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4 + 1 Block Schedule



In July, 2014 all three years of residents at our program transitioned to a 4+1 schedule. In this model, every intern and resident alternates one week of clinic with four weeks of an inpatient rotation, outpatient rotation, or elective.



This schedule minimizes conflicting inpatient and outpatient responsibilities, allowing residents to focus primarily on one educational endeavor at a time. We think this optimizes each learning experience – both in the outpatient and inpatient realm. We also believe this schedule enhances the continuity clinic experience by allowing for greater familiarization with the clinic setting, which becomes an educational home throughout residency. 

For interns next year, the 4 week blocks of inpatient time, outpatient time, or electives for each of our tracks will include approximately the following rotations: (please note that every schedule will vary slightly and will differ from this schedule by a couple of weeks)



Categorical

Primary Care

Hospitalist

Prelim*

Ward or inpatient cardiology, heart failure or oncology

6

5

6

6

ICU

1

1

1

1

Electives / Ambulatory Care

2

3

2

2

Outpatient Base Medicine Team

1

1

1

0

Emergency Room**

0

0

0

1


*Regular preliminary interns will attend an ambulatory clinic during their +1 week at the VA; Anesthesia preliminary interns will participate in a consult rotation at the VA Monday through Friday during their +1 week; Anesthesia interns will also have 2 ICU blocks and 1 less ward block as well as an anesthesia elective

**Three year residents do an emergency rotation during their third year of residency