Neonatal Intensive Care Unit Faces Challenges with 24-Hour Shift Practices
The practice of 24-hour in-house calls for attending physicians and learners in neonatal intensive care units (NICUs) is under scrutiny. Historically, these extended shifts were common, but recent changes have seen a shift towards shorter working hours for learners, eliminating post-call rounding. This change is driven by updated ACGME work hour regulations, a focus on learner wellness, and efforts to minimize errors due to fatigue. Despite these changes for learners, many attending neonatologists continue to work 24-hour shifts, raising questions about the sustainability of such practices. Concerns are growing about whether these long shifts will deter residents from pursuing neonatology, given the potential impact on work-life balance and the risk of burnout. The commentary highlights the perspectives of various stakeholders, including residents, fellows, training programs, and the broader neonatal-perinatal medicine workforce. 
