That said, I agree that neither system is necessarily the best. The change back appears motivated by metrics to me. It helps that the metrics concur with my own clinical experience.
@tomcat@jws@33MHz@timofjungle I confess I don't buy it in the least. If there current system is problematic I'm far from convinced the solution is to go back to dangerous hours. It seems like a false dichotomy.
Having trained in both systems, I'm convinced the call system is better. This is borne out in outcome studies where errors were more frequent and educational outcomes were poorer after the move to night float.
@ClarkGoble@tomcat@jws@33MHz So...if it's both obviously unsafe and clearly worse for education to allow interns to resume taking overnight call, why are the people responsible for medical education in America doing it? Malice? Stupidity?