We use cookies, including third-party cookies from Google to serve personalized ads through AdSense, to operate this site and understand how it is used. By continuing to browse, you accept this use. See our Privacy Policy and Terms of Use for details, including how to opt out of personalized advertising.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: Do Overworked Medical Interns Cause Medical Errors? Let’s Sleep on It.
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Business > Hospital Administration > Do Overworked Medical Interns Cause Medical Errors? Let’s Sleep on It.
Hospital AdministrationMedical Education

Do Overworked Medical Interns Cause Medical Errors? Let’s Sleep on It.

Michael Kirsch
Michael Kirsch
Share
7 Min Read
SHARE

As of this writing, 5 air traffic controllers have been found asleep at the switch. By the time this piece is posted, several others may have joined the slumber party. Keep in mind, there’s a lot more snoozing in the towers than we’re aware of. We don’t know the denominator here. Our wise reactive government has recently issued orders that airport control towers must not be manned by only one individual. Somehow, prior to NappingGate, our bloated and inefficient government that is riddled with redundancy thought that one sole guy watching the radar at night was sufficient.

As of this writing, 5 air traffic controllers have been found asleep at the switch. By the time this piece is posted, several others may have joined the slumber party. Keep in mind, there’s a lot more snoozing in the towers than we’re aware of. We don’t know the denominator here. Our wise reactive government has recently issued orders that airport control towers must not be manned by only one individual. Somehow, prior to NappingGate, our bloated and inefficient government that is riddled with redundancy thought that one sole guy watching the radar at night was sufficient.
There are some jobs where nodding off poses no risk. Let me test my readers’ acumen on this issue. Which of the following professions would not be at risk if an unscheduled siesta occurred?

  • A race car driver
  • A congressman
  • A circus clown (not to be confused with above listing)
  • A lawyer (not to be confused with the above listing)
  • A school bus driver

Let’s face it. Some folks on the job simply can’t safely snore their way through it. We don’t want New York City taxi drivers to fall asleep while they are swerving through midtown. We don’t want a navy pilot who is racing through the sky to catch some ZZZs. And, we don’t want a surgeon to have to be nudged into consciousness while he is performing some task within an abdomen.

We don’t know yet the reasons why folks are sleeping in the air traffic control towers. Maybe it’s the soft music they play. Perhaps, the sounds of incoming aircraft have a hypnotic effect. Or, maybe they’re just tired.

More Read

frequent ER users
Myth: Frequent ER Users Don’t Use Primary Care
Mental Care: Practical Preparation to Pass the MCAT Exams
Balancing Smart Data With Cybersecurity for Hospitals
How to Train Your Dragon: Patient Documentation in the 21st Century
6 Low-Cost, Highly Effective Ways to Boost Staff Morale in Your Healthcare Practice

Indeed, the issue of control tower fatigue has been raised, among other potential explanations. It may be that their assigned work schedules are too demanding, and there are not sufficient work breaks. We’ll find out. Most of us who enjoying the luxury and comfort of air travel (turn on guffaw track now) are hoping that the air traffic controller who is guiding our plane to the runway is reasonably alert. However, I shouldn’t assume this. Choose from the following 2 statements.

I prefer that my air traffic controller be alert and well rested.

I prefer that my air traffic controller be in the 36th hour of his shift, with only a few pockets of interrupted sleep. I feel safe knowing that this battle hardened professional is prepared for any adversity. I don’t want some softie managing the radar. I want a tough guy who will do his job regardless of how fatigued and stuporous he is.

I’m afraid that many readers are now stuck, as they are agonizing over the above choice. If after 15 minutes, you still cannot choose an answer, then move on. You will have time later to return to this question.

The issue of fatigue is now recognized to be an important issue in the training of medical interns and residents. I remember when the tragic Libby Zion case in New York City occurred in 1984, which we all hoped would lead to reform in medical education. It is amazing how entrenched the medical education system is, and how difficult it is to modify it. New rules were issued to allow interns and residents more sleep and some mandatory time off, but there were exceptions and loopholes that are still used today. This was not simply an effort to introduce humanity into medical training. Relieving overworked medical interns and residents was designed to reduce medical errors and reduce medical malpractice.  Even if I can’t prove it, I maintain that a rested medical intern is more likely to avoid medical errors.

Why do so many still want medical interns and residents to work when they are exhausted? Is it for cheap labor for hospitals? Is it to test their mettle for when they become real doctors? Is it really so interns don’t ‘sign off’ at 5 pm and miss the natural history of their patients’ diseases? Are program directors trying to minimize patient ‘hand offs’ by having medical housestaff work extended hours? Or, do some senior physician educators advocate arduous work schedules because they endured it in their time?

All of the above reasons, and others I may have overlooked, can be refuted with sensible reforms, and everybody knows it. Sure, practicing doctors have to be sharp in the middle of the night, and we are. But, most nights we sleep comfortably at home. I don’t think the fatigue and ongoing sleep deprivation I suffered as a medical resident was necessary preparation for the nocturnal care that I am called to render now, from time to time.

I know that many physicians have strong opinions that oppose mine. I hope that they and others will express themselves here. I would like to close this post with the irrefutable evidence that supports my argument, but I feel myself starting to nod off. No worries. When a blogger bugs out for a few minutes, no one gets hurt.

TAGGED:hospitalsinternsmedical residents
Share This Article
Facebook Copy Link Print
Share

Stay Connected

1.5KFollowersLike
4.5KFollowersFollow
2.8KFollowersPin
136KSubscribersSubscribe

Latest News

How Road Trauma Injuries Place Demands on Healthcare That Go Beyond the Examination Room  -- AI-generated illustration
How Road Trauma Injuries Place Demands on Healthcare That Go Beyond the Examination Room 
Global Healthcare Policy & Law
October 15, 2026
Why Music Gives The Brain A Workout -- AI-generated illustration
Why Music Gives The Brain A Workout
Infographics Wellness
October 14, 2026
A Hydration And Heat Guide For Youth Cheer -- AI-generated illustration
A Hydration And Heat Guide For Youth Cheer
Infographics
October 13, 2026
Flat editorial illustration: Core relationship is dual-track recovery where family support improves outcomes only when families m
Supporting a Loved One Through Addiction Recovery
Addiction Recovery
October 13, 2026

You Might also Like

Physicians Are Your Top Brand Ambassadors!

February 13, 2015
ePatients
Global HealthcareHealth ReformHospital AdministrationMedical EducationMedical InnovationsMedical RecordsMobile HealthPublic HealthRemote DiagnosticsSocial Media

ePatients: What’s the Big Deal?

March 15, 2013
passive patient
Hospital Administration

Is the CEO of the Cleveland Clinic Serious When He Says “No More Passive Patients”?

August 8, 2013

Patient Recovery: It Takes a Village

January 22, 2014
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2026 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?