December 4, 2013

The Oral Patient Presentation in the Era of Night Float AdmissionsCredit and Critique

Author Affiliations
  • 1Department of Medicine, University of California, San Francisco
  • 2Medical Service, San Francisco Veterans Affairs Medical Center

Copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA. 2013;310(21):2247-2248. doi:10.1001/jama.2013.282322

The oral presentation has been the mainstay of trainee evaluation for decades.1,2 But this ritual sometimes involves the presentation of a patient who has not yet been seen by any physician on the primary service. The increasing use of night float systems in response to resident work hour limits over the past decade has made it increasingly likely that the patient being presented to the team on morning rounds has already been evaluated by someone in the same specialty other than the primary team. This scenario calls into question the purpose of the oral presentation and challenges educators to advocate for a format that preserves the value of the presentation in a dynamic clinical environment.

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