Background: The Accreditation Council for Graduate Medical Education (ACGME) sets strict guidelines governing work hours for internal medicine trainees, not to exceed 80 hours per week. Though many programs grapple with achieving adherence, few published studies report successful changes to meet these limits. Previous efforts at our institution to reduce patient census on the teaching [...]

Background: Work schedules are an important contributor to clinician satisfaction and wellbeing. Following increased work demands from the pandemic, we implemented a change to our hospitalist service structure from a “standard model” with 12-hour, 7-day on, 7-day off shifts including both rounding and admitting duties to an “admitter rounder model” which consisted of primarily 10-hour [...]