The UVA Internal Medicine Residency Program has implemented a night float system to comply with RRC mandates and reduce resident work-hours. Each inpatient rotation (except Acute Cardiology) has night float coverage 7 days a week, thereby allowing the day call teams to sign-out and spend some well-deserved time at home - sleeping in their own beds, eating dinner with their families, etc.
Non on-call interns typically sign out around 5:00 PM. Care of their patients is assumed by the on-call team until 8:00PM when the night float intern arrives. Cross-coverage occurs simultaneously with on-call duties.
On-Call Intern: 7:00AM-8:00PM or 8:00PM-7:00AM
The morning schedule is the same, with the addition of accepting new admissions from the E.D. and transfers from outside hospitals. The day typically begins with hand-off of night float admissions to the team and the short call service. These hand-offs are incorporated into the Attending Rounds. The on-call team accepts new patients until 7:00 in the evening after which they are held until the night intern arrives at 8:00PM. Cross-cover duties are signed over to the night intern. The day on-call team completes work on their patients and prepares to sign out to the night team.