The residency has made the transition from 24 hour calls to a night float system. There was an awkward transitional phase where interns were on a night float system but PGY-2 and 3s were doing 24 hour calls but that’s over now and the program now fully embraces the night float system that has been slowly forced upon us by our ACGME overlords. Over the past few weeks I’ve been in on a few meetings with the residency director about how to improve the work hours compliance in the NICU as well as how to make sign-out more efficient. One topic in particular has come up in these meetings that I found interesting and wondered what the Medblr community thought about it:
- Our residents work more hours (On a weekly basis) now than when we did 24 hour calls. There have been many articles written about this but nobody who makes the rules seems to really be thinking about it. The ACGME is phasing out 24 hour calls because long work hours lead to fatigued residents making mistakes. Medblr residents, would you rather do 24 hour calls or use a night float system? Which does your program currently use?