Memorial University Medical Center's department of surgery uses a night-float system to cover overnight call. The night-float team covers all new and established surgical and trauma inpatients overnight. Residents typically spend two months each year on night-float, where they gain significant experience caring for acutely ill patients and performing a variety of bedside and operating room procedures.
The PGY-1 residents work six 12-hour overnight shifts, Sunday through Friday, with Saturday nights off. The PGY-2 and PGY-3 residents work six 12-hour shifts, Saturday through Thursday, with Friday nights off. The PGY-4 and PGY-5 residents work five 12-hours shifts, Monday through Thursday, as well as one 24-hour shift on Sunday, with Fridays and Saturdays off. The night-float residents also assist the weekend rounding teams seeing floor patients on Saturdays and Sundays prior to leaving.
Residents that are not on the night-float rotation cover in-house call on the weekends. All residents not on the night-float rotation typically have every other weekend free of all clinical duties (from Friday afternoon until Monday morning). The weekends on call for PGY-1 residents consist of one of the following shifts: one five-hour shift on Friday night and one 16-hour shift on Saturday night, or two 12-hour day shifts, one on Saturday and one on Sunday. The weekends on call for PGY-2 and PGY-3 consist of one of the following shifts: one 24-hour shift on Saturday, or two 12-hour shifts, one on Friday night and one on Sunday day. The weekends on-call for PGY-4 and PGY-5 consist of one of the following shifts: one 12-hour shift on Friday night, or one 24-hour shift on Saturday. All of the above shifts are compliant with the new ACGME resident work hours restrictions for all PGY levels.