Letters Section Editor: Robert M. Golub, MD, Senior Editor.
In Reply: In our study, we emphasized that the laboratory-based tests we chose precluded us from “draw[ing] firm conclusions about the degree of training-related impairment associated with actual medical tasks or medical decision making.” Nevertheless, residents have consistently identified drowsy driving as a specific concern,1 and results of a recent prospective, large-scale survey study supported this concern, finding a 2.3 times greater risk for a motor vehicle crash after working an extended shift (≥24 hours).2 Thus, drowsy driving is a significant issue for sleepy residents.
Arnedt JT, Owens JA, Carskadon MA. Heavy Night Call vs Alcohol Ingestion in Residents—Reply. JAMA. 2006;295(2):162-163. doi:10.1001/jama.295.2.162-b