I was thinking about this today. Who exactly are the hordes of residents actually working this many hours a week? I assume my training (about to start my PGY-5 year) is typical of many surgical residencies. My first few years I was probably in the hospital certain rotations for 100-110 hours/week if you include inhouse call. Most of my services @ this point are now much less time in the hospital with more 24/7 beeper call at home with a few services maybe approaching 80-90 hrs. Looking at the other residents I work with in other specialties, I know they don't work more than I do with the exception of maybe the thoracic fellows or PGY 2/3 neurosurgeon. ER residents only work ~ 12-14 days a month (and then many moonlight another 6-10 days). Medicine & the medicine fellows have somewhat irregular schedules, but they don't routinely (if ever) work 80-100 hrs/week. Then you have my friends in path,PMR,ENT,anesthesia, neurology, family practice, ortho, & opthomology & I know none of them punch in anywhere approaching 80 hrs in a normal week (especially as upper levels). Which again begs the question for me.... Are these much-malighned 100 hr work weeks oft talked about, but rarely realized outside surgery services? I tend to think so, at least based on my observations from school & during my training at a large university-based tertiary care center. Are there any upper level residents out there who would chime in on this with your experiences @ other programs?