Nighttime work is a core component of medical training. The creation of night float has increased trainee night work. There is a lack of nighttime specific-learning opportunities with challenges that include: alteration to sleep/wake cycle, decreased supervisory personnel, difficulty developing skilled nocturnal educators, and an absence of formal curriculum. We are unaware of any research that has defined the unique facets of nighttime work in a thematically generalizable fashion. Through understanding thematic elements of nighttime work, we will be able to support trainees' ability to work at night, allow for better nighttime learning, and ensure that the rich nighttime clinical care setting is not a lost opportunity for trainee education.