Young Doctors Refuse to Burn Out, Flap Tips, & Must Read Articles on Infections

There is a generational clash in medicine. Older doctors argue that long, grueling hours are just part of the job—a rite of passage they endured, so younger doctors should too. But should we keep this tradition simply because “that’s how it’s always been”? Where is this mindset really getting us?

The crazy residency schedules that became tradition weren’t about excellence—they were born from one physician trying to cover up his own issues. And yet here we are, decades later, clinging to this exhausting model like it’s some badge of honor. But let’s face it, the old expectations of endless availability are still very much in play. And those who stick to this mentality often end up in leadership, perpetuating the very culture that drives burnout. Here’s what Twitter thought about this article:

• “If we’re just replaceable cogs, why should we sacrifice everything?” It’s true — why give your whole life to a job that treats you like you’re disposable?
• “Younger doctors have it different.” Crushing student loans, skyrocketing living costs, burnout awareness, and constant tech overload make it impossible to justify the same approach of past generations. The game has changed.
• “We need to invest in future doctors.” Without solid support from day one — better education, recruitment, and training — we’re just stuck in a cycle of poor working conditions and chronic shortages.
• “Autonomy is key.” Many younger attendings say that autonomy makes all the difference. Running their own practice means they can work long hours without feeling like cogs in a machine. But that kind of freedom is hard to come by today, especially for young docs employed by massive health systems.
• “Patient safety should come first.” Who wants a doctor who’s been awake for 24 hours? Exhausted doctors make mistakes. We should all care about changing that.
• “Older doctors have played a part in this mess.” Selling out to private equity, and letting insurers dictate care — these decisions by past generations have made things tougher for today’s doctors. We’re working harder for less, and it shows.

So here’s the big question: How do we strike a balance? 

I want to hear what you think. Drop your thoughts above.

With love,
P'Fella ❤️

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Read below for an overview of our article on Osteomyelitis.

Osteomyelitis

Definition
Osteomyelitis is inflammation due to infection of the bone by bacteria, mycobacteria, or fungus.

Aetiology
Osteomyelitis can result from haematogenous seeding, direct inoculation, or contiguous spread. Staphylococcus aureus is the most common pathogen.

Clinical Features
Osteomyelitis presents with pain and reduced movement. Acute cases show systemic signs of infection, while chronic cases may involve overlying skin changes and drainage through a sinus tract.

Investigations
A diagnosis of suspected osteomyelitis is confirmed by positive bone microbiology samples. MRI and FDG-PET are the most sensitive and specific imaging techniques.

Management
Targeted antibiotic therapy is the first choice for acute osteomyelitis. In subacute and chronic cases, aggressive debridement combined with an orthoplastic approach is required for definitive management.

Read the Article