Dr Ray
Spring 2023
Oral Practice

Exercise Quiz
Article: Sleep Deprived Doctors


It has been a long tradition in the medical field in the USA for doctors to work extremely long hours, especially 1 (doctors still in training). This issue has been a focus of 2 for nearly forty years, after a 3 named Libby Zion died under the care of a 4 who had been on a 36 hour 5 .


The case itself is controversial, but the parents sued the hospital because the 1 had been working for nearly 36 hours straight.

Regardless of the 2 issues in the case itself, it put the public 3 on doctors working under conditions of sleep 4 . Since then, in the USA, the work hour rules have been limited. 5 should work no more than 80 hours per week nor 24 6 hours on duty.

While this is certainly an improvement, it is hardly a safe 1 for patient care. And for senior doctors and 2 , there are no 3 to working hours—none.

Compare the rules in the USA to those in the UK and European Union. Doctors there are 4 to work more then 48 hours a week, nor more than a 13 hour 5 .

Comparisons can also been made with other 6 where the public safety is 7 . Airline Pilots and truck drivers have 8 . Taxi drivers can’t work more than 12 hours 9 , and air traffic 10 can’t work more than 10, and must have a full 9 hours of rest before the start of any shift.

The research on sleep deprivation is clear, people who don’t get enough rest have the thinking 1 of a person who is above the 2 of alcohol—3 judgment and slow 4 times. Says one 5 , “I know of sleep deprived 6 who made 7 mistakes on their patients. I know of residents who have fallen asleep standing up in the 8 .... And I know of doctors who have 9 off the road after a night on-call and crashed their car into a tree. We need to stop denying the effects of sleep deprivation [and admit] that a sleep deprived doctor is dangerous.”
The problem is that 1 doctors worry about 2 of care, that is, they think there must be some loss of knowledge or skill if the patient is 3 to another doctor too quickly.

For 4 , this is something of a God-complex by doctors who feel that the natural laws of sleep deprivation—that apply to all human beings—don’t 5 to themselves. And also that they are 6 to the other doctor to whom they must 7 the patient.

This, however, is an old 8 . The new paradigm for patient care should be one of teamwork. Where skilled 9 assist each other, with 10 sleep, and 11 , on a patient’s care.


... end.