Institutional Bioethical Malpractice at Spanish Public Hospitals

ABSTRACT Three recent studies carried out in the Spanish regions of Madrid, Valencia, and Murcia have shown that medical residents at public hospitals are systematically required to work for more than 48 hours a week. This practice is institutionalised, and there are indicators suggesting that it also occurs in other public hospitals throughout Spain. The obligation to work excessive hours has been shown to have harmful consequences for workers’ physical and psychological health while jeopardizing residents’ and patients’ safety. I argue that behaviours contrary to people’s health and safety imply bioethical and, in this case, institutional, malpractice.