Abstract
To the Editor: The Perspective article by Nurok et al. in this issue of the Journal 1 is a timely one that clearly articulates the surgical profession's concerns about the effects of sleep deprivation on performance. The American College of Surgeons (ACS) agrees that fatigue has a detrimental effect on both cognitive and technical performance; however, we believe that the solution the authors offer — mandatory disclosure — is unwarranted. Rather, we maintain that surgeons should be trained to identify and address this problem. Surgeons who meet the ACS's standards of professionalism and ethics are committed to delivering safe surgical care . . .
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