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4 + 1 Block Schedule



 

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Since 2014, our program has used a 4+1 scheduling model. 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 ed​​ucational 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 (includes general ward, heart falure, and hepatology)

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


*Preliminary interns will do a mix of urgent care clinics and consult service during their “+1” weeks.   University of Colorado Anesthesia interns will 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​

Second year residents do a total of five inpatient rotations during their four-week non-clinic blocks including general wards at University Hospital, ICU at University Hospital, general wards at the VA Medical Center, general wards at Denver Health or the Acute Care for the Elderly service at University Hospital.
 

Third year residents do a total of five inpatient rotations during their four-week non-clinic blocks including cardiology at University Hospital, ICU at Denver Health, general wards at Denver Health, and general wards at Presbyterian St. Luke’s.

Over the second and third year, residents do a variety of non-ward rotations based on career track.  The following is a general representation of typical schedules however each individual schedule may vary slightly.

Categorical: three electives, two research months, emergency room, geriatrics, ambulatory care rotation, neurology/outpatient clinic, oncology/pulmonary rotation

Primary Care: three electives, geriatrics, two ambulatory care rotations, neurology/women’s health, emergency room, primary care preceptorship, dedicated primary care elective

Hospitalist: three electives, two hospitalist track service, two neurology/consults, emergency room, ambulatory care rotation, oncology/pulmonary rotation​​