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Part of that is a systemic problem that isn't always obvious to the public. I have several friends who are residents who routinely work 6 or 7 days/week and 12-14 hours/day, not to mention the 24 hour shifts they do from time to time. And they still have to rush to get through all their patients! Its crazy, and its not conducive to good medicine, IMO. But, just like fixing education through getting more teachers to provide more individual time to students, its really expensive to do it any other way. A resident eats up 80 hours/week and only makes ~$50,000/year (plus benefits).