https://www.biologicalpsychiatryjournal.com/article/S0006-3223(19)31329-0/fulltext
"Telomere length shortened significantly over the course of internship year, from 6465.1 ± 876.8 base pairs before internship to 6321.5 ± 630.6 base pairs at the end of internship (t(246) = 2.69; P=0.008). Stressful early family environments and neuroticism were significantly associated with shorter pre-internship telomere length. Longer work hours were associated with greater telomere intern telomere loss over the year (p = 0.002). Of note, the mean telomere attrition during internship year was six times greater than the typical annual attrition rate identified in a recent meta-analysis."
If telomere length is really a reliable measure of overall stress, my read of this is that it suggests student doctors in conventional training are "aged" at 6 times a typical rate. I would suggest there is no real benefit to the extreme stress methods of training, it amounts to just "Type A" personalities generationally torturing one other.
I would think the hyperstressful training conventions would also tend to make anyone who is protective of their energy levels and stress environment avoid medical school in general... which would explain a lot about how stubbornly clueless many doctors seem to be ideas of people like Ray Peat.
"Telomere length shortened significantly over the course of internship year, from 6465.1 ± 876.8 base pairs before internship to 6321.5 ± 630.6 base pairs at the end of internship (t(246) = 2.69; P=0.008). Stressful early family environments and neuroticism were significantly associated with shorter pre-internship telomere length. Longer work hours were associated with greater telomere intern telomere loss over the year (p = 0.002). Of note, the mean telomere attrition during internship year was six times greater than the typical annual attrition rate identified in a recent meta-analysis."
If telomere length is really a reliable measure of overall stress, my read of this is that it suggests student doctors in conventional training are "aged" at 6 times a typical rate. I would suggest there is no real benefit to the extreme stress methods of training, it amounts to just "Type A" personalities generationally torturing one other.
I would think the hyperstressful training conventions would also tend to make anyone who is protective of their energy levels and stress environment avoid medical school in general... which would explain a lot about how stubbornly clueless many doctors seem to be ideas of people like Ray Peat.