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As medical professionals, we know that sleep, overwork, and allostatic load are negative predictors of health outcomes. We also know that the prevalence of resident depression is similar to the lifetime risk of depression in the general population ( and that doctors in general are more prone to suicide than non-physicians ( In addition, many experts agree that the 2011 duty hour limitations have not produced additional improvements over the 2003 duty hour limits for patients or doctors. What is the utility in trying to show that the old way is no worse than the new way? Shouldn't we be focusing our efforts on making things better?