[908B64B197]

From spending time with medical residents, a good chunk of the "overworking" happens because the environment is completely dysfunctional and unorganized.

They are pitted against one another to show their values to their superiors, leading to taking on longer and longer shifts, and an obsession to be the one that ends up being right. Since demand is basically guaranteed (people won't stop getting sick) and money keeps being poured into these underperforming organizations (due to the artificial scarcity of residency spots) there's no incentive to change, better organize and improve the situation. No matter what, the checks keeps coming every months for the organization.