Traditional 24-hour call occurs on one four-week block in the PGY-3 year on Neonatal Resuscitation/NICU.
All other months are covered by a night float system for med/peds and OB services.
TFM has had a night float system since 1989. On the med/peds services; R2 and R3 residents take 5 days (Sunday to Thursday) or weekend (Friday and Saturday) night shifts. OB night float is 7 days in a row.
Med/Peds night float is 6:00pm-6:30am.
OB night float is 8:00pm-9:00am.
Coverage of hand-off time, peak admission hours, and shift change admissions are protected by a senior resident on swing and a day-shift resident.
Each ends in a structured hand off report. The night float experience is designed to encourage greater autonomy, while having safety nets of in house laborists, intensivists, adult and pediatric hospitalists.