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'Physician, Heal Thyself'
In a research letter published in the September 15, 2010, issue of JAMA, researchers report that three out of five residents surveyed came to work in the previous year while sick, possibly exposing their patients and colleagues to suboptimal performance and, in many cases, communicable disease.
The survey, which involved multiple hospitals, found that 60 percent of residentsphysicians who have completed medical school and are getting on-the-job advanced training in hospitalsworked while sick at least once during academic year 2008-2009; one-third did so more than once. At one hospital, 100 percent of residents reported working when sick. More than half of resident physicians surveyed said they didn't have time to see a doctor.
Comedian Woody Allen has been quoted as saying that 80 percent of success is showing up. "If that's true, then the other 20 percent may be having the sense to know when to stay home," said study author Vineet Arora, MD, MAPP, associate professor of medicine and associate director of the internal medicine residency program at the University of Chicago. "Hospitals need to build systems and create a workplace culture that enables all caregivers, not just residents, to feel comfortable calling in sick. Their colleagues and their patients will thank them."
The phenomenonknown as "presenteeism" and defined as the problem of workers being on the job but not fully functioning because of illnesshas attracted a good deal of interest in the business world. Studies suggest it can cut productivity by one-third. Some estimates claim that presentees (a term coined by Mark Twain in 1892) cost U.S. companies $150 billion a year, more than absentees, medical care and workers on disability combined.
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