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"fatigue mitigation" OR "sleep education" OR "night medicine" OR "night float"
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Journal Articles
J Grad Med Educ (2024) 16 (6): 713–722.
Published: 13 December 2024
[email protected] 24 3 2024 26 5 2024 14 8 2024 16 8 2024 2024 Hospitalized patients who decompensate overnight experience worse outcomes than those who do so during the day. 1 - 10 Work hour restrictions and night float rotations, intended to mitigate clinician fatigue...
Includes: Supplementary data
Journal Articles
J Grad Med Educ (2024) 16 (6s): 45–48.
Published: 13 December 2024
... bedside procedures (internal medicine and pediatrics), and nocturnal curricula to enhance the educational value of night float rotations (internal medicine). 7 - 9 The implementation of a variety of different topics supports the idea that a resident-driven curriculum is a valid approach to addressing...
Journal Articles
J Grad Med Educ (2022) 14 (4): 420–430.
Published: 11 August 2022
... to a higher sense of well-being. 9 While significant focus has been shifted to fatigue mitigation at the Accreditation Council for Graduate Medical Education (ACGME) level, including significant changes to work hours and scheduling strategies and a heightened awareness of issues related to burnout...
Journal Articles
J Grad Med Educ (2022) 14 (4): 488–492.
Published: 11 August 2022
... is absent. 3 Cross-coverage responsibilities have increased in the past decade, in part due to the Accreditation Council for Graduate Medical Education (ACGME) work hour restrictions and a resultant increase in night float shifts. 4 , 5 Cross-cover is now pervasive, with one study estimating...
Includes: Supplementary data
Journal Articles
J Grad Med Educ (2021) 13 (5): 717–721.
Published: 15 October 2021
...
MD.
Impact of night-float rotation on sleep, mood, and alertness: the resident's perception .
Chronobiol Int .
2002 ;
19
( 5 ):
893 –
902 .
doi: 10.1081/cbi-120014106
6.
Basner
M...
Includes: Supplementary data
Journal Articles
J Grad Med Educ (2020) 13 (1): 113–118.
Published: 31 December 2020
... sleep in a 24-hour time frame than home call and night float (144 vs 283 vs 246 minutes, P < .001 and P < .028). IHC had significantly more steps than home call (11 245 vs 8756 steps, P = .039). The smallest number of steps was obtained when residents were not working (7904 steps). Conclusions Our...
Includes: Supplementary data
Journal Articles
J Grad Med Educ (2020) 12 (5): 578–582.
Published: 01 October 2020
... for needing a higher level of care. Postgraduate year 1 (PGY-1) residents transition patient care to a night float PGY-1 resident at 6 pm using the I-PASS method with both verbal and written communication. All residents are expected to update the written handoff sheet, including illness severity...
Journal Articles
J Grad Med Educ (2020) 12 (4): 409–411.
Published: 01 August 2020
... to a triumphant final lap with recruitment season and scores of morning reports behind us. By March, however, we could no longer ignore the whisperings of a novel virus on the other side of the world. These soon amplified into an unmistakable crescendo in the form of a page from a night float resident to our...
Journal Articles
J Grad Med Educ (2019) 11 (6): 637–648.
Published: 01 December 2019
... to provide in-person oversight, which may be ideal for direct observation and supervision. This is most challenging during time-sensitive emergency consultations and after-hours rotations, such as night float. 6 Lefrak and colleagues 8 found night float residents encountered lower resident supervision...
Journal Articles
J Grad Med Educ (2019) 11 (4s): 79–84.
Published: 01 August 2019
... as US trainees. Opportunities for improvement include duty hour reporting, fatigue mitigation, and addressing health disparities. Data were analyzed using SPSS Statistics 22 (IBM Corp, Armonk, NY). We consolidated the data, assigning strongly agree and agree responses a numerical value of 4...
Journal Articles
J Grad Med Educ (2019) 11 (3): 277–283.
Published: 01 June 2019
... that communication with nurses in the hospital setting is inadequate, 13 , 14 but evaluation of communication specifically during times of cross-cover is a relatively unexplored area. One study evaluated resident, attending, and nurse perceptions of night float rotations and found that nurses perceived suboptimal...
Includes: Supplementary data
Journal Articles
J Grad Med Educ (2019) 11 (2): 235–236.
Published: 01 April 2019
... for the first time as a second-year resident, I found the unit to be different from anywhere I had yet to encounter within medicine—a space filled with excitement, tragedy, hope, and a healthy dose of “don't do anything without discussing it with me.” My week of night float in the unit had made a particularly...
Journal Articles
J Grad Med Educ (2019) 11 (2): 214–220.
Published: 01 April 2019
... of time in ambulatory curriculum and yearly workshops) for the lowest-performing stations. A longitudinal palliative care curriculum was designed and implemented for “difficult conversations.” Structured feedback sessions between interns and senior residents were incorporated into the night float...
Includes: Supplementary data
Journal Articles
J Grad Med Educ (2019) 11 (2): 146–155.
Published: 01 April 2019
...,
Arora
VM.
Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education .
Ann Intern Med .
2010 ;
153 (
12 ):
829 –
842 . doi:
10.7326/0003-4819-153-12...
Images
in MIPS in Residency? A Look at Merit-Based Incentives in an Internal Medicine Residency Outpatient Practice
> Journal of Graduate Medical Education
Published: 01 February 2019
figure Nursing Algorithm and Resident Cross-Coverage Guide Abbreviations: PCP, primary care physician; RCP, respiratory care practitioner. a Residents scheduled on medical intensive care unit, cardiology, vacation, away rotation, or night float are generally unavailable for texts and pages. ... More about this image found in Nursing Algorithm and Resident Cross-Coverage Guide Abbreviations: PCP, pr...
Journal Articles
J Grad Med Educ (2019) 11 (1): 79–84.
Published: 01 February 2019
...figure Nursing Algorithm and Resident Cross-Coverage Guide Abbreviations: PCP, primary care physician; RCP, respiratory care practitioner. a Residents scheduled on medical intensive care unit, cardiology, vacation, away rotation, or night float are generally unavailable for texts and pages...
Includes: Supplementary data
Journal Articles
J Grad Med Educ (2018) 10 (4): 387–391.
Published: 01 August 2018
... of academic and clinical excellence, program directors and academic leaders need to be aware of the psychological and physical health of our trainees and coworkers. 1 We monitor trainees for signs of burnout, substance use, depression, and suicidal ideation; teach fatigue mitigation techniques; and offer...
Journal Articles
J Grad Med Educ (2018) 10 (4s): 25–48.
Published: 01 August 2018
... and fatigue among its residents and fellows. CLEs that have robust systems for fatigue management and mitigation should expect residents and fellows to consistently use them. When fatigue mitigation strategies are not used in a consistent manner, the CLE is at increased risk of adverse impact on patient...
Journal Articles
J Grad Med Educ (2018) 10 (1): 36–42.
Published: 01 February 2018
... both observational and experimental studies 11 , 12 and Raj 5 highlighted it in her systematic review. A majority of participants in the virtual journal club discussions emphasized that a wellness program must include more than fatigue mitigation, exercise habits, and smoking cessation...
Journal Articles
J Grad Med Educ (2017) 9 (6): 683–684.
Published: 01 December 2017
..., and improvement priorities for nearly 400 accredited programs that underwent a voluntary, self-study pilot site visit (p. 791). A nighthawk rotation, a must-call list, and reducing conflict in team members' roles improve satisfaction with a night medicine rotation (Sadowski et al, p. 755); evaluation...
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