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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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