A national survey of on-call responsibilities and night float systems at neurological surgery residency programs.

Publication/Presentation Date

1-1-2025

Abstract

BACKGROUND: In 2003, the Accreditation Council for Graduate Medical Education instituted work-hour requirements for residents, and since that time, the response from the academic neurosurgical community has been varied. To meet these requirements, some neurosurgical training programs have implemented night float systems, but the scope of these changes remains undefined.

METHODS: We conducted a nationwide survey of neurosurgical residency training programs to evaluate the on-call structure and responsibilities of neurosurgery residents to elucidate a better understanding of the demands faced by trainees and programs alike.

RESULTS: Seventy-four neurosurgery residency training programs (67.28%) comprising 1,107 residents were represented in our data; 23 (31.08%) of these programs reported having a night float system. Compared to programs with a traditional call system, those with a night float system had a significantly higher number of residents (17.74 vs. 13.71;

CONCLUSION: Across the country, larger neurosurgical training programs with greater hospital demands have more readily adopted night float systems. The integration of advanced practice providers to enhance resident education and ensure the continuity of care emerges as a prominent trend that programs are utilizing to adapt to a changing healthcare landscape.

Volume

16

First Page

223

Last Page

223

ISSN

2229-5097

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

40656474

Department(s)

Department of Surgery

Document Type

Article

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