NHS doctors will typically have a significant part of their rota made up of 'long days'. The 'solution' is never 24/7, or less hyperbolic but still overly long hours, because there is a median decrease in cognitive function that
renders additional benefit from fewer handovers moot.
But as regards 'overworking', while that is certainly true for many US residents in particular, I think the majority of people would be overworked on a surgeon's schedule. Yet reducing it significantly would probably be much worse for patients and decried by surgeons. My viewpoint is mostly informed by the British neurosurgeon Henry Marsh's opinion on working hours.
Like the sibling comment said, if you are overworking then the process is broken.
The thing that I added, is that maybe the process remains broken because the employer finds it profitable.