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Adv Simul (Lond). 2017 Aug 14;2:13. doi: 10.1186/s41077-017-0046-1. eCollection 2017.

A simulated "Night-onCall" to assess and address the readiness-for-internship of transitioning medical students.

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New York Simulation Center for the Health Sciences, New York, New York USA.
3Institute for Innovations in Medical Education, NYU School of Medicine, New York, USA.
6Program for Medical Education and Technology (PMET), NYU School of Medicine, New York, USA.
9Department of Surgery, NYU School of Medicine, New York, USA.
Department of Medicine, Division of General Internal Medicine and Clinical Innovation, New York, New York USA.
11Research on Medical Education Outcomes (ROMEO) Unit, Program for Medical Education Innovation and Research (PrMEIR), NYU School of Medicine, OBV CD-401, 462 1st Avenue, New York, New York 10016 USA.
4Department of Emergency Medicine, Center for Medical Simulation, Institute for Medical Simulation, Harvard Medical School, Boston, MA USA.
7Department of Journalism, Central Connecticut State University, New Britain, CT USA.
8Department of Education, Georgian Court University, Lakewood, NJ USA.
1Department of Emergency Medicine, NYU School of Medicine, New York, New York USA.
5Health Science Library, NYU School of Medicine, New York, New York USA.


Transitioning medical students are anxious about their readiness-for-internship, as are their residency program directors and teaching hospital leadership responsible for care quality and patient safety. A readiness-for-internship assessment program could contribute to ensuring optimal quality and safety and be a key element in implementing competency-based, time-variable medical education. In this paper, we describe the development of the Night-onCall program (NOC), a 4-h readiness-for-internship multi-instructional method simulation event. NOC was designed and implemented over the course of 3 years to provide an authentic "night on call" experience for near graduating students and build measurements of students' readiness for this transition framed by the Association of American Medical College's Core Entrustable Professional Activities for Entering Residency. The NOC is a product of a program of research focused on questions related to enabling individualized pathways through medical training. The lessons learned and modifications made to create a feasible, acceptable, flexible, and educationally rich NOC are shared to inform the discussion about transition to residency curriculum and best practices regarding educational handoffs from undergraduate to graduate education.


Basic clinical skills; Communication between team members; Competency-based medical education; Educational experience; Entrustable Professional Activities; Handoffs; Immersive simulation; Mixed modality experiences; Oral presentations; Readiness-for-internship assessments; Team work; Transitions to residency

Conflict of interest statement

While no data is shared in this manuscript, the NOC Project has been reviewed and approved by the NYU School of Medicine Institutional Review Board.Not applicable.WISE-onCall was developed at NYU School of Medicine, and Dr. Thomas Riles, is the Executive Director for both WISE-MD which produces and distributes WISE-onCall and the New York Simulation Center both are not-for-profit entities. Mr. Nick is a member of the Program for Medical Education and Technology at the NYU School of Medicine and Technical Director for the WISE-MD and WISE-onCall. The other authors declare that they have no competing interests.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

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