Medicine is a regulated industry in that the number of people trained almost precisely matches the number of jobs available. The training process is designed to prune out people who cannot function when they have to choose between life saving procedure, and doing the life saving procedure perfectly but losing the patient. It's a straw-man I know, I'm just tired of everyone being absolutely fascinated by this idea that resting is better than not resting. Isn't that just obvious? Does anyone feel like they work better when they are tired? What knowledge are we gaining by these discussions?