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Invited Critique
March 2011

Peaceful Rest vs Rest in Peace: Comment on “Surgeons' Stress From Surgery and Night Duty”

Author Affiliations

Author Affiliation: Emory Center for Critical Care, Atlanta, Georgia.

Arch Surg. 2011;146(3):278-279. doi:10.1001/archsurg.2011.26a

With mitigation of trainee stress in the United States, attending surgeons have quietly shouldered increasing responsibilities both in the operating room and nighttime call. In this issue of the Archives, Yamaguchi and colleagues use questionnaires and a biochemical marker to explore the effects of the stress of operative work and of nighttime clinical responsibilities on a cohort of attending surgeons. Operative stress and nights on call lead to diminished arousal and to increased excretion of a stress marker. How should the surgical community respond?