A night float week in a surgical clerkship improves student team cohesion

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3 Scopus citations


Background: We hypothesize that night float rotations in the third-year surgical clerkship improve student learning and perceptions of team cohesion. Methods: A 1-week night float (NF) system was implemented during the 2013 to 2014 academic year for students. Each student completed 1 week of NF with the Trauma/Emergency General Surgery service. The Perceived Cohesion Scale survey was prospectively administered and National Board of Medical Examiners academic performance retrospectively reviewed. Results: We surveyed 70 medical students, 37 traditional call and 33 NF students, with 91% response rate. Perception of team cohesion increased significantly, without perceived loss of educational benefit. Examination scores increased significantly comparing pre- and postintervention groups, with this trend continuing in the following academic year. Conclusions: A week-long student NF experience significantly improved perception of team cohesion and standardized examination results. A dedicated period of NF during the surgical clerkship may improve its overall educational value.

Original languageEnglish (US)
JournalAmerican Journal of Surgery
StateAccepted/In press - Nov 2 2015


  • Medical education
  • Night float
  • Resident duty hours
  • Surgical clerkship
  • Team cohesion

ASJC Scopus subject areas

  • Surgery


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