Sounds terrible, but all the US medical resident physicians are playing the world’s tiniest violins for this article, because they keep worse hours, get paid less (like half to 60%), and if they mess up, someone dies or is maimed.
edit: downvoted for truth — witness the medical resident physician reply below confirming exactly what I observed. To clarify, I support raising the standards for all junior people and do not advocate abusive employment and training practices.