We have had good success with the assignment of:
3 interns to MICU for one calendar month - they each rotate 7-10 days of
nightcall while the other two work days.
shifts are 9am to 9pm(days) and 9pm-9am(nights).
and 2 residents to MICU for 4 weeks - one works days and one nights. (9-
9) On Saturday, a third (different/float) resident is assigned to cover 24
hours thus allowing a 24 hour period free from duty for both the residents.
Rounds occur twice a day - at 8 AM and in late afternoon. Night team
presents/discusses their patients first, and leave after the 24 hour (plus 3
for education and transfer of information) i.e. don't stay for the entire
rounds if it runs over.
This is in compliance with 405 regs for NY and ACGME, and except for
Saturday resident allows for continuity.
Margaret D. Smith, MD
Program Director, Internal Medicine
SVCMC St. Vincent's - Manhattan
170 W. 12th Street
New York, NY 10011
We have an identical rotation, educational structure and the same resident
feedback.
> [Original Message]
> From: Alwin Steinmann
> To: ;
> Cc:
> Date: 4/9/2003 8:05:49 AM
> Subject: Re: APDIM Critical Care Night Float
>
> We provide an educational experience in two ways. First, every
> admission is discussed with the admitting service (either by phone or in
> person) and the night float residents attend our morning report from
> 7:30 - 8:30. This applies to both unit and floor night float residents.
> Independent of these educational components, the residents see
> educational value in taking care of patients at night when there is no
> one else around. They feel it promotes independence - I'm not sure
> that's an educational component that the RRC will easily buy.
>
> Al Steinmann
> Albany Medical College
>
> >>> "John O'Brien-MD" 04/08/03
> 01:52PM >>>
> What about the educational experience? Has anyone devised a way for
> formal teaching to take place? Our MICU director rounds at 10am, and
> we anticipate the night float team going home at 7am. It seems to me
> that this ends up being all service for the night float.
> JOB
>
> John M. O'Brien, MD
> Program Director, Internal Medicine
> Advocate Illinois Masonic Medical Center
>
> ----- Original Message -----
> From: "Collier, Virginia MD"
> Date: Tuesday, April 8, 2003 10:54 am
> Subject: APDIM Critical Care Night Float
>
> > I am aware of a few programs that have tried MICU or CCU night
> > float for
> > residents, but not all. Could you please advise:
> >
> > 1) Have you tried it?
> >
> > 2) Has it worked?
> >
> > 3) What are the pitfalls (other than the obvious one of
> > tradeoff/handofferrors at signout)?
> >
> >
> > Virginia U. Collier, M.D., F.A.C.P.
> > Vice Chair and Residency Program Director
> > Department of Medicine
> > Christiana Care Health System (formerly Medical Center of Delaware)
> > 1-302-733-6339
> > 1-302-733-6386 (fax)
