Twelve Tips for Improving the General Surgery Resident Night Float Experience.

نویسندگان

  • Rebecca M Rentea
  • Jared A Forrester
  • Nathan W Kugler
  • Anahita Dua
  • Travis P Webb
چکیده

Restriction of resident duty hours has resulted in the implementation of night float systems in surgical and medical programs. Many papers have examined the benefits and structure of night float, but few have addressed patient safety issues, quality patient care, and the impact on the residency education system. The objective of this review is to provide practical tips to optimize the night float experience for resident training while continuing to emphasize patient care. The tips provided are based on the experiences and reflections of residents, supervising staff, group discussions, and the available literature in a hospital-based general surgery residency program. Utilizing these resources, we concluded that the night float system addresses resident work hour restrictions; however, it ultimately creates new issues. Adaptations will help achieve a balance between resident education and patient safety.

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منابع مشابه

Quality of life and educational benefit among orthopedic surgery residents: a prospective, multicentre comparison of the night float and the standard call systems.

BACKGROUND Given recent evolving guidelines regarding postcall clinical relief of residents and emphasis on quality of life, novel strategies are required for implementing call schedules. The night float system has been used by some institutions as a strategy to decrease the burden of call on resident quality of life in level-1 trauma centres. The purpose of this study was to determine whether ...

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Implementation of a novel night float call system: resident satisfaction and quality of life.

BACKGROUND Compliance with Professional Association of Internes and Residents of Ontario duty hour guidelines has been problematic at our institution. To facilitate orthopedic residents' ability to go home postcall without significant disruption of ongoing clinical activities, a novel call system was adopted at our tertiary care centre. We sought to evaluate the satisfaction and quality of life...

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Effects of Fatigue on Driving Safety: A Comparison of Brake Reaction Times in Night Float and Postcall Physicians in Training.

BACKGROUND Concerns about duty hour and resident safety have fostered discussion about postshift fatigue and driving impairment. OBJECTIVE We assessed how converting to a night float schedule for overnight coverage affected driving safety for trainees. METHODS Brake reaction times were measured for internal medicine and orthopaedic surgery resident volunteers after a traditional 28-hour cal...

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Resident duty hour modification affects perceptions in medical education, general wellness, and ability to provide patient care

BACKGROUND Resident duty hours have recently been under criticism, with concerns for resident and patient well-being. Historically, call shifts have been long, and some residency training programs have now restricted shift lengths. Data and opinions about the effects of such restrictions are conflicting. The Internal Medicine Residency Program at Dalhousie University recently moved from a tradi...

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University of North Dakota School of Medicine and Health Sciences. Medical Student Education Council.

4. Policy 1. During night float assignments, continuous duties should not exceed twelve (12) hours. 2. Night float assignments must be separated by at least eight (8) hours of non-patient care duties. 3. Night floats must sign-in to the assigned attending after a night shift (see sign-in policy). 4. Night floats must provide photocopies of two senior admit notes per each 2 week float rotation. ...

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عنوان ژورنال:
  • WMJ : official publication of the State Medical Society of Wisconsin

دوره 114 3  شماره 

صفحات  -

تاریخ انتشار 2015