Junior otolaryngology residents in California routinely work upwards of 90 hours per week, a practice that technically violates federal rules limiting resident workweeks to 80 hours. This pattern is described as normal for trainees in procedural specialties, despite the existing regulatory cap. The discrepancy between the legal limit and actual working conditions leaves many residents without accurate records of their awake time. While other regulations exist to ensure rest periods after overtime, the high volume of hours worked during call shifts remains a persistent feature of training in these fields.