title: Implementation of a Novel, Resident-Led, Nocturnal Curriculum.
abstract: BACKGROUND
  Duty hour restrictions for resident physicians have led to radical changes in graduate medical education, including a shift to more night float rotations. These rotations have been viewed by residents as predominantly service focused with little opportunity for formalized education.
  
  
  OBJECTIVE
  To develop and deliver a resident-driven, nocturnal curriculum to enhance the educational content and value of night float rotations.
  
  
  METHODS
  The Hospital of the University of Pennsylvania is a 695-bed, tertiary care academic medical center. Upper-level internal medicine residents developed and peer-reviewed case-based scripts designed to be delivered in 15- to 20-minute teaching sessions. We evaluated the quality of teaching using anonymous, free-response surveys.
  
  
  RESULTS
  Twenty-four scripts were developed that explored the differential diagnoses, diagnostic pitfalls, and management of clinical problems that interns frequently encounter on night float rotations. Of 83 eligible residents, 45 (54%) responded to the survey. Teaching occurred an average of 4 nights per week and was uniformly viewed as high yield and topical by night float interns.
  
  
  CONCLUSIONS
  A resident-driven, nocturnal curriculum was implemented through the use of case-based teaching scripts, allowing for delivery of a standardized curriculum that capitalizes on the teaching opportunities afforded by the night shift. This intervention may serve as a model for nocturnal education in other departments and institutions.
authors.forename: Jessica R
authors.initials: JR
authors.lastname: Golbus
authors.forename: David A
authors.initials: DA
authors.lastname: Manly
authors.forename: Katherine A
authors.initials: KA
authors.lastname: Wonneberger
authors.forename: Thomas C
authors.initials: TC
authors.lastname: Hanff
authors.forename: Kathleen M
authors.initials: KM
authors.lastname: Murphy
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Wang
authors.forename: Steven G
authors.initials: SG
authors.lastname: McKee
authors.forename: Lisa
authors.initials: L
authors.lastname: Bellini
mesh_terms: D000046:Academic Medical Centers; D003479:Curriculum; D004503:Education, Medical, Graduate; D007388:Internal Medicine / Q000193:education; D007396:Internship and Residency / Q000379:methods*; D010414:Pennsylvania; D010561:Personnel Staffing and Scheduling; D013663:Teaching / Q000379:methods*; D014940:Work Schedule Tolerance; D016526:Workload