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A Night Float System in Nephrology Fellowship: A Mixed Methods Evaluation.

Jennifer B Plotkin1, Eric J Xu2, Derek M Fine2

  • 1Department of Medicine, University of California, Los Angeles, Los Angeles, California.

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|April 4, 2022
PubMed
Summary
This summary is machine-generated.

Nephrology fellowship night float programs are well-liked by fellows, alumni, and faculty, improving work-life balance and patient care. This study suggests considering night float implementation in other programs.

Keywords:
analysis of varianceassessmentclinical nephrologycontinuity of patient careeducationfacultyfellowshipfocus groupsmixed methodsnephrologynight floatsurveys and questionnaireswork-life balance

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Area of Science:

  • Nephrology
  • Medical Education
  • Workforce Management

Background:

  • Johns Hopkins implemented an in-house nephrology fellowship night float system to enhance work-life balance.
  • This study aimed to understand attitudes towards night float to inform future fellowship structuring.

Purpose of the Study:

  • To evaluate the attitudes of fellows, alumni, and faculty towards the nephrology fellowship night float system.
  • To guide the structuring of fellowship programs based on stakeholder feedback.

Main Methods:

  • A mixed-methods approach was employed, including surveys and a focus group.
  • Surveys utilized a five-point Likert scale and were analyzed using t-tests and ANOVA.
  • Focus group transcripts were independently reviewed by two researchers.

Main Results:

  • All groups rated patient care quality as good to excellent.
  • Fellows reported significantly higher autonomy and a positive impact of night float on the day team experience.
  • Satisfaction and preference for night float were high across all groups, with fellows being the most enthusiastic.

Conclusions:

  • The nephrology fellowship night float system is well-received and positively impacts the daytime fellow experience.
  • Alumni and faculty expressed positive views, with minor concerns regarding post-graduation call preparedness.
  • Implementation of night float in other nephrology programs is recommended, with careful assessment of resources and outcomes.