Introduction and Goals
The Day Float rotation allows junior residents to see a variety of neurological patients while helping to ensure smooth inpatient clinical operations during the day and reduce resident workload compression in the early evening. The main daytime responsibilities are:
- Covering the service for whichever residents have continuity clinic in the afternoon
- Helping all of the other inpatient teams as needed
In the early evening, the Day Float sees new consults, while the Night Float resident covers nursing calls from the floors and patient phone calls. Please see the Rotation and Call Schedules section for further details about this role.
Objectives and Evaluation Matrix
As with all of the neurology rotations, the specific objectives are reflected in the entrustable professional activities and individual milestones listed below. These form the basis for the end-of-rotation evaluation. (Please see the section End-of-Rotation Evaluations above for the list of milestone abbreviations).
| Rotation Objectives | ||
| Upon completion of the curriculum, residents will . . . | ||
| # | Description | Milestones |
| 1 | Evaluate and manage changes in clinical status that arise on cross-covered patients | PC1, PC2, PC3, PC5, PC6, PC8, MK1, MK2 |
| 2 | Quickly and accurately determine eligibility for endovascular and other advanced treatments stroke patients transferred from outlying hospitals | PC1, PC2, PC3, PC6, PC8, MK1, MK2 |
| 3 | Evaluate and manage inpatients with neurological complications of systemic disease, surgery, and other treatments | PC1, PC2, PC3, PC5, PC6, PC8, MK1, MK2 |
| 4 | Appropriately select and interpret neuroimaging studies | PC8, MK2 |
| 5 | Communicate effectively with requesting clinical services, nurses, and other members of the patient’s team | SP3, SP4, PR1, IC3, IC4 |
| Milestones | ||
| Please grade the resident on any of the following milestones you were able to evaluate during this rotation: | ||
| PR2, PR3 | ||
Schedule
The Day Float resident arrives at noon and attends noon conference. Following conference, the resident meets with the other inpatient residents to accept signout from those in clinic and to triage where additional help with consults, critically ill patients, or procedures is needed throughout the afternoon. He or she will be included on the stroke code team to assist with particularly complex stroke presentations or with multiple active stroke codes. The Day Float resident is expected to engage the medical students with bedside or didactic teaching as time allows.
From 4:00 pm – 8:00 pm, the Day Float resident is paired with the Night Float, thus ensuring that there are at least two residents in-house in the early evening. The shift ends at 8:00 pm, with the expectation that a bit more time may be needed to complete pending consults. The resident is then able to sleep late, not being required to work until noon the next day.
The Day Float works ~ 10:00 am – 8:00 pm on Saturdays to provide backup assistance to the on-call General Neurology resident. (On Sundays, there is an advanced practice provider in-house to assist the on-call Stroke resident).
Work Hours
The anticipated number of work hours on this rotation is 55. As with all rotations, and resident who is in jeopardy of the same shall immediately notify the program director.
Suggested reading
Because of the variety of patients that will be seen on this rotation, it is expected that the resident’s reading will focus on the finer points of diagnosis and management of the particular patients seen on service. This will serve to both foster the resident’s own knowledge and provide a means to educate the other members of the team.
Last revision: 05-14-2021
