so much better for the patients.