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Drew Dawson, PhD; Phyllis Zee, MD, PhD

JAMA. 2005;294:1104-1106.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

While there is little doubt that physicians-in-training work long hours and experience chronic sleep restriction over many years, the consequences remain unclear. There is not yet a significant body of evidence-based data clearly delineating the relationship between work patterns, sleep duration, and patient safety or practitioner well-being. On the contrary, anecdote and economics have driven much of the public debate over the legitimacy and necessity for extended work hours and any presumed impact on health care consumers and practitioners.

In this issue of JAMA, 2 articles make a significant contribution to a more informed debate. The first article by Fletcher and colleagues¹ reviews the impact of restricted working hours on physicians’ well-being and professional competency. This review focuses on describing the types of interventions by specialty and by subsequent impact.

At best, the cited studies can be characterized as naive examples of . . . [Full Text of this Article]

Author Affiliations: Centre for Sleep Research, University of South Australia, Adelaide, South Australia (Dr Dawson); and Feinberg School of Medicine, Department of Neurology, Northwestern University, Chicago, Ill (Dr Zee).

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