Caffeine is the most widely used drug in the world. That's right, drug,

[How much to prescribe is an open question.] The absurdity of this is that a lot of times we're put in a position of saying, 'Well, I guess we'll just give them half the adult dose,' ... We're sort of flying by the seat of our pants here.

We have to continue to educate doctors-in-training, and we should help them develop sleep risk-management strategies,

There's a risk to the resident doctors, and there's a risk to people that residents may crash into on the way home.

We have to continue to educate doctors-in-training, and we should help them develop sleep risk-management strategies. This is particularly important since our study shows that many sleep-starved residents don't recognize that they're impaired.

The take-home message here is that the repercussions of fatigue on residents are considerable. This is a national problem, and we shouldn't consider it solved by an 80-hour cap on hours.