Nasreen J. Talib, MD, MPH, Serkan Toy, PhD, Kristen Moore, BA, Jennifer Quaintance, PhD, Vidya Sharma, MBBS, MPH, University of Missouri Kansas City School of Medicine, Children Mercy Hospital, Kansas City, MO
Background: Educational value of night call for medical students is not well studied. Numerous studies have shown that medical students greatly value the contributions of residents to their education in the clinical clerkship. Our pediatric residency program, similar to others around the country has incorporated night float system for compliance with duty hour regulations.
Objective: Assess the effect of incorporating medical students on the night float team with the residents for 5 days on their inpatient rotation on student/resident interaction and the overall educational experience for the student
Design/Methods: The intervention was a change from a scheduled 5 times a month day call (6AM-10PM) in 2008-09 academic year to a continuous 5 night calls (6 PM -7AM) in 2009-10. Included in the study were 45 students who completed their pediatric clerkship during Nov-April 2008-09 and 55 students from Nov-April 2009-10. For both groups, cognitive performance scores from the Pediatric NMBE exams, data on the number of new admissions seen by medical students from medical records, and data on overall satisfaction with the clerkship experience using a 5- point Likert scale were collected at the end of each rotation. Student's perception of time the residents spent teaching them was obtained by surveys collected weekly from the medical students in the academic year 2009-2010
Results: No statistically significant differences noted between the two different call structures on cognitive skills and overall satisfaction. Medical students in 2009-2010 group saw an increased number of admissions M 7.49 SD 3.34 compared to 2008-2009 M 6.11 SD 2.95 t=2.17 (p=.03) Cohen’s d=.44. Student perception of time residents spent teaching was not statistically significant however the perception of the quality of teaching by residents was higher on OWL team M 4.22 SD 0.73 compared to the day team M 3.88 SD 0.68 t=2.47 (p=.016) Cohen’s d=.47. Conclusions: While no negative impact was found by the overnight call experience, introducing the night call for medical students provides a consistent, uniform exposure to residents and increased opportunity to practice clinical skills.