You see if you're tired you get an excuse to screw up and make mistakes. Cause if you worked only 40 hours a week then the quality goes up and doctors that work for years 60 hour work weeks and trained at every other night on call for 5-7 year residencies sucked.
Like Debakey, Thal, Denton Cooley, Sabiston, Rockwood and Green... what a bunch of cr#p.
they're trying to make doctors "shift workers" or employees and not professionals that sometimes have to dedicate themselves to their patients.
I've seen the type, they want the big bucks but not the "hassle" of seeing a "bunch of clinic" patients. In training your check off to the higher level doctor, if he's lazy and irresponsible then you're screwed either way... cause medicine is an art and a science practiced by professionals. The pencil pushers and bureaucrats are just trying to get their finger in the money pie.
The case here in the states that supposedly was the trigger for residency time limits was because of a LAZY intern/resident not wanting to tap a sick patient.... and a lazy and incompetent upper level resident not busting some balls and making the intern finish a workup. So the "I'm sleepy" excuse takes hold and a patient dies. Well if there are no doctors "available" after midnight then I guess you're going to die anyway.. so you might as well have a tired doctor than no doctor.
Preach on, brother