Medicine After Dark: Life as a Hospital 'Nocturnist'

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Medicine After Dark: Life as a Hospital 'Nocturnist'
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When the sun goes down, one segment of the physician population wakes up. Nocturnists, also known as nighttime hospitalists, work night shifts — typically from 6 or 7 PM to 6 or 7 AM — in inpatient hospitals and emergency departments. MedTwitter

When the sun goes down, one segment of the physician population wakes up. They're not vampires, even if they do have to syphon the odd vial of blood. These creatures of the night spend traditional sleeping hours practicing medicine.

That's part of the appeal. And some say the benefits — including higher pay — make the unorthodox environment and hours not only worth it, but even preferable."The hospital is surprisingly more beautiful at night, in my opinion," said Nina Lum, MD, a family medicine doctor who occasionally picks up night shifts."It's quiet, and there's less foot traffic from nonpatients, which really facilitates work on the real patients.

The decision to become a nocturnist is often linked to individual needs and lifestyle factors, such as stage of life, family responsibilities, and career priorities. Gregory's work as a nocturnist is made easier by the fact that she can sleep in a silent house or a noisy one. For those who aren't so lucky, she suggests blackout curtains, ear plugs, and devices like fans that create white noise and keep bedrooms cool.25%–40% greater risk of depression and anxiety

Both Lum and Nguyen say planning ahead helps to limit the negative impacts of the nocturnist lifestyle on nutrition. Lum says she's"most successful" when she prepares a meal in advance to eat during her shift, and Nguyen also preps mid-shift meals like chicken and rice. Even so, new evidence suggests that, and not at all at night, can prevent night-shift workers'"mood vulnerability.

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