Medical Science Educator

, Volume 28, Issue 3, pp 473–476 | Cite as

Twenty-Four-Hour Attending Coverage and Its Effect on Trainee Educational Opportunities

  • Jacqueline O’TooleEmail author
  • Kathryn Huggett
  • Laurie Leclair
  • Renee Stapleton
Short Communication


Nocturnal ICU staffing gained favor after correlation was shown between intensivist presence and better patient outcomes. We conducted a cross-sectional survey of stakeholders at a tertiary care academic medical center to evaluate the impact of 24-h attending presence on overnight educational environment, learner autonomy, and attending quality of life. Our results showed an improved sense of educational quality along with diminished trainee autonomy. Attending job satisfaction was poor and this was not entirely explained by persistent daytime demands. This identifies areas for initiatives to encourage trainee autonomy and system evaluations of how best to staff attending nocturnal coverage.


Resident education Nursing Autonomy Educational environment Nocturnal intensivist Patient safety 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that there is no conflict of interest.


This work has not been presented in the form of an abstract or poster presentation.

This work has not been previously published online.


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Copyright information

© International Association of Medical Science Educators 2018

Authors and Affiliations

  1. 1.Pulmonary and Critical CareJohns Hopkins UniversityBaltimoreUSA
  2. 2.Robert Larner, MD College of Medicine at the University of VermontBurlingtonUSA
  3. 3.University of Vermont Medical Center Division of Pulmonary and Critical Care MedicineBurlingtonUSA

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