Fatigue also depletes frontal resources. As the workday progresses, doctors take the easier way out, ordering up fewer tests, being more likely to prescribe opiates (but not a nonproblematic drug like an anti-inflammatory, or physical therapy). Subjects are more likely to behave unethically and become less morally reflective as the day progresses, or after they’ve struggled with a cognitively challenging task. In an immensely unsettling study of emergency room doctors, the more cognitively demanding the workday (as measured by patient load), the higher the levels of implicit racial bias by the
...more
