4+4: In July of 2019, we transitioned to a 4+4 scheduling model. Interns and residents will alternate 4 weeks of an ambulatory based rotation (including clinic) or elective with 4 weeks of an inpatient-based rotation. This schedule allows for a balanced education of both inpatient and ambulatory experiences. During clinic blocks, residents will also have protected time for research and scholarly activity, ambulatory subspecialty training, and quality improvement projects.
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.
First Year Inpatient Rotations: (each intern does 6 Inpatient Blocks)
University Wards, Denver Health Wards, VA Wards, ICU (Denver Health or University), Cardiology, PSL Wards or Acute Care of the Elderly
First Year Ambulatory-Based Rotations:
Each intern will have three clinic-based blocks, one outpatient-based rotation at the VA and two electives.
Second Year Rotations:
Inpatient-Based: VA wards, DW Wards, University ICU, Cardiology, University Wards, Hepatology/Congestive Health Failure
Ambulatory-Based: Two clinic blocks, VA-based ambulatory rotation, ED, two electives
Third Year Rotations:
Inpatient-Based: DW Wards, DH ICU, Acute Care for the Elderly, Heme/Onc, University Based Ward Rotation, VA Based inpatient/outpatient combo
Ambulatory-Based: Three clinic blocks, Geriatrics, two electives
*Primary Care Residents do fewer inpatient rotations that categoricals and HTT residents