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cover of episode What Do Unionized Residents Mean for the Future of Medicine? | Dr. Max Jordan Nguemeni

What Do Unionized Residents Mean for the Future of Medicine? | Dr. Max Jordan Nguemeni

2025/1/21
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Max Jordan Nguemeni: 我认为美国住院医师的工会化运动正在蓬勃发展,并在波士顿和费城等城市取得了显著进展。许多医院的住院医师项目已经加入工会,或者正在计划加入工会。然而,工会化进程并非一帆风顺,我们面临着来自医院管理层的阻力、住院医师项目的不稳定性以及不实信息的传播等诸多挑战。在组织工会化的过程中,我们需要克服成员参与度低和医院管理层阻力等困难。医院管理层可能会采取策略来阻止工会化努力,例如散布虚假信息和组织强制性会议,甚至采取贿赂等手段。即使工会化成功,与医院管理层的谈判也可能非常艰难,需要争取更好的薪资待遇和福利,例如生育能力保护。 我认为住院医师比执业医师更容易推动工会化,因为住院医师缺乏谈判能力且工作时间长,他们处于一个几乎没有其他选择的困境中。工会为他们提供了一种维护自身利益的途径。然而,执业医师的工会化面临更大的挑战,因为他们拥有更多的个人主义和职业选择,并且收入差距较大。目前,工会化主要发生在收入较低、工作时间较长的初级保健医生群体中。医学院缺乏政治教育,导致许多医生对工会的看法存在偏见。年轻一代医生比老一代医生更容易接受工会化,因为他们没有经历过医生拥有更多自主权的时代。 我个人致力于疼痛管理和成瘾治疗,因为我认为减轻患者痛苦是医生工作的核心。我特别关注丁丙诺啡在疼痛管理中的应用,因为它具有独特的药理特性,安全性更高。然而,对丁丙诺啡的误解和对阿片类药物的偏见阻碍了丁丙诺啡在疼痛管理中的应用。我对社交媒体上对芬太尼的妖魔化感到沮丧,这使得人们难以客观地看待阿片类药物在疼痛管理中的作用。 Kristen Flannery: 作为一名年轻医生,我见证了医疗行业日益严重的企业化趋势,这使得工会化变得更加重要。年轻一代医生比以往任何时候都更加关注系统性变革和工作与生活的平衡。 Will Flannery: 我认为住院医师工会化运动的成功,将对整个医疗行业产生深远的影响,推动医疗体系的改革,改善医生的工作条件和福利待遇。

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In this episode, Dr. Max Jordan Nguemeni, a general internal medicine physician and health policy advocate, joins to discuss the growing wave of physician unionization. Dr. Nguemeni shares his experiences leading union efforts among residents and the challenges they face, from misinformation campaigns to structural barriers within hospitals. We also explore the generational divide among physicians on unionization, the role of social media in fostering communities, and how advocacy can address inequities in healthcare.

Takeaways:

Unionization among residents is gaining momentum across the U.S., with recent large-scale efforts in cities like Boston and Philadelphia.

Barriers to unionizing include misinformation, resistance from hospital administration, and the transient nature of residency programs.

Generational divides in medicine impact attitudes toward unionization, with younger doctors more focused on systemic change and work-life balance.

Social media plays a critical role in building communities and sharing information about healthcare reform and advocacy efforts.

Unionized residents are advocating for benefits like fair pay, fertility preservation, and better working conditions, setting the stage for systemic change in medicine.

Want to Learn About Dr. Max Jordan Nguemeni:

X: @MaxJordan_N

Bluesky: @MaxJordan.bsky.social,

IG: @Game.Set.Max

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