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Research Letter
April 14, 2020

Association Between Nocturnist Supervision and Perceived Overnight Supervision Adequacy Among Internal Medicine Residents in the US

Author Affiliations
  • 1Department of Medicine, George Washington University, Washington, DC
  • 2Department of Medicine, University of Rochester School of Medicine and Dentistry, Rochester, New York
  • 3Alliance for Academic Internal Medicine, Alexandria, Virginia
  • 4American College of Physicians, Philadelphia, Pennsylvania
  • 5Department of Medicine, Medical College of Wisconsin, Milwaukee
JAMA. 2020;323(14):1407-1409. doi:10.1001/jama.2020.0875

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

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