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Night Experience

When working at night, housestaff benefit from complete ancillary support and a senior resident who functions as a Medical Consultant. Current workhour regulations are carefully adhered to at OSUWMC. To minimize handoffs, which are increasingly recognized as causing almost as many errors as does physician fatigue, we have designed a day team/night team system. Regular inpatient ward teams on general medicine and subspecialty services manage their patients from 7 AM to 6 PM each week day and until work rounds are finished on weekends and holidays. At 6 PM, a dedicated night team appears and assumes responsibility for the ongoing management of the patients. Night teams work Sunday through Thursday night and have the weekend off. On the weekends, residents on inpatient services only take call from 6am to 7pm. We continue the night float theme by having interns and residents from clinic and consults cover from 6pm on 7am on Friday and Saturday night. These residents will only work one weekend of night float per month while on consults or clinic blocks.

Night Team: What's in a name? While you may catch us “slipping” and referring to this rotation as “Night Float”, we emphasize that those working at night are not simply babysitting patients but are providing essential patient care that contributes significantly to the patient’s experience and outcome, and that this care is delivered by a team—with members of the night team and day team working together. The educational experience at night is a valuable component of the overall curriculum.

Swing Shift

Each weekday evening, one senior resident stays after clinic/elective to do late admissions until midnight so the work load for night teams remains reasonable.