Night Shift Education

[katied912]

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My program just went to a night shift schedule from call due to the work hour restrictions and the PD is concerned that the night shift residents aren't making it to educational conferences. She would like to set up specific night shift education. For you guys that have had night shift/float for a while, did you have any set night shift education/curriculum? Did you try any new or unique to educate residents at night. Thanks for your input!

 

[gutonc]

My program just went to a night shift schedule from call due to the work hour restrictions and the PD is concerned that the night shift residents aren't making it to educational conferences. She would like to set up specific night shift education. For you guys that have had night shift/float for a while, did you have any set night shift education/curriculum? Did you try any new or unique to educate residents at night. Thanks for your input!

Nope. About the best that happens is that NF rounds on the new admits with the accepting team and hopefully gets some teaching from the attending.

But I honestly don't think it's that big of a deal. In the old Q3/4/5/whatever system, we never went to morning report or noon conference on post-call days anyway. I don't think the number of total missed conferences is going to be much different than it used to be...you'll just be missing more of them in a row.

 

[Smurfette]

No. my program had educational conferences starting basically at the end of NF's shift, in order to get them to attend. And they shifted NF's start time on those days to follow the "10 hour" rule (so the day team had to occasionally stay an extra hour).

 

[Lynda]

on one of my offservice rotations the chief resident on nights would pick a topic each night and either present an article about it or review the guidelines (it was OB so she would pick ACOG landmark articles and guidelines) and after morning checkout she would take 5 minutes to summarize it for the offgoing and oncoming residents. it took her actually being motivated to do it, but as the chief she had lots of free time during the night shift, and none of us on night shift minded because it only kept us 5 minutes after. i thought it was really effective way to get even a minimal amount of education everyday.
as far as my department we have conferences weekly from 8am to noon and the goal is for people coming off nights (uper levels end shifts at 7am interns at 8am) we should all attend. i personally cannot stay awake for 4 hours of lectures after a night shift so i rarely actually attend, but the thought was there from the program.

 

[Law2Doc]

My program just went to a night shift schedule from call due to the work hour restrictions and the PD is concerned that the night shift residents aren't making it to educational conferences. She would like to set up specific night shift education. For you guys that have had night shift/float for a while, did you have any set night shift education/curriculum? Did you try any new or unique to educate residents at night. Thanks for your input!

My night float shifts are/were generally followed by am conference, which we were supposed to stay on and attend. I'd say you get about zero value out of a lecture after a busy overnight shift, but by merely having attendance at these conferences apparently makes ACGME happy. You just learn to sleep with your eyes open. Night education didn't make much sense because you were generally on by yourself and so it would be pointless to have a lecture for one person who would be distracted with pagers the whole time.

 

[QofQuimica]

We just attend the regular morning conferences after the night shift. I'm usually able to handle going to lecture after a night shift pretty well. Seems to me that whenever I doze off, I probably would have dozed off during that lecture even if I'd been on the day shift. Just sayin'.

 

[Socrates25]

Isnt there some kind of ACGME requirement that night shift "education" has to be directed by an attending? We have our attendings do educational sessions at the beginning of every night shift for about 30 mins or so before they take over clinical duties

 

[Law2Doc]

Isnt there some kind of ACGME requirement that night shift "education" has to be directed by an attending? We have our attendings do educational sessions at the beginning of every night shift for about 30 mins or so before they take over clinical duties

I don't think there's any requirement for night shift education per se, just that all residents need to be provided a certain number of didactic hours and that attendance has to be at a certain level. Thus night shifters who stay on for the am conference meets most requirements so long as they get 10 hours off after.