Training Schedule and Rotations

4+4 Schedule:

In July of 2019, we transitioned to a new, 4+4 schedule model. Interns and residents alternate between:

  • 4 weeks of continuity clinic and ambulatory-based education or elective time, with
  • 4 weeks of an inpatient-based, traditional admitting rotation.

This schedule has a variety of benefits. First, it 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, dedicated ambulatory curriculum, longitudinal subspecialty experiences, and quality improvement projects. Secondly, it 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. 

4+4 Schedule

First Year Rotations

Second Year Rotations

Third Year Rotations

Inpatient Based:

  • UCH Wards
  • DH Wards
  • VA Wards
  • ICU (DH or UCH)
  • Cardiology
  • Acute Care of the Elderly

Inpatient Based:

  • VA Wards
  • DH Wards
  • UCH Wards
  • UCH ICU
  • Cardiology
  • VA Swing and Nights

Inpatient Based:

  • DH Wards
  • DH ICU
  • Acute Care of the Elderly
  • Heme/Onc
  • UCH Wards
  • VA Ambulatory Rotation

Ambulatory Based:

  • 3 Clinic Blocks
  • 1 Outpatient Based Rotation at the VA
  • 2 Electives

Ambulatory Based:

  • 3 Clinic Blocks
  • ED or Geriatrics
  • 2 Electives

Ambulatory Based:

  • 3 Clinic Blocks
  • ED or Geriatrics
  • 2 Electives