Glow in the Dark: Promotion Pathways for the Academic Nocturnist.

Abstract

Abstract: Nocturnists are clinicians from multiple specialties who work predominantly at night. Although the nocturnist role has expanded, little to no literature addresses their career trajectories. Given their temporal isolation from diurnal colleagues, nocturnists have noted concerns of career stagnation and lack of mentorship, highlighting an inability to harness career development and promotion opportunities without leaving night work. This article outlines strategies for nocturnists to leverage their unique clinical and educational experiences to develop scholarly niches, enhance job satisfaction, and build promotion-worthy portfolios. Drawing on real-world examples from academic nocturnists, the authors explore opportunities in 3 key domains-educational service, clinical care, and health systems leadership-and how each can be leveraged to enhance scholarly productivity. Strategies to address barriers, such as the physical hardships of night shift work, the need to sleep during daytime professional development activities, frequent turnover, and generally negative attitudes from trainees regarding night shift work, include flexible scheduling, structured mentorship programs, and institutional recognition of nocturnist contributions. By leveraging these approaches and receiving institutional support, nocturnists can achieve academic success, contribute to the medical literature, and advance toward promotion.