Conclusions: Interns made substantially more serious medical errors when they worked frequent shifts of 24 hours or more than when they worked shorter shifts. Eliminating extended work shifts and reducing the number of hours interns work per week can reduce serious medical errors in the intensive care unit.
and backed up by this:
Conclusions: Eliminating interns’ extended work shifts in an intensive care unit significantly increased sleep and decreased attentional failures during night work hours.
OK, so maybe it doesn’t say they should emulate ED docs, exactly, but it makes sense to me. I wouldn’t want an ED doc who’s been up for 36 hours making my TPA decisions, and ED docs, though thought to be not too bright by the rest of the medical staff, are smart enough not to work themselves to death and to avoid the hospital whenever posiible (this excludes the sub-genus meetinglover, who lives at the hospital anyway).
Funny, I watched my dad work shifts throughout my adolesence, and said to myself “I’m going to be a professional, so I don’t have to work shifts”. And then I went into Emergency Medicine. Shifts Until Retirement.
via Kevin, MD