title: How do internal medicine residency programs evaluate their resident float experiences?
abstract: OBJECTIVE
  We surveyed the nation's internal medicine residency training program directors to determine the range and frequency of existing methods by which float experiences are evaluated.
  
  
  METHODS
  We sent questionnaires to the program directors of all 396 internal medicine residency training program sites in the country. Information requested included program characteristics, months devoted to float experiences in each year of training, and the location and purpose of the rotation. Program directors were also asked to choose among descriptors characterizing the evaluative process.
  
  
  RESULTS
  There were 139 responding programs (39%), 134 with data that could be aggregated. Responding programs were similar to all programs nationally in the distributions of size and university sponsorship. Overall, 76% of programs employed a night float for any period of time, and 71% currently had one, on average for 6.7 years. Mean months of float experience during residency was 2.4 months, significantly longer in programs that were not university based. Float experiences were evaluated in 89% of those programs who employed them, with ten different methods reported. University-based programs were significantly less likely to use chart review as a method of evaluation, but no other differences in methodology were significant.
  
  
  CONCLUSIONS
  Float rotations are common among internal medicine residency training programs. Evaluative methods vary, but one or more are applied in the vast majority of programs.
authors.affiliation: Department of Medicine Monmouth Medical Center, Long Branch, NJ 07740, USA. swallach@sbhcs.com
authors.forename: Sara L
authors.initials: SL
authors.lastname: Wallach
authors.forename: Khursheed
authors.initials: K
authors.lastname: Alam
authors.forename: Nancy
authors.initials: N
authors.lastname: Diaz
authors.forename: Daniel
authors.initials: D
authors.lastname: Shine
mesh_terms: D006739:Hospital Administration; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency / Q000458:organization & administration*; D010561:Personnel Staffing and Scheduling; D011795:Surveys and Questionnaires; D014481:United States; D016526:Workload