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Twelve Tips for Improving the General Surgery Resident Night Float Experience. WMJ 2015 Jun;114(3):110-5



Pubmed ID


Scopus ID

2-s2.0-84930985516 (requires institutional sign-in at Scopus site)   5 Citations


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.

Author List

Rentea RM, Forrester JA, Kugler NW, Dua A, Webb TP


Nathan W. Kugler MD Assistant Professor in the Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Attitude of Health Personnel
Education, Medical, Graduate
General Surgery
Internship and Residency
Night Care
Personnel Staffing and Scheduling
Quality Improvement
Work Schedule Tolerance