There's a huge uproar in India currently about the expected work hours for office workers. Leaders of (non-medical) organizations in India have called for employees to work 70 or even 90 hours a week. This has led to a lot of memes, jokes, protests on social media. 
Which makes me wonder - how many hours a week should a doctor work? 
In my experience there are several problems:
1. Expectations for how many hours they should work, and the types of work, are not clearly specified in their contracts
2. The actual hours worked are not monitored
3. The effectiveness and quality of their work is not monitored.
4. Catch-up work done outside the hospital or clinic (typically in the EMR, e.g. 'pajama time') is not tracked
5. Some physicians are able to get away with less work while others are overloaded
6. The doctor's pay is not clearly tied to the work hours or work load.
7. Doctors in private practice work very hard, sometimes without limits and may 'work themselves to the bone'.  
#medtwitter #neotwitter #work