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Working the night shift: evidence-based practice?
  1. Lois Brand
  1. Emergency Department, John Radcliffe Hospital, Oxford, UK
  1. Correspondence to Lois Brand, Emergency Department, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK; lois.brand{at}warwick.ac.uk

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The emergency department is a 24 h environment and shift work has been a fact of life for junior emergency department doctors for decades. The European Working Time Directive, rising numbers of patients and the desirability of more senior medical cover overnight means that a junior doctor wishing to specialise in emergency medicine (EM) faces the prospect of nearly a decade of full-shift working. There is a wealth of evidence regarding best practice for working night shifts, mainly from non-medical …

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