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That depends strongly on the work and the frequency.

The ACGME rules require only that a medical resident work no more than 24 continuous hours with at least a 14-hour break after a 24-hour shift. Many residency programs had difficulty adjusting their programs to comply with these rules when they went into effect in 2011.

My wife regularly works 24-hour ER shifts; and used to do 8-hour clinic shifts immediately after. There's another doctor in the same ER who usually works one or two 60-hour shifts per month.

Work in a small ER is bursty. You might see one or two patients with minor problems in a 24-hour shift, and get to sleep a full night. Or you might get woken up after 4 hours of sleep. Or you might get to take a series of 2 hour naps. Or you might not sleep.




Jesus Christ, that's terrifying.

After 18 hours without sleep, you're functioning at the level of a person with two drinks in them. It only gets worse from there. We trust these people with our lives.


The usual explanation is that handoffs are even more dangerous.




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