How does the VA support work hour reform?
Given the low volume of overnight admissions, the VA uses a senior resident night float. Monday through Friday, a senior resident from elective comes in at 8 pm and takes sign out from the “on-call” VA senior resident. The “on-call” resident leaves by 10 pm and returns at 8 am on the post call day. After the transition of care, the NF resident goes home and sleeps so they can return at 8 pm. The “post-call” resident takes sign out from their post call interns by 1pm and then stays to complete the post call work. The assigned VA residents will only take in house call on Saturday and Sundays.
