Evidence map›Paper›PMID 40656474›Full record

ArticleSurgical neurology international2025

A national survey of on-call responsibilities and night float systems at neurological surgery residency programs.

Mustafa Motiwala, Nicholas Behymer, Kara A Parikh, Emal Lesha, David Griffin Laird, Deke Blum, Barrett Schwartz, L Madison Michael Ii, Nickalus R Khan, Paul Klimo and 1 more

Abstract read
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Article in Surgical neurology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Mustafa MotiwalaDepartment of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, United States.
Nicholas BehymerCollege of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, United States.
Kara A ParikhDepartment of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, United States.
Emal LeshaDepartment of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, United States.
David Griffin LairdCollege of Medicine, University of Tennessee Health Science Center, Memphis, Tennessee, United States.
Deke BlumDepartment of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, United States.
Barrett SchwartzDepartment of Neurosurgery, University of Tennessee Health Science Center, Memphis, Tennessee, United States.
L Madison Michael IiDepartment of Neurosurgery, Semmes-Murphey Clinic, Memphis, Tennessee, United States.
Nickalus R KhanDepartment of Neurosurgery, Semmes-Murphey Clinic, Memphis, Tennessee, United States.
Paul KlimoDepartment of Neurosurgery, Semmes-Murphey Clinic, Memphis, Tennessee, United States.
William ManghamDepartment of Neurosurgery, Ochsner Clinic Foundation, New Orleans, Louisiana, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In 2003, the Accreditation Council for Graduate Medical Education instituted work-hour requirements for residents, and since that time, the response from the academic neurosurgical community has been varied. To meet these requirements, some neurosurgical training programs have implemented night float systems, but the scope of these changes remains undefined. Methods: We conducted a nationwide survey of neurosurgical residency training programs to evaluate the on-call structure and responsibilities of neurosurgery residents to elucidate a better understanding of the demands faced by trainees and programs alike. Results: Seventy-four neurosurgery residency training programs (67.28%) comprising 1,107 residents were represented in our data; 23 (31.08%) of these programs reported having a night float system. Compared to programs with a traditional call system, those with a night float system had a significantly higher number of residents (17.74 vs. 13.71; Conclusion: Across the country, larger neurosurgical training programs with greater hospital demands have more readily adopted night float systems. The integration of advanced practice providers to enhance resident education and ensure the continuity of care emerges as a prominent trend that programs are utilizing to adapt to a changing healthcare landscape.

Indexed as

Accreditation Council for Graduate Medical EducationDuty hoursNeurosurgeryNight floatOn callSurvey

Identifiers

PMID40656474
PMCPMC12255209

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.