Evidence map›Paper›PMID 40615743›Full record

ReviewInternal and emergency medicine2026

Rethinking shifts: shift length, diurnal variability, and long-term health risks for emergency medicine physicians.

Nour Khatib, Anna Kempinska, Helen Levin, Tim Lynch, Nura Khattab, Kim DeSouza, Eric Heymann, Rodrick Lim

Abstract readReview
PubMed Publisher
In one paragraph

Review in Internal and emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nour KhatibDepartment of Family and Community Medicine, University of Toronto, Toronto, Canada.
Anna KempinskaDepartment of Paediatrics, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.
Helen LevinDepartment of Paediatrics, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.
Tim LynchDepartment of Paediatrics, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada.
Nura KhattabFaculty of Medicine, University of Toronto, Toronto, Canada.
Kim DeSouzaDepartment of Family and Community Medicine, University of Toronto, Toronto, Canada.
Eric HeymannDepartment of Emergency Medicine, Neuchâtel Cantonal Hospital, Neuchâtel, Switzerland.
Rodrick LimDepartment of Paediatrics, Schulich School of Medicine & Dentistry, University of Western Ontario, London, ON, Canada. rod.lim@lhsc.on.ca.ORCID http://orcid.org/0000-0002-7157-4963

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emergency physicians are experts in managing critical conditions in a fast-paced everchanging environment. They deliver continuous 24/7 care and are the entry point to the healthcare system for many patients. It is essential to have healthy, alert and skilled emergency physicians at all times of the day and yet they face the physical and mental challenges of shift work. This article aims to explore the current literature on emergency department (ED) shiftwork, the mental well-being and physical implications of shift work and offer strategies to mitigate its detrimental effects on emergency physicians.

Indexed as

Circadian RhythmEmergency MedicinePhysiciansShift Work ScheduleWork Schedule ToleranceEmergency Service, HospitalHumansCircadian rhythmEmergency doctorHealthMental healthShift workWellbeingWellness

Identifiers

PMID40615743

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.