"Post Call" Faculty

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I have a simpleton-type of question, for which there's probably an obvious answer that will make me feel like an idiot for asking this question, but humor me, if you will, cause I've had a lousy day (Solenoid switch in my Jeep burned up today, so I'm sans-wheels until I can make time to replace it.)

Who has the responsibility of safeguarding against fatigue when y'all take call one night, after working all day, and then working the day after your call shift?  

Aren't you concerned about fatigue-induced errors?  Where's the safeguard against such errors?  Can you say that you never make errors when fatigued?  The correlation between sleep deprivation and poor judgement is well documented.  How does this play into the equation?  Is it in our patient's best interest to have a surgeon who has been on the go for nearly 36 hours making decisions, or would the patient be better off with a freshly rested physician treating him?

(Yeah, I know that was more than one question.  Sorry 'bout that.)



Jeff Brosius
Flight Paramedic, etc.
Phoenix

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