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.

There's anxiety, battle fatigue, lack of sleep and they're miles from home. Any of those is difficult, but all of them together is bad,

[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.

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

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.