Barriers to accessing nighttime supervisors: a national survey of internal medicine residents.
Catalanotti JS, O’Connor AB, Kisielewski M, et al. Barriers to accessing nighttime supervisors: a national survey of internal medicine residents. J Gen Intern Med. 2021;36(7):1974-1979. doi:10.1007/s11606-020-06516-4.
Overnight coverage creates opportunities for increasing resident autonomy but can carry risks for patient safety. This study found that the presence of overnight hospitalists was associated with fewer resident barriers to contacting supervising physicians overnight but that other barriers during overnight coverage – such as technological barriers and organizational culture – influence residents seeking help from supervising physicians.