Our program has fully eliminated in-house, 24-hour call. Nights are covered 365 days a year by a night float system at Zuckerberg San Francisco General and UCSF Medical Center. Resident night float blocks are 4-5 days in length and are spread evenly through the second half of the R2 year, the R3 year, and R4 year. To allow for adequate transitions from day to night sleep cycles and back, we ensure residents have 1 post-call day and 3 days off during the 14-day period in which a night float block occurs.

Nights at the VA are covered by a home call system, shared between inpatient and outpatient rotators. No resident takes more than 2 nights per week, and outpatient rotators are given either a half-day or full day off after home call to allow adequate rest.