Memorial University Medical Center’s department of family medicine uses the night float system to cover overnight call. The night float team covers all new and established patients. Residents spend a total of one month each year, in two-week increments, learning how to care for acutely ill medicine patients.
Kimberly Pickens, M.D., (PGY-3), explains night float.
Night float always includes two residents, a PGY-1 and a PGY-2 or PGY-3. Night float starts on Sunday and goes until Saturday morning. Both residents receive a day off (24 hours), starting on Saturday morning after each resident writes a minimum of two notes. The day off ends Sunday at 6 p.m.
Residents who are not on night float are assigned to various rotations and are responsible for covering the 24-hour day off by the night float.
All of the shifts are compliant with the new ACGME resident work-hour rest restrictions for all PGY levels.