To accommodate shorter intern shifts (16 hours) required by the Accreditation Council for Graduate Medical Education (ACGME), a night-float cross-coverage system was put into place at Harbor–University of California, Los Angeles, Medical Center (HUMC) in July of 2011. We conducted prospective surveys to evaluate the nature and frequency of the calls received by night-float residents.
Correspondence: Dr Spellberg, Division of General Internal Medicine, Los Angeles Biomedical Research Institute at Harbor-UCLA Medical Center, 1124 West Carson St, Liu Vaccine Center, Torrance, CA 90502 (firstname.lastname@example.org).
Published Online: March 25, 2013. doi:10.1001/jamainternmed.2013.2968
Author Contributions:Study concept and design: Spellberg, Chang, and Witt. Acquisition of data: Spellberg and Sue. Analysis and interpretation of data: Spellberg, Chang, Chang, and Witt. Drafting of the manuscript: Spellberg. Critical revision of the manuscript for important intellectual content: Spellberg, Sue, Chang, Chang, and Witt. Statistical analysis: Spellberg. Administrative, technical, and material support: Spellberg, Sue, and Chang. Study supervision: Spellberg, Chang, and Witt.
Conflict of Interest Disclosures: None reported.
Additional Contributions: We thank the residents who completed the surveys for the study. Nikhil Daga, MD, Bradley Messenger, MD, and Allen Kuo, MD, all of Harbor-UCLA Medical Center disseminated and gathered the overnight call surveys. No compensation was received for these study activities.