Background: Over the past few decades, many institutions have elected to implement night float systems in place of traditional call systems for residents. With the Accreditation Council for Graduate Medical Education enacting duty hour restrictions in 2003, these changes toward stricter work hour requirements and institution of night float systems have been found to have [...]

Background: Nocturnist turnover is high at many institutions, leaving vacant positions, with potential impact on patient care and satisfaction, as well as substantial recruitment expenses. The reasons that nocturnists choose to leave their positions, and night work in general, have not been formally studied. We sought to gain deeper understanding about the reasons for nocturnist [...]

Background: The hospitalist position has exploded in recent years to become one of the largest single groups of physicians in medicine, increasing in size by 50% from 2012 to 2018. Many early career hospitalists have limited, if any, dedicated training for the role beyond their internal medicine residencies. Accordingly, new hospitalists may have greatly varying [...]

Background: Recommended core skills for internal medicine subinterns include recognizing sick patients, knowing when to ask for help, and time management skills. ACGME duty hour restrictions have led to more resident shift work including night shifts. Working with nightfloat residents provides a unique opportunity for students to incorporate the aforementioned learning objectives through patient cross-coverage [...]