I know that the EM burnout myth revolves around those docs who are EM trained and those that aren't. I know that the convention says that EM trained docs don't suffer the same burnout because its just "what they do." I can accept all of that but there are some real issues with shift work as people age. It's been shown time and time again that shift work shortens your life expectancy. What I'd like to know, especially from veteran EM docs, is what kind of concessions or adjustments do you make as you grow older? This particular issue is my greatest worry right now as I contemplate EM as a career. Will I still be up for working nights when I'm 45, 55, or 65? I assume that as time goes along most cut back on their shifts and pick up more administrative duties, but I'd like to hear from people who know what happens.