Abstract
We report here on an alternate version of the 14-h shift model for ICU residents that was described by Afessa and colleagues (December 2005).1 Shift schedules limit resident hours and shift duration; however, these undermine the intern’s traditional role of knowing the patient and passing on the complete clinical picture to the team each day. This makes it difficult for on-duty physicians to have an accurate and complete understanding of each patient. By deemphasizing morning rounds, shift schedules also challenge formal teaching by attending physicians.
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