McClelland et al.'s survey results recognise overwhelmingly that fatigue influences not only physical and psychological wellbeing, but also personal relationships, and the ability of junior doctors to complete training-related tasks 1. Disturbingly, the majority of respondents (84.2%) stated they have felt too tired to drive home following a night shift, yet most do so anyway. It is very concerning that 57% have had an accident or near miss while driving home in a fatigued condition.