DOCTORS WORK 24 HOURS – IS IT DANGEROUS?


Last month I fell asleep in the parking lot on a bench. I literally couldn’t even make it to the car. If we are operating on just four to five hours of sleep, that can have the same effect as if we’re driving under the influence. If you miss just one hour of sleep, your concentration and reaction time on the road can actually suffer. You do increase the risk of serious medical errors and medical errors that cause harm to patients. Hey guys. I’m Siobhan, a second year medical resident. Over the past year I’ve been vlogging in the hospitals and bringing you in for these 26 hour call shifts. And you know… It’s been interesting that so many of you have been shocked and actually worried that doctors are working under such sleep deprived conditions and so it makes me wonder: Would you actually want a doctor to be treating you or operating on you when they’ve already been awake for 20 or 30 hours? So medicine is not the only field where people’s lives are at stake. And so I went in and researched other safety-sensitive jobs and wanted to know how many hours they’re allowed to work. According to the US Federal Aviation Administration, pilots can fly a maximum of 8 hours in any 24 hour period. And if they have a really long flight, like 16 hours, they must have at least four pilots on board to rotate and prevent exhaustion. Truck drivers carrying passengers can only work for ten hours at a time. And the Canadian railway operators have a strict maximum at 12 hours. So what’s happening in medicine? Why are we okay with residents working such long hours when mistakes are really high? But you know, I didn’t want to assume, you know maybe it was just in Canada that we had these crazy hours. So I decided to look at some other countries around the world and find out how many hours residents are working. Alright, so starting in the US. Residents can work a total of 24 hours continuously and they get four hours on either side of their shift to be able to hand over information to the next doctors coming on. Also, they have a maximum of 80 hours that they can work in a week and that was capped starting in 2003. That’s still a really long work week. In Europe the European Working Time Directive enforces a 48 hour workweek. 48 Hours, that’s not bad. But from what I read, I understand that residents can sign a waiver and be allowed to work for more hours if they want. So there’s a chance for that kind of peer pressure in the system. You should always give in to peer pressure. But what if someone bad tells me to? Always! New Zealand has a maximum of 16 hours per week and their work week maximum is 72 hours. Plus they get every other weekend off. I mean… You get like the scenery of Lord the Rings, you get these great hours. I think I might have to think about New Zealand a little more seriously. Australia has more vague recommendations. But the Australian Medical Association released a statement that working over 50 hours puts residents at risk and that working over 70 hours per week puts them at higher risk. So that brings us back to Canada. As you guys know, we can do 26 hour call shifts. That’s our maximum. And they can schedule us in the hospital to do this once every 4th day. But that’s once every 4th day on average per month. So on a busy week you could be on-call Tuesday, Friday, Sunday and all of a sudden you’re easily working a hundred hours that week. The day after a call shift is called a post-call day. So you have the right to go home and sleep and you know… Have a shower and all of that good stuff. But it’s not enforced and there’s some specialties or some residents will feel pressured to stay in the hospital and keep working. And that’s where you have people working for 36 hours straight and the reason they can do that is because we don’t have a weekly work hour maximum here in Canada. But there’s one province in Canada that’s different. In Quebec there’s a 16 hour maximum work shift and the story behind it is actually really cool. So in 2007 there was a resident at McGill University who complained and he said that these 24-hour call shifts weren’t great for his mental health, for his physical health and he was worried maybe it wasn’t good for patient care either. And this complaint was taken seriously, it slowly moved up the ranks and four years later after arbitration, there was a ruling that was set down saying that 24-hour call shifts was actually a violation of the Canadian Human Rights Charter. Wow, I mean that is serious. Of course this was only for Quebec, but seeing that kind of change in what one resident can do, I find so inspiring. So I mean this seems really straight forward to me. You don’t sleep as much, you don’t feel as good, you don’t function as well in the short term or in the long term. There’s a reason that we need to sleep, but if you need some more evidence, let’s look at some other studies. Studies have shown that being awake for 24 hours has a similar effect on the brain as having a blood-alcohol level of 0.1 percent, which is above the legal limit to drive. A study by dr. Kaisler, who is a sleep specialist at Harvard, showed that residents, surgical residents who’ve been awake for more than 20 hours were 70% more likely to stab themselves with a scalpel or prick themselves with a needle. Another U.S. study found that residents were more likely to crash their cars, but 16% more likely after they’ve had these extended crashes. Then in Quebec, an independent survey of the general public found that 75% of people would want to know if their doctor had been working for more than 16 hours straight in the hospital. So with all of this, why has there been no change? I mean… I’ve seen lots of people say different things, but what I hear the most is the discussion around handover. So when a doctor finishes working, they pass on the information to the next doctor. So the shorter the hours that you work, the more times you’re passing on information. So it’s kind of like a game of telephone and people argue that maybe you’re actually gonna make more errors that way. But to me that just makes me think: Come on, let’s just get better at doing this handover rather than continuing 24 hour shifts. So I’ve been doing these crazy long 26 hour shifts for the past three years through medical school and now in residency and it has its ups and downs, you know. It’s a unique experience. I love feeling the adrenaline pumping, you got your caffeine in your system, you’re running around the hospital dealing with emergencies, working in teams. I love that, I love being a part of patient care. But you also have those times when you are so exhausted that you’re actually feeling nauseated and your eyes are kind of fluttering shut and you’re struggling, you’re struggling, you’re asking people for help because you don’t want to make a mistake. You’re having others check your work, because you always want to provide the best care possible. But you wonder is the system setting you up for success when you’re feeling that way?! Can we empower our residents by having them be at their best so that they can provide the best patient care possible? Because at the end of the day, these are people who have come into medicine because they want to alleviate suffering. They want to actually help people and I would hate for anything to stand in their way of that. I’m actually so excited to hear what you guys have to say in the comments, because I want this to be the beginning of a conversation. Tell me. Like what do you feel like when you’ve been awake for 24 hours? Do you want your doctor to have been working for 20 or 30 hours straight? And would you want to know? Ah, I’ve got so many questions. There’s so many thoughts going on right now. I’m excited to hear what you have to say. Anyway, if you want to see more videos like this, don’t forget to subscribe and otherwise I’ll be chatting with you guys next week. Bye for now!

100 thoughts on “DOCTORS WORK 24 HOURS – IS IT DANGEROUS?

  1. In Russia, surgeons also work approximately 80 hours a week but the schedule is much worse. They work from 8 a.m. till 4 p.m. from Monday till Friday and usually get one shift for 16 hours on one of these days and 24-hour shift on Saturday or Sunday. So, when they are on call, they may work 32 hours straight. And, of cause, there is no limit, so if you want to work more… As for surgical residents, most of them pay for their education, which lasts for 2 years after graduation, and do not have a salary. Therefore, some of them work at night as nurses.

  2. i'm orthopedic resident and as junior i must have 8 oncall ( NO post-calls) in one month and cover 36 hours shift with zero sleep time.

  3. As a medical student from London UK, I should clarify that most doctors work over the 48 hours due to short staffing, overtime etc. and it can become unpaid overtime. Therefore it looks good on paper but doesn't actually apply in reality.

  4. I'm in the US . I work 48 hour shifts in EMS. If it's a bad shift I feel like I'm drunk on the road. Very scary

  5. I think it should be 12 hour shifts which isn’t too bad because many urgent care animal hospitals would do that. So technically there will be 2 different shift teams in a 24 hour period? 🙂

  6. Ironic that no one cares about the health of providers. I think these hours should be illegal and hospitals should be forced to hire more people.

  7. Here in Russia 24 hour long shifts for doctors are a thing too. There's no way in hell I'd allow a doctor to even examine me if I knew they've been awake for so long. My father works 24 hour shifts (he's an emergency service dispatcher), and when he comes home he sometimes doesn't even have the energy to eat. I personally don't even resemble a human being after not sleeping for so long 😂 so yeah, I agree that it's dangerous.

  8. parlez-vous français? je connais beaucoup de canadiens qui parlent le français, mais je ne connais pas si vous devez prendre le français à l’école. (also, this video was amazing! I love this style and the section on quebec made me wonder if you speak french. I’m currently an American high school student studying french – and finding ways to practice it – but I’d like to go to Canada for university!)

  9. The hours that a Doctor works is ridiculous. Dr, Kevin Jubba, in the US, makes a case that sleeplessness, depression, and suicide are the medical profession’s dirty little secret. So why does the AMA and Canada allow this? That is the question.

  10. its not really about how I, a person not used to that sleeping pattern, feels after 24hrs without sleep. Its about how you do. Some people think the whole 8 hr sleep pattern in one go isnt optimal and argue for four split up naps etc

  11. If a doctor is feeling nausea because they didn’t sleep, I think it’s dangerous for them to perform procedures on patients; they can’t even focus properly, needless to say they have to do a brain surgery (or whatever surgery).

  12. Hey I think that making medical professionals have to work long ass shifts is irresponsible as I understand after a certain amount of hours (unsure how long) your concentration starts to deteriorate and you prone to making mistakes and if ur a docter even a surgeon operating on someone it can be fatal. If it was my family or myself I would want to know the docters in charge are well rested and are looking after themself before dealing with patients. So me being from UK I think the 48 hour max is good but think New Zealand has really gd system

  13. If the work hours have been against the Canafian Charter of Rights and freedoms in Quebec shouldn't that establish legal president for the rest of Canada because the charter is for the whole country and does not differ from province to province.

  14. In NY according to my sister because she's a RN at Westchester Medical Center , they passed a law 6 years ago where they can't mandate medical workers (nurses , doctors , radiologist etc) at a hospital only volunteer. They can only mandate medical workers if there's a snowstorm.

  15. I don't know how you do it. I wouldn't want to work for 24 hours. Yes you sleep in between but you can't get a good rest because you're always on call.

  16. How many hours a week do you work? Do you do like 3 days on and 4 off or 4 on and 3 off etc?? 🙂 just curious to see! I’m a nurse but work in a drs surgery office so we don’t open weekends and are closed by 7pm! I really do feel for hospital staff working so many hours a day!

  17. I always learning something good from you. Thanks for sharing with us! Greeting from Indonesia ❤

  18. I'm a doctor and where I'm from we work 36 hrs straight over 2 days (For example, you start at 06:00 AM on Monday and finish at 18:00 hrs on Tuesday) and the other days of the week 12 hours daily. On top of that you have to add 1 Saturday and Sunday a month of 24 hrs shift. It's funny, because even tough most people when asked if they want to be attended by such a professional say no, in reality when you are working and finally your shift comes to an end usually patients or nurses keep on making demands and get angry at you if you tell them that your shift is over.

  19. I don't sleep good at all I can't imagine a doctor being up/awake for 24-26 hours and then gave to do surgery they should get plenty of rest it's not fair to the patient or them.

  20. The problem is not only the pure working hours but the fact that your whole routine and sleep regime is hugely messed up… 1 day after call shift can't fix it.
    There are hundreds of people in hospitals whose job is to document everything, paperwork is overwhelming, every step is supervised but we still can't optimize handover process? There must be something wrong with the system, cause primary goal of all this paperwork is to eliminate human involvement and human mistakes during treatment process and to speed up handover process.

  21. I work in in the home care business in Sweden and we have a minimum of a 15 hour workday. With a tight schedule and working alone, it can be difficult to maintain concentration. I, sometimes I have felt dizzy and nauseas at the end. Everyone working in taking care of people is doing such a great job everyday.

  22. I've spent four yours in the military where I have done sleep deprivation. I am now (6 years later) about to finish my masters in clinical psychology. I would never dream of doing anything in the hospital under sleep deprivation. We carried live weapons around and that was so dangerous, however did so many drills and training on them that loading, unloading, and cleaning were like putting on pants. If I needed to do anything that requires thought, or even just anything outside of simply completing habits, I would be concerned. However, I work in MDT's with psychiatrists that have just gotten off call shifts and they seem to cope.

    So I'd like to see if the sleep studies factor in context such as whether the parricipants are used to the amount of sleep they get. It takes weeks if not months, to change your body rhythm. Some people actually can't. But I wonder if given enough time it's adaptable and less mistakes are made.

  23. In Mexico, the work shifts are 36 hours in a row and are made every third day and are organized as ABC shifts, one day A, another B, another C and returns again. Sometimes when a resident makes a mistake, "punishment shifts" are imposed and the work hours are 56 hours in a row.

  24. You guys don't understand at all. The United States needs medical personnel to help. If shifts are cut back, less doctors are on call to help. people die faster

  25. ANd I would want a doctor who didn't get any sleep to operate as opposed to not having any doctor there because they got their 8 hours.

  26. ANd I would want a doctor who didn't get any sleep to operate as opposed to not having any doctor there because they got their 8 hours.

  27. I would not like to have my surgeon sleep deprived, that's kind of scary, aha, oh boy. This video does not help knowing I'm going to most likely need surgery in the near future either.

  28. Last appt i had with an intern doctor, i could see in his eyes he needs more help than me. Because of the lack of sleep he just rush the entire consultation. Poor health system…

  29. Hi! I am a student Respiratory Therapist! In my own opinion after 16 hrs of caring for patients my critical thinking and reflexes are not as well as the beginning of the shift or even hour 10. I dont believe 24+ on call shifts are safe for patient care. Hopefully with time this will change! (USA)

  30. hey Shavon i go to respite at nursing homes and when i do that i help them out so you could say i'm on a call shift as of tomorrow i'm in wood stock

  31. I think 50 a week is fine. You are doctors. It should be busy! But 65-100?? That is awful. You are human, too

  32. They should do it how they do it here. 16 on, 24 off, 16 on, 48 off, 16 on. Then the option of a 16 hour or two 8 hours. This could be a Monday of 16 hours with Tuesday off, Wednesday of 16 hours, Thursday and Friday off. Then a weekend day or two short weekend days! Obviously it switches around days but 16 hours is NOT hard once you adjust. But you deserve a ton of time off

  33. Malaysia is a bit like canada

    You have oncalls where you work till 8am, depending on your specialty, you have either postcall pm off ie going home after 1 on a weekday, or none at all, and you go at 5 as per usual. That is if you have finished your work by 1pm.

    I hate oncalls. I get really tired, and home sick. I am also doing internal medicine, but our patient load is definitely different. If I'm oncall and accepting consult from just yellow or green zones, my referrals can go up to 28 patients whereas in red zone it can go up to 20. And I work in a hospital where nephrology and cardiology aren't part of general medicine.

    I feel like wanting to quit on a regular basis, but I love what I do, I just hate how tired and how stressed I get.

    I just find that as I grow older, I get more tired, and I find that I'm more likely to make mistakes

    I don't know, I may quit one of these days cause I'm just sooooo tired

  34. Well, I’m also a doctor in Turkey and here our shifts are 36h per 48 hours. And in the begining of the residency you start with 12-15 shifts. So this means you are on call on 12-15 days in a month and these are for 36 hours. That’s insane but no one does nothing about it.

  35. I wonder if part of the reason doctors (and other medical professionals) work such long hours is that we sometimes just don’t have enough staff to go around? Hospitals simply can’t afford to have them at home more often?

    On another note, I remember when I was in hospital after having my son, and I realized how much the doctor that delivered him must be in the hospital. I was like, “when does this woman sleep?”. Seriously every time I turned around she was there to check on me because she was in the hospital delivering another baby. On top of that she had patients in clinic every week day. I don’t know how they do it!! Props to all the doctor and nurses and other medical staff out there! ❤️

  36. I was an intern in 2009 (USA) We worked 24 hour calls 7-7 and then also had to have morning report where we discussed our patients overnight with a teaching attending, round on the patients the following morning and then go to mandatory noon lecture. 30 hrs straight! We had all paper charting back in those days and I remember falling asleep several times mid-sentence while writing a progress note.

  37. I want to study to become a doctor and the video scared me at first, but thank god I live in Quebec 😱 hahaha. 26 hour shifts (on call) are insane !!

  38. Well, despite the European law its also very common in at least parts of the EU for doctors to work such a crazy long hours . E.g. in the EU member state Czech Rep. hospitals openly admits that they are breaking the law but they just don't have enough doctors.
    I think the answer why it's globally so common for doctors to work so long is simply because there is chronic shortage of them.

  39. The longs hours are about hazing new doctors. The powers that be are showing clear signs of sadistic sociopathology when they force doctors to works these crazy long shifts. The barbaric practice of making doctors work long hours must stop. The average workday is too long as it is, the workday should probably be shortened to about 5 hours at most.

  40. Sadly, in Romania (south-eastern Europe) the vast majority of doctors (depends of course by specialty, but most of medical and surgery residents and fellows) work way beyond 48 hours, even beyond 80 hours/week.
    Thank you for discussing such issues, I find much confort in watching your videos! Keep safe and stay innocent and delicate at heart. 🙂

  41. If you’re getting people who are in the 1% – very high functioning humans – who are struggling to function with these hours then this is an error which needs to be addressed.

  42. I lose concentration and some ability to remember my optimal work flow after about 15 hours. After 16 or 17 hours I feel too icky to drive. After 18 hours I can't socialize and immediately need to eat and sleep and I refuse work anymore. Field biologist here!

    If hiking is involved in my work I will physically have to stop working at about 10 hours depending on how strenuous.

    26 hours with frequently interrupted sleep would make me a raging asshole and I'd probably get fired. I don't know how you stay positive!

  43. Why not do the plane protocol? If they have 4 pilots for 1 plane, then rotate 3-4 resident doctors over a 26 hour shift. They are all in the same meeting. Then every 8 hours they get a 4 hour guaranteed sleep? Resident wakes up, walks downstairs gets a 20-30 minute handover ( is that long enough?) Then the other 2 go to bed? So only a 12 hour shift then 4 hours of sleep? I dont know…I wanted to become a doctor so badly, but as s rugby player whose has multiple concussions, If I'm awake for a super long time like an 18-20 hour day i get migraines…so I'll find another patient care

  44. I definitely wouldn't want a dr that has been awake more than 24 hrs performing surgery on me. I trust doctors but you're all only human and need rest. If only there was a way to make sure each person got some sort of rest while on call for hrs straight.

  45. I wonder if the reason for the long shifts are more related to profit than to possible errors while processing the handouts. In the end of the day, hospitals are business like any other, and as such, its policies are heavily influence by profit margins.
    Keep up the great work! I wish there were more doctors like yourself who clearly shows a passion for your work and wants to truly help people in need. Sometimes it feels like some people decide to become doctors mostly for the prestige and the social status associated with the medicine profession but lacks passion and interpersonal skills that are needed to work with people. Have you come across other residents that you felt were studying to become doctors for the 'wrong reasons'?

  46. I'd rather have your average everyday city hospital doctor perform surgery on me, if they were well rested, than a world renown surgeon who hasn't slept in 24 hours.

  47. It's like this is some sort of rite of passage into the medical profession. It's too bad that out dated traditions die hard. I recently saw on a Doctor Mike video that there is a law in place in the US, restricting the work hours for doctors. These hours were mentioned near the beginning of this video . This law was put into effect because of a medical error that killed a patient, attributed to the actions of a couple of fatigued sleep deprived medical residences. It is called The Libby Zion law, in memory of the  patient that died. The medical establishment is more cognizant than any other entity on the planet, of the effects of sleep deprivation, yet they allow this practice to exist and continue.  I would guess there is enormous amount of competition in order to secure a medical doctor residency position in a hospital. That's probably why there's not much complaint about marathon work periods. Correct me if I'm wrong, but it is my understanding in the province of Ontario that a person cannot be forced to work more than a 48 hour week if they choose not to. Does this not apply to everyone?

  48. At the hospital I work at, they said during orientation that medical errors are the 3rd leading cause of death in the US. So are errors really being prevented that well by having doctors working these outrageously long shifts? I don’t think so…Like you said, maybe they should improve the process of handover instead of having physicians work 24+ hours at once.

  49. Once a week I work an 11 hour shift as a waitress, with no break. and I’m absolutely exhausted at the end of it. I cannot fathom 26 hours, even with the possibility of sleep in a call room.

  50. I don't think working extremely long hours is good for the doctor or the patient.

    Sleep is an extremely important and critical part of human life. Just do a little research into circadian rhythm and you'll be horrified that anyone would choose to work a night job, EVER. Of course reality is we need people who work at night, like doctor but they should at least be aware of how it's affecting their own health. Maybe they would do things to mitigate some of the negatives.

  51. I remember when I worked 24 hours. Those were the good days… Now I'm on 48-60 hour shifts (straight), working up to 120 hours a week. I'm a Firefighter/Paramedic. Im working 5 days this week…120 hours.

  52. I wouldnt want a doctor working longer than 12 hours. But I also have a lot of concerns when it comes to regulating it.

    If the average resident goes from working 60 hours a week to 40, do we have to increase the amount of time they remain a resident? Cutting their work time by a third would mean theyd need an extra year in some cases

    Are there actually enough doctors to staff hospitals if they dont work these hours? If there isnt that would drastically lower care quality. Even if the doctors are more well rested.

  53. Honestly id trust a doc who has only been there a few hours over a doc who i see at 2 am. It also depends on what kind of emergency at 2 am i have.

  54. I absolutely would not want a doctor that's been working for longer than 16 hours handling my care. Not because they aren't capable doctors, but because they are still human, and humans need sleep. Not to mention it's utter crap that they're making you work that long to begin with. It has to be really, really hard to have any sort of personal life and be a doctor. I don't think it's good for mental health to never have time to spend with others or even just time to yourself.

  55. You should expand your scope to Asian countries. In Malaysia and Singapore, 36-40 hour call shifts are the norm. I had to go through something known as "EOD on call" which is every other day on call. My life would be: wake up at 5am on Monday, start work at 5.30am, work through the day and night, continue working the next day and only clocking out at 8pm on Tuesday! The shift restarts on Wednesday 5am, ends at 8pm Thursday and on and on and on. I was easily working 110-130 hours/week for 4 months. It was literally work-sleep-work-sleep-work-sleep. Thankfully other rotations were only one call/3 days so I actually had time for some extra sleep.

    In fact, at least 1% of all houseman (residents) will encounter a serious car crash in their 2-year residency based on my hospital records. Some houseman get so exhausted that they sleep in the car, which isn't a bad thing. Except some forget to turn on the AC or roll down the windows and accidentally die of carbon monoxide poisoning! Of course this is all covered up by the government so you won't hear it in the news or anywhere.

    Despite working so much, I was paid less than minimum wage when accounting for all the hours I worked. My entire night was consolidated and paid as "on call allowance" which is a fixed rate of $40/night. Minimum wage is $9/hour in my country and I was earning about 6

  56. I want to be a doctor but I really hope that I won't have to do 24 h shifts at that time… And I wish the doctors would stand up and demonstrate against it! That's inhumane and there is no reason. Why they should work that long its not good for the doctor and also not for the patients.
    I live in Europe und you are right doctors can sign something so that they can work longer but I really don't understand these doctors… I can't belive that they really want to work that long! I mean even if you like your job you also like to have some freetime and SLEEP! They obviously sign it just because of peer pressure or money!
    But you can't live your whole life without enough sleep… One day your body and mind will say stop und you are burnt out or have a depression and than you have to have time for sleeping ect und the country has to pay for you because you are sick and not able to work anymore or at least for some time… But these are things that could easily be prevented by hiring more doctors so that they can do 8 h shifts… In Austria for example so many people want to become a doctor ( in Graz there have been 3600 people who applied at the University and they take only ~ 300) so if they would educate more people they have more doctors and then these doctors could work 8 h shifts!

  57. It should be illegal like they do with pilots. Better digital files should be kept of patients and hospitals should spend more on staff. It's not humane for the doctors and it's too risky for patients. 12 continuous hours a day should be the extreme maximum, unless you have a public calamity/disaster.

  58. When you are sleep deprived, you often forget information so is this really good for handover anyway? I would rather more handover but with someone who is awake and alert and is remembering key things about a patient then a sleep deprived person trying to handover information. Especially if all the charting wasn’t done or something was forgotten and not written down due to exhaustion.

  59. I get tired and start making mistakes after 10h of working. There is no way i could work 24h. And tbh i dont even want that a doctor takes care of me when he was awake for so long

  60. I think it’s too much. If our lives are in your hands I don’t want to hear you are half asleep at the wheel. It’s crazy being a doctor so I don’t want sleep stopping you

  61. I think it would be interesting in comparing patient outcomes from different countries who have different weekly work hour limits. Evidence is already there that support why working long hours affect performance. I think it will be beneficial if literature was circulated that support a cap in work hours and positive patient outcomes and workplace productivity.

  62. I personally hope that these long shifts become much more of a rare occurrence. I am from the US and in veterinary medical school, so my experience is certainly different but I think any human body going through these types of hours reacts the same. I find that if it’s just one day of an excessively long shift (think 24 hour call shift) then performance doesn’t seem to suffer too terribly much because you’ve got rest from the days before and have time to recover in the days after. When you’re excessively overworked and doing 3+ day long call shifts a week there’s just no time for your body to recover. I wouldn’t suggest outlawing these long shifts in the same way that the aviation industry has because in medicine we can’t just “ground the plane” until someone is rested enough to work. Maybe don’t purposely schedule these long shifts and try our best to make them a rare occurrence but allow them to happen if there is an unexpectedly under staffed day, an outside emergency that requires all hands on deck, etc. Thanks for the insight in this video, I have enjoyed seeing how the Canadian (and human side) of medicine works!

  63. I totally disagree with you, Siobhan. Doctors should be able to do 72 hours straight without a problem. I don't know what makes me think that. I think your enthusiasm partly

  64. My husband got into an accident. The passagers went on a red going over the speed limit while he was traveling on green.
    She was in a prius and he was in a toyota truck. His car was in a big wreck spun out of control and took a light post with him. She had a impact in the front while his car gone. She got a broken arm and my husband messed up his back due to this accident.
    She was a nurse who was trying to arrive at work. She had no insurance and was crying that he crashed her.
    Luckily he had witnesses. People waiting for the bus at 6am thank god for them.

    Please be careful! Im very lucky my husband is still with me..if you saw the truck you wouldnt believe a prius did that. Accident happen so fast. My husband had a rupture in his disk btw* he managed to get out by breaking his own window and running bc it smelled like gas and he believe he was a goner!

  65. You gave stats for medical personal being effected by their own lack of sleep, but how many patients have been effected by their doctor’s lack of sleep? I would think that’s a pretty important stat too. 🙂

  66. Here in Germany we have strict rules for wrk hours … that interestingly exclude the medical sector. While I am only allowed to work for at maximum 10h a day and 40h a week, that is not true for medical professionals and I find this alarming. Actually the system tends to implement a kind of modern slavery where when you speak up the pear pressure gets you. I am concerned to be treated by a medic who has worked for longer than 10h.

  67. This is exactly why I have mixed feelings about going to medical field. I just don't do well when I sleep less than 6 hours. I have always wonder WHY it has to he like this for doctors. Keep in mind both of my parents are doctors and these long night shifts they did paid a toll on their bodies. My mother suffers from insomnia and needs medication to sleep. It is sad to see how someone who wants to help cure others is being illed (in the long-term) while trying to do it.

    Thank you for bringing this to discussion. I love watching your videos but I feel this aspect of the medical career is simply not humane

    Excuse my grammar but English is not my first language

  68. In march 2019 i had a time when I literally couldn't sleep for a week. A whole week. I have no idea why. I lied in bed and only stared in a wall. On saturday morning I had a flight. Then waiting intil 11:45PM to get in the buss and travel 12h straight. I got a bit sleep in a buss but the morning I had a fly was disaster. I looked at myself in a mirror and I was shocked. I couldn't belive I have whole travel before me. I looked and felt like I've been doing drugs for a whole week.
    So.. not sleeping I a week – highly NOT recommended.

  69. As a med student, I’m most definitely glad that residents in Switzerland don’t have 80-hour weeks (anymore). Don’t think I could do it. People still frequently work more than legally allowed (50h/week), but things have gotten much better. No 26h call shifts for me!

  70. 2:40 the EU working time directive is a joke, almost all big companies sneak a waiver into their job contracts nowadays. It is only rigidly enforced for drivers who have their own directive.

    Personally, I think certainly truck drivers, train drivers & likely pilots merit maximum shifts more than other professions, I can't speak for doctors, but I am a structural engineer, however when I was younger I was a truck driver, and I must say, I could sooner do a 24 hr shift in building design, than a 12hr shift behind the wheel.

    The type of concentration involved is different, unless you're a surgeon I imagine you will get mental 'breaks' between pages, and you can work to your own pace to a point, whereas if your driving a truck or train, whilst the mental load is potentially less, it is constant, a uninterrupted constant tick over off 'attention' is required, which, in my experience is far more mentally draining than most any type of work.

  71. It's ironic if a doctor tells you to eat right, cut down on caffeine, get adequate amounts of sleep when they are up working for 12, 16, or 24+ hours slamming caffeine and going through adrenal burnout. It is a systemic abuse of employees and you need to stand up for your health, especially in the medical field; people depend on you.

  72. I always have fast heart rate, trouble breathing and get dizzy if I even try to stay up close to 24 hours. Sometimes I even black out some. I watched most if not all of your videos and I dont see it affect you much but I would still prefer 16 hours max for anyone medical

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