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Previous Volume 358:2091-2093 May 15, 2008 Number 20 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Lately, I've been coming to work at midnight. You see, I've begun making late-night administrative rounds at the hospital where I am president and chief executive officer. No, I'm not nostalgic for my harrowing days as a resident. Rather, these middle-of-the-nighters are part of an initiative of mine intended to address a matter that is of increasing concern at hospitals throughout the country: the stark discrepancy in quality between daytime and nighttime inpatient services.

Like many hospital executives, I've come to appreciate the fact that I work in two distinct places, though they share the same address. One is a . . . [Full Text of this Article]

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Dr. Shulkin is the president and chief executive officer of Beth Israel Medical Center and a professor of medicine at Albert Einstein College of Medicine — both in New York.

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