Journal of General Internal Medicine

, Volume 19, Issue 5, pp 519–523

Teaching and learning in an 80-hour work week

A novel day-float rotation for medical residents


    • Yale Primary Care Internal Medicine Residency
  • Eric S. Holmboe
    • Yale Primary Care Internal Medicine Residency
  • Stephen J. Huot
    • Yale Primary Care Internal Medicine Residency
Innovations In Education And Clinical Practice

DOI: 10.1111/j.1525-1497.2004.30153.x

Cite this article as:
Wong, J.G., Holmboe, E.S. & Huot, S.J. J GEN INTERN MED (2004) 19: 519. doi:10.1111/j.1525-1497.2004.30153.x


The 80-hour workweek limit for residents provides an opportunity for residency directors to creatively innovate their programs. Our novel day-float rotation augmented both the educational structure within the inpatient team setting and the ability for house staff to complete their work within the mandated limits. Descriptive evaluation of the rotation was performed through an end-of-rotation questionnaire. The average length of the ward residents’ work week was quantified before and after the rotation’s implementation. Educational portfolios and mentored peer-teaching opportunities enriched the rotation. As measured by our evaluation, this new rotation enhanced learning and patient care while reducing work hours for inpatient ward residents.

Key words

internship and residencyworkloadmedical educationprogram evaluation

Copyright information

© Society of General Internal Medicine 2004