I'm on surgery and I love it. I don't mind getting up early from sn "attitude" standpoint, but I have developed a real problem with sleep deprivation. As it stands, our hours let us have 5-6 hours of sleep per night MAX- that's assuming you go home and take a shower plus study 20-30 min. Recently I have noticed that I can and will (unintentionally) sleep through just about anything. This has nearly caused me to be late twice. I also notice that I get extremely dizzy and faint when I'm mid-call and haven't slept for close to 24 hours. So far I've managed this with lots of caffeine and trying to wiggle my toes or bite my tongue to try to stay alert. The other day, however, I felt dangerously close to passing bout in the OR to the point where I seriously considered asking permission to step out. I need to fix this! I have a great work ethic and actually enjoy putting my nose to the grindstone, but I have to find a way to tolerate this and stay in control of my sleep! I am terrified to sleep on call bc I can't use my home alarm clock (which buzzes repeatedly while basically shining a floodlight on me, lol. Don't think my call buddies would be fans.) this issue must be fairly common...suggestions?