SHM Converge Scientific Abstract ePoster Gallery-Evaluating Cross-Cover Comfort After Dedicated Night Float Experience

Pdf Summary

This document summarizes a medical education study on whether a dedicated night float/cross-cover experience improves student confidence.<br /><br />Because new resident duty-hour rules have increased handoffs and cross-cover responsibilities, the authors created a direct-care hospitalist service sub-internship with one week of supervised night float exposure. During this rotation, students handled cross-cover and overnight admissions, with the goal of preparing them for intern-year night coverage and emergencies.<br /><br />Nine students completed the experience, working five night shifts each. They rated their comfort with cross-cover tasks before and after the rotation using a Likert-style survey. Results showed statistically significant improvement in several areas, including:<br />- making clinical decisions for cross-cover patients<br />- responding to inpatient emergencies<br />- developing and communicating overnight care plans to nursing<br />- triaging whether bedside assessment was needed<br /><br />The conclusion was that supervised clinical night float training made students significantly more comfortable with all major aspects of night cross-cover. The authors argue that hospitalist-run direct care services are a strong educational setting for this kind of training and suggest adding rapid response simulations in the future.<br /><br />The page also lists related literature on duty-hour limits, night float systems, resident on-call experiences, and inpatient teaching services, reinforcing the broader educational context of the study.

Asset Subtitle

Arti D. Tewari

Meta Tag

Author List Arti D. Tewari, Ethan Molitch-Hou, Shannon K. Martin

Category Innovations

Concept Cross-Cover Care

Concept Night Float

Concept Inpatient overnight coverage

Concept Patient triage

Concept Medical Emergency

Distinguished Non-Finalist

Presenter Organization University of Chicago

Presenting Author Arti D. Tewari

Track Education

Keywords

medical education

night float

cross-cover

student confidence

hospitalist service

sub-internship

duty-hour rules

inpatient emergencies

overnight admissions

clinical training

Cross-Cover Care

Night Float

Inpatient overnight coverage

Patient triage

Medical Emergency