Sleep and performance impairment

A chara, – The title of Padraig O'Morain's article "People without sleep can destroy our lives" (Health + Family, June 3rd) doesn't pull any punches. Nor should it.

While Mr O’Morain focuses on the damage done to the global economy by gung-ho, sleep-deprived financial traders and subsequent all-night government debates, I would urge your readers not to forget the work practices of Ireland’s non-consultant hospital doctors (NCHDs). It has long been recognised that the rosters under which we work are unsafe for patients.

These rosters also have grave impacts on doctors’ quality of life, as indicated by growing rates of physician burnout, increased emigration of newly qualified doctors and – tragically – car crashes and even suicides by NCHDs who had been working unsustainable hours.

Thankfully, efforts are finally being made to improve this situation, and the Irish Medical Times recently reported that compliance with the European working time directive has increased over the past year. However, many hospitals have yet to fully implement the provisions of this directive for all medical staff.

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Mr O’Morain’s article is a timely reminder that this issue must remain a priority for hospitals, the HSE and the Oireachtas, for the good of patients and doctors alike. – Is mise,

Dr HUGH ADLER,

Mount Pleasant Square,

Ranelagh,

Dublin 6.