Our program has successfully transitioned to and “X+Y” block schedule to minimize conflicting inpatient and outpatient responsibilities. Based on the size of our program, we maintain a “6+2” master schedule.
In our model, following 6 weeks of a combined core rotation with elective or vacation, there is a 2-week ambulatory block followed again by another 6-week combination of core rotations and electives.
During these 6 weeks, while the rotations may vary, residents will not attend clinic. Removal of clinics from the traditional inpatient rotations and elective blocks helps to keep the whole team present each afternoon, allowing for better continuity with patients, less handoffs and more time teaching and learning. When on ambulatory block, residents are not pulled to other patient care commitments.
Each academic year consists of 26 blocks of 2 weeks each. The total number of ICU rotations is capped at 6 months.
Curriculum
Sample Block Rotations
Rotation | PGY1 Preliminary Intern | PGY1 Categorical Intern | PGY2 | PGY3 |
Emergency Medicine | 2 | 0 | 0 | 1 |
Consult | 0 | 0 | 1 | 1-2 |
Geriatric Medicine | 0 | 0 | 1 | 0 |
Inpatient Medicine | 10 | 10-11 | 4-5 | 2-3 |
Medical Intensive Care | 4 | 4 | 4 | 4 |
Night Medicine | 2 | 1-2 | 1-2 | 1 |
Medical Admitting Rotation | 0 | 0 | 2 | 3 |
Subspecialty Elective Rotation | 6 | 2 | 4 | 6 |
Ambulatory Medicine | 0 | 6-7 | 6-7 | 6-7 |
Vacation | 2 | 2 | 2 | 2 |