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Abstract Details

Effects of Implementation of a Night Float System in a Neurology Residency Program
好色先生, Research, and Methodology
P4 - Poster Session 4 (11:45 AM-12:45 PM)
7-007
To determine if implementation of a night float call system is feasible in a moderately sized neurology resident program. Secondary aim was to see if this affected Accreditation Council for Graduate Medical 好色先生 (ACGME) survey results.

As clinical demands increase for residents, it is difficult to maintain a balance between education, patient care, and resident wellness while maintaining ACGME work hour restrictions.
Single center prospective cohort study of neurology residents at a tertiary care medical center. ACGME annual survey results were reviewed before (2021-2022) and after (2022-2023) implementation of a night float system. The prior call system included 28 hour calls where: PGY-2’s average of 3-4 calls per month, PGY-3’s average 3-4 call shifts per month, and PGY-4s had  buddy call July and August. The change to a night float system assigned weeks per academic year: PGY-2s with 6-8 weeks, PGY-3’s with 6 weeks and PGY-4’s with 2 weeks.
Prior to the schedule change, residents (n=18) ‘strongly agreed’ that the amount of daily work expected is reasonable (16.7%), they have enough time to think/reflect (5.6%), and that work is a positive challenge (22.2%). There was 83% compliance with 80-hour work weeks and 44% with ≥ 4 days free in a 28 day period. After the schedule change, residents (n=17) ‘strongly agreed” that the amount of daily work expected is reasonable (60%), they have enough time to think/reflect (53.3%), and that work is a positive challenge (73.3%). There was 100% compliance with 80-hour work weeks and 80% with ≥ 4 days free in a 28 day period.
While pre-night float data may be confounded by the COVID-19 pandemic, which negatively impacted morale, transitioning to a night float system with 6 residents per class is feasible, reduced duty hour violations, and appears to improve resident wellness.
Authors/Disclosures
Samantha McMahon, DO (Jefferson University Hospital)
PRESENTER 		Dr. McMahon has nothing to disclose.
Ching Tsao, MD Dr. Tsao has nothing to disclose.
Louis Goodrich, DO (Temple University Hospital) Dr. Goodrich has received personal compensation in the range of $500-$4,999 for serving as a Consultant for EMD Serono.
Lauren Koffman, DO, MS (Temple University Hospital) Dr. Koffman has received personal compensation in the range of $10,000-$49,999 for serving as a Consultant for Law Firm. Dr. Koffman has received personal compensation in the range of $500-$4,999 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Walters Kluwer.