London’s “Hospital at Night”

Hospitals in the United Kingdom are still adapting to the European Union’s Work Time Directive that in 2004 drastically reduced the number of hours physicians in training can work.  Meanwhile, many US residency programs are seeking ways to reduce resident hours to limits that scientific evidence indicates are safer than what ACGME currently allows. Reducing consecutive hours to 12-16, while maintaining and improving work productivity, patient care, and resident education is no easy t