Overnight supervision of internal medicine residents has traditionally been indirect1 and provided by a physician outside the hospital. During the past 15 years, the complexity and volume of overnight inpatient medical services have increased.2,3 This, coupled with data that increased resident supervision is associated with improved patient safety,4 has led many teaching hospitals to employ hospitalists in-house overnight (nocturnists).1,5
Catalanotti JS, O’Connor AB, Kisielewski M, Chick DA, Fletcher KE. Association Between Nocturnist Supervision and Perceived Overnight Supervision Adequacy Among Internal Medicine Residents in the US. JAMA. 2020;323(14):1407–1409. doi:10.1001/jama.2020.0875
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