Objective: It is unclear that infections with Gram-negative rods resistant to at least one major class of antibiotics (rGNR) have a greater effect on patient morbidity than infections caused by sensitive strains (sGNR). We wished to test the hypothesis that rGNR infections are associated with higher resource utilization.
Design: Retrospective observational cohort study of prospectively collected data.
Background: The ACGME mandated a change in resident work hours effective July 2003. We postulated that taking a block of night call would provide an opportunity for residents to improve clinical decision-making without detracting from operative experience.
Methods: The educational benefit of the Night Float model was evaluated weekly by anonymous questionnaires that assessed resident conference attendance, operative experience, attending teaching interactions, and consultations for the previous seven days.