I don't understand why everyone is not in love with this idea. Sounds ideal.Apollyon said:Mt. Sinai (NYC) did, although I don't know if they still do.
I tried to institute it at Duke, and was roundly shot down.
What do you mean by "night float?" Like, a month of nights to decrease your overall nights during other ED months?trkd said:I am curious, what programs have a night float month or whatever? I heard Metrohealth is. Any others?
I thought physicians in training didn't have circadian rhythms anymorekungfufishing said:I think that learning to manage intermittent nights/circadian disruption is part of training.
I was under the impression that some programs do something in the way of a month of nights for a couple residents at a time and the rest don't do nights (or rarely do nights) until their night float month. So, for example, I do 11 months of day and evening shifts with a month (or broken into two 2-week blocks) of nights only. No?mikecwru said:What do you mean by "night float?" Like, a month of nights to decrease your overall nights during other ED months?
Metro does not do this. When I was chief, we looked into it and did the math, the month of nights (relatively painful) did not decrease your total nights per year significantly in your other months, so we thought it best to bag the idea.
Sounds sweet!margaritaboy said:Night month has worked for us pretty well.
Normally we work between 1-3 night shifts per month. Some people think the night month is painful, I actually found it pretty doable, since we get our weekends off. Not a bad deal.
I like this system because I don't like flipping back and forth between days and nights. Just my 2 cents.
I ran a military ED years ago. There were four of us. A MOD schedule covered the vacation days. So, we did a great schedule that was set for years in advance.dlung said:I did two weeks of medicine night float during my prelim year and felt very sad, lonely, and nearly insane... the R2-R3 medicine guys who do it for an entire month look miserable by the end of it... But, I suppose it could be easier in the ED since everything is more fun and happy there anyways...
How about the program in el paso now? Or have you forced all the residents to wear camoflage scrubs and calling it a "military ED"?BKN said:I ran a military ED years ago. There were four of us. A MOD schedule covered the vacation days. So, we did a great schedule that was set for years in advance.
12 hr shifts, One week of Mon, Tue, Fri, Sat, next week Sun, Wed, Thur. Repeat.
One month days, one month nights.
Point is, one night at a time or no less than 3 weeks of them for maximal circadian health.