Date Issued: 06/24/2012
Prior Revision Date:
Date Reviewed and Revised:

Internal Medicine Wards Night Float Curriculum

Department:  Internal Medicine
Faculty Director: Mark Feldman, MD, Chairman, Department of Internal Medicine
Hospital: Texas Health Presbyterian Hospital Dallas
Length of Rotation: 4 weeks
Maximum number of residents: 2 (PGY-1 only); each PGY-1 will do the rotation twice
First Day Contact: Upper level resident on call
First Day Time: To be arranged
First Day Place: Intenral Medicine Wards

Vacation: 5 workdays within the 2 months of rotation. 5 workdays in a row (workdays include weekends) or any combination of 5 workdays split between the two months is acceptable.

Hours: 10:00 p.m. to 9:00 a.m.

  1. Course Description:
  2. During the month, the night float PGY-1 resident will provide overnight coverage on the internal medicine ward service, working with the upper level resident (PGY-2 or PGY-3) on call. Duties include admitting patients between midnight and 8:00 a.m., cross-covering patients for all PGY-1's between midnight and 8:00 a.m., covering codes with teh upper level resident between midnight and 8:00 a.m., and ensuring smooth transition of care of patients back to the primary PGY-1 on the post-call morning.

  3. Course Goals and Objectives: (based on ACGME competencies for resident education)

Patient Care: Residents are expected to provide care that is compassionate, appropriate and effective for the promotion of health, prevention of illness, treatment of disease and at the end of life.


Medical Knowledge: Residents are expected to demonstrate knowledge of established and evolving biomedical, clinical and social sciences, and the application of their knowledge to patient care and the education of others.


Practice-Based Learning and Improvement: Residents are expected to be able to use scientific evidence and methods to investigate, evaluate, and improve patient care practices:


Interpersonal and Communication Skills : Residents are expected to demonstrate interpersonal and communication skills that enable them to establish and maintain professional relationships with patients, families and other members of health care teams.


Professionalism:  Residents are expected to demonstrate behaviors that reflect a commitment to continuous professional development, ethical practice, an understanding and sensitivity to diversity and a responsible attitude toward their patients, their profession, and society.


Systems-Based Practice: Residents are expected to demonstrate both an understanding of the contexts and systems in which health care is provided, and the ability to apply this knowledge to improve and optimize health care.


III. Methods of instruction:

    1. Didactic (schedule, topic, faculty)
    2. Daily residents conference 12:00-1:00 p.m. - IM Training Room
      Wednesday mornings 7:30-8:00 a.m. - Clinical Ground Rounds - IM Training Room
      Wednesday afternoons 12:15-1:00 p.m. - Grand Rounds - Haggar Hall

    3. Clinical
In the ER, the PGY-1 resident is assigned to an Emergency Medicine physician with whom s/he is expected to work closely. The resident is expected to attned every noon conference except when working night shifts. On the night float rotation the PGY-1 resident will be supervised by the PGY-2 or PGY-3 resident on call as well as by attending physicians with whom s/he admits patients. 

C. Patient Logs

The intern will submit Patient Logs of patients admitted (not those cross-covered).