Surgery Night Float Team: Should Medical Students Have a Spot on the Roster?
AffiliationThe University of Arizona College of Medicine – Phoenix
Graduate Medical Education
MetadataShow full item record
PublisherThe University of Arizona.
DescriptionA Thesis submitted to The University of Arizona College of Medicine - Phoenix in partial fulfillment of the requirements for the Degree of Doctor of Medicine.
AbstractFollowing the trend of residency programs, more medical schools are offering night float (NF) schedules for clerkships and sub-internship rotations. The efficacy of this structure to educate students and prepare them for residency was evaluated. This study investigates the question: Is a night float surgical rotation an effective educational experience for 4th year medical students to prepare for internship in that it matches or exceeds day-shift rotations in operative and procedural opportunities, autonomy, and instructive interactions with attending physicians and residents? Twenty individuals were surveyed after a month-long 4th year NF rotation in Trauma and Emergency Surgery. Thirteen participants responded (65%), reporting more bedside procedures (84.7%) and one-on-one teaching with residents (84.7%), when compared to daytime shifts. All participants (100%) reported: increased autonomy; that this elective better prepared them for their surgical residencies; and that they would recommend this type of program to other students considering a career in surgery. Overall the NF surgical sub-internship effective and well-received, with increased autonomy, more frequent procedures, and added resident-led education, when compared to a traditional daytime surgical clerkship/sub-internship. A NF schedule can be a valuable learning experience that prepares medical students for surgical residency.