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16 HOURS….A new report has — once again — stated the obvious: it’s insane to require doctors to work long shifts without sleep. And — once again — not everyone agrees:

The report, produced by the Institute of Medicine, an arm of the National Academies, recommended that medical residents ideally should work no longer than 16 consecutive hours, considerably less than the 30-hour shifts now allowed.

….Dr. Mark I. Langdorf, medical director of the emergency department at UC Irvine Medical Center and associate director of the residency program, called the recommendations “nuts.”

“The problem here is balancing the need for patient safety, which I acknowledge, with the need to have the training in medicine be an apprenticeship,” he said. “It sells the educational process short to make training so intermittent that you don’t really get continuity.”

“Continuity of care” has been the excuse for 30-hour shifts forever, but I’ve never seen a single person actually make a coherent case for objecting to a five-hour nap in the middle of a shift. They just chant continuity like a mantra and expect the rest of us to believe that 30 hours is some kind of talismanic number even though it really doesn’t make any sense. Hell, I don’t think I could even blog intelligibly after 30 hours, let alone make subtle and potentially life-saving diagnostic decisions. This may be an ancient practice, but so was bleeding patients until we figured out better. It’s time to stop being idiots about this.

SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

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SIX TRUTHS

Reclaiming power from those who abuse it often starts with telling the truth. And in "This Is How Authoritarians Get Defeated," MoJo's Monika Bauerlein unpacks six truths to remember during the homestretch of an election where democracy, truth, and decency are on the line.

Truth #1: The chaos is the point.

Truth #2: Team Reality is bigger than it seems.

Truth #3: Facebook owns this.

Truth #4: When we go to work, we're in the fight.

Truth #5: It's about minority rule.

Truth #6: The only thing that can save us is…us.

Please take a moment to see how all these truths add up, because what happens in the weeks and months ahead will reverberate for at least a generation and we better be prepared.

And if you think journalism like Mother Jones'—that calls it like it is, that will never acquiesce to power, that looks where others don't—can help guide us through this historic, high-stakes moment, and you're able to right now, please help us reach our $350,000 goal by October 31 with a donation today. It's all hands on deck for democracy.

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