Letters Debate on 24 hour shifts

Working when exhausted is unacceptable

BMJ 2017; 358 doi: https://doi.org/10.1136/bmj.j4191 (Published 13 September 2017) Cite this as: BMJ 2017;358:j4191
  1. Paul D McGovern, specialty registrar in occupational health
  1. Medigold Health, Northampton NN4 7BF, UK
  1. paul.mcgovern{at}ucl.ac.uk

Stain’s argument for bringing back 24 hour shifts is underpinned by flawed premises.1 Most worrisome is the suggestion that doctors should work such shifts because they’re eventually going to do it anyway. “Bad practice to gain experience in more bad practice” is not a valid education strategy. This “toughen ’em up” approach is exemplified by Stain …

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