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Emergency Medicine News:
doi: 10.1097/01.EEM.0000444866.76746.ed
Letter to the Editor

Letter to the Editor: A Novel Approach to Shift Work

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Editor:

Thanks for the Special Report “Is Shift Work Killing You?” (EMN 2013;35[12]:12; http://bit.ly/1fcjWGj.) As a single hospital contract group for a Level II trauma center, we have dealt with this for two decades with a novel approach.

As most good answers start with good questions, someone in our group asked, why do we start at 7 a.m.?

With a simple change of moving our start time to 4 a.m., we maintain anchor sleep, change doctors at the nadir of visits (we recognized handoffs as a safety issue 20 years ago), and avoid the sunlight effects on sleep rhythms.

Our physicians maintain mental alertness throughout their time at the helm. It's time we think inventively about sleep cycles.

Thomas Benzoni, DO

Sioux City, IA

Wolters Kluwer Health | Lippincott Williams & Wilkins

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