Background: Duty hour restrictions for resident physicians have led to the ubiquity of night float systems. While this change has positively influenced well-being and supervision, limited studies indicate a negative impact of night float rotations on resident education. Nocturnists have been identified as a key resource for improving the educational value of night float rotations, [...]

Background:   Internal medicine training programs have been profoundly impacted by changes in resident duty hours, workloads, and supervisory requirements. Consequentially, it has become increasingly important to re-evaluate and re-formulate traditional methods of teaching to maximize the delivery of clinical education, efficiently identifying and taking advantage of learning opportunities where they may exist.  Overnight care [...]

Background: Feedback on clinical management and diagnostic accuracy may enhance physicians’ learning and reduce diagnostic error. Residents on night admitting rotations rarely receive feedback on their clinical management and seldom have the opportunity to reflect on their patients’ clinical courses. Barriers include the lack of a structured approach to feedback and reflection, discontinuous training environments, [...]

Background: Cross cover as a new intern can be daunting. A 2019 survey of interns across medical specialties showed the majority had no formal cross cover training or experience and felt unprepared to serve in this role. (1) Residencies have been increasing night float experiences and cross cover roles with careful attention to assure duty [...]

Background: When the Accreditation Council for Graduate Medical Education established new regulations for resident work hours, this resulted in an increase in patient handoffs and discontinuity of care in residency training, necessitating resident rotations requiring night cross-cover.(1,2) The annual survey of clerkship directors in 2014 showed only 38.7% of students experience nights during their clerkship [...]

Background: Since the ACGME established duty hour limits in 2003, there has been an increasing prevalence of night float rotations in internal medicine residency training. Conferences and formal didactics are a critical component of resident education. However, residents on night float rotations typically miss these essential educational activities that are typically held during the daytime [...]