Implementing Night Float Systems for Nephrology Fellows: A National Survey of Nephrology Training Program Directors
James J. Rutowski, Christina M. Yuan, Fahad Saeed, Daniel W. Ross, Catherine A. Moore · 2026
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Description
James J. Rutowski and others survey, in a 2026 national study, how nephrology fellowship programs use night float systems, where trainees cover patients only at night in rotating blocks. Residency programs use night float widely for wellness and duty-hour limits, yet its spread in kidney training programs was uncharacterized.
Directors of all accredited adult nephrology fellowship programs were invited, and 77 programs responded, of which 28 used night float. Programs with night float had more fellows and covered more hospitals overnight. Most suspended continuity clinic and lecture attendance during night rotations. Directors most often praised improved trainee wellness and satisfaction, while lost clinic continuity and missed teaching were the commonest drawbacks. The authors call for balancing rest with educational continuity.
Catalog record
| CREATOR | James J. Rutowski, Christina M. Yuan, Fahad Saeed, Daniel W. Ross, Catherine A. Moore |
|---|---|
| YEAR | 2026 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 28725 |
| LICENSE | https://creativecommons.org/licenses/by/4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |