Inpatient internal medicine night float rotation is a valuable experience for residents to learn assessment of patients’ initial presentation through admissions, address acuity of floor patients, form differential diagnosis, attend rapid responses, codes blue, and plan for work-up. Residents will build their medical knowledge through the exposure to different pathologies and acute management of patients, improve upon their communication and interpersonal skills with patients, families, subspecialists, and medical staff. Night float rotations are necessary opportunities for residents to improve and build their foundation to become a competent, compassionate, and well-rounded physician. Night rotations also allow the future practicing internist to see the variations in staffing models between day and night medicine. PGY 1 residents on this rotation are expected to be able to provide the same level of patient care and communication to patients and families as those on the day inpatient teams. Mastery of handover is an essential element of the night float rotation.