Years ago, I was having dinner with 2 members of The
Cleveland Orchestra, one of the finest orchestras in the world. I asked them, with my kids present, how much
time they devoted to their craft. As
many parents know, getting kids to commit to practicing a musical instrument is
about as easy as splitting the atom. The
musicians told us how much time they practiced, which was mind boggling. Any artist or athlete or
Green Beret or similar professional, has to demonstrate extraordinary
commitment to maintain a superlative level of excellence and preparedness. every day.
I asked one of the musicians, the violinist, how long he
could stay away from playing his instrument before he noted some professional
slippage. Guess your answer. At the end of this post, I will relate his
reply.
How long can you be away from your job before your
performance ebbs?
For most of us, we can take weeks or longer on holiday and
return back to our positions seamlessly.
A few examples.
- Politicians return to Congress after long breaks and lose not a whit of their skills of obfuscation and duplicity.
- New York City cab drivers return from vacation and can make their first passenger’s heart stop without missing a beat.
- An airline customer service representative a few continents away maintains state-of-the-art client service even after a month away from her cubicle.
What about doctors?
What about gastroenterologists?
Yes, I do take
vacations, but most of them are long weekends.
I took 5 days off in a row last August.
Now that my kids are grown, I have taken a few longer vacations, but during the most of hte past 2 decades, my times away from home have been brief outings. Perhaps, the reason why I maintain such a
keen colonoscopy edge is because my absences have been brief. If I took a sabbatical for 6 months, would I
be rusty when I approached my first rectum on my return?
Medicine - Like Riding a Bicycle
I will admit that manipulating a colonoscope, when I bring light into a dark
world, is not exactly the same as playing a violin in the Cleveland
orchestra. I’ll leave it to the reader
to contemplate which of these takes more skill.
Seriously, do physicians lose their cognitive and procedural
skills after a period of time? I’m not
sure this has been tested, but I believe the question is a reasonable one for
patients to consider. Hospitals track volume of surgeries from specific surgeons, but a busy surgeon could meet
the yearly threshold, which might be modest, and still take several months
off. Should a patient who is to undergo
a cardiac bypass or a colonoscopy after the physician has been away for a few
months be concerned?
Is medicine like riding a bicycle that one can do well after
a hiatus of years or more? Or should
doctors who have been off the bike for a while put some training wheels back
on?
Consider this the next time you are hearing music from a
master musician. One thing is for
certain. (S)he hasn’t been on the beach. The violinist I queried told me that he if doesn't practice for 3 days that he is below par. Would you like to have a job like this?
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