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I always figured the long shifts for doctors were some kind of hazing ritual.>
>It means you don't need a night shift and the "medical team" is always together which equates to better training and was supposed to lead to better continuity of care.
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>Those shifts became unworkable as medicine became more and more complex and hands-on. There have been quite a few papers about quality of care including some recent ones that suggest that patient mortality is not adversely affected by mega-shifts, but IME mistakes are more likely after so many hours.
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>These days in the US I think 36-hour shifts and 80-hour weeks are a specified upper limit. Pansies. ;-)
They've started establishing so many limits -
http://en.wikipedia.org/wiki/Residency_%28medicine%29#History_of_long_hours - that Dr. Zombie is almost on his (and nobody else's) way to losing identity by the end of the next century.