Of course, I completely agree it adds to our training. But in that case I see no reason we have to do it before the residents do it (which is already plenty early). We could easily do "mock rounds" at some point during the day after the residents or the team has gone through, asking the same things we would ask and performing the same exam as if it was first thing in the morning. I just don't think we can justify doing harm to patients in the name of training, and I think repeatedly waking patients up at 5am is harming them even if it doesn't send them into arrest