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This.Mine follows ACGME work hours. That being said being on home call afterwork for >24 weeks out of the year plus working a lot more weekends is certainly more of a battering than residency ever was.
I thought rheumatology fellowship sucked even more than residency in a lot of ways. I dealt with everything you describe on the schedule (lots of call, lots of hospital rounding, and the rheumatology service was very busy and we were expected to “pick up” all the hospital patients and follow them in clinic…which meant we had to add on a boatload of patients in clinic all the time, and find an attending willing to staff them with you), plus huge expectations in terms of research, lots and lots of presentations and grand rounds, etc.
I actually came to miss being able to sign out patients postcall and go home to crash in bed in peace.