First, thanks Dr. Waldrop, very interesting.
I would have to say that I fall into the "flexible" category, which helps
some. At 43 I can still do nights and switch OK.
I agree with Steve's suggestions. I use a "Sound Soother" to sleep and I
do nap before and after nights. Since our night starts at 11PM. I do my
pre shift napping early enough so that I'm awake by "family time" in the
evening. I have occasionally used melatonin but I haven't found it that
The Utah system appeals to me. A ten hour day, an eight hour middle, and a
6 hour overnight. I have proposed that we try that system here but many
people object to driving around a major urban area between 1 and 3 am, so
it hasn't caught on, here. Anybody have experience with such a system? I
know of one academic department that tried the extended shift change All
nights or all days in either two or three month blocks. The residents and
junior faculty liked the system but the senior faculty had problems
scheduling administrative meetings , etc , as Steve mentioned in his post.
Brent R King, M.D.
St. Christopher's Hospital for Children
"... Things fall apart; the center cannot hold;
Mere anarchy is loosed upon the world...
... The best lack all conviction, while the worst
Are full of passionate intensity..." W. B. Yeats
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