[trowawee]

The parent comment:

> Also, on what basis do you say that longer hours with fewer tradeoffs don't improve patient outcomes? You frame it as though it's obvious but is there any evidence to back that up? My wife and most other doctors I know all claim they'd rather have longer hours with fewer handoffs.

I responded with evidence.

And yeah, I've seen the FIRST study. The control group, in this case, is working a 16 hour shift. Even if they only need one hour on either side of that shift to go from asleep to work and then back to asleep (which is not what I have seen), that control group is maxing out at 6 hours of sleep, well below the level where all but a tiny percentage of the population starts to see serious performance declines. https://hbr.org/2015/08/the-research-is-clear-long-hours-bac.... A more useful study would look at residents who are actually well-rested - who have gotten the consistently required eight plus hours of sleep over a significant enough period of time to have eradicated their existing sleep debt - and then compare their performance going forward while they continue to get enough sleep to residents working 16 or 28 hour shifts.

[IIIIIIIIIIII]

I repeat:

> The idea that doctors ... are somehow immune to those effects defies logic.

That claim was never made by OP.

It doesn't matter that you responded with "evidence" to a claim you yourself made-up. Just stick to the topic and don't invent stuff.