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Scheduling Guidelines

 

Scheduling Guidelines for 3 Year Medical Residents 2012-2013

Each academic year consists of thirteen 4-week blocks.  Guidelines for scheduling are listed below and are intended to provide a well-rounded internal medicine experience with flexibility to meet individual residents training goals.

Intern Year 

• 6-7 blocks of inpatient wards
• Two Intensive Care blocks (CCU and MICU)
• 3-4 outpatient blocks (include research, VA)
• One Emergency Medicine (ED) block

Upper Level Years 

1. Total Upper Level Ward Experience:  11 Blocks
• 3  Intensive Care Blocks  (1-CCU, 1-MICU, 1-either)
• 1  Hem/Onc (Hem/Onc Aor Leukemia)
• 1  ACE Unit (Acute Care of the Elderly)
• 2  Gen Med Wards (either 2 GenMeds or 1 GenMed & Hospitalist)
• 2  Other Wards  (Hospitalist, Gen Med, Renal, Hem/Onc A, Cardiology, or Leukemia)
• 2  ½ ROC (Resident On Call) Blocks -1.5 as HO 2, 1 as HO 3
2. Other Required Upper Level Rotations:  11 Blocks
• 1  Academic Internal Medicine rotation (2 weeks)/HO3 ED (2 weeks)
• 1  Acute Care Ambulatory Rotation:  DHP (HO3 Only); OPD (HO2/3)
• 1 VA Outpatient Clinic (HO3)
• 6 Subspecialty Consult Months
• 1 Board Study (2 weeks) which is paired with 2 weeks of vacation
• 1 UIMA (2 weeks)/Elective (2 weeks)
3. Subspecialty Exposure:
• Categorical residents will complete a consultative rotation at WFBMC in all six  of the following subspecialties: Endocrinology/Gastroenterology/Infectious Diseases /Pulmonary/Rheumatology/Renal.  These rotations provide both outpatient and inpatient consultation experiences.
• Hem/Onc and Cardiology outpatient are required for Primary Care and are considered elective rotations for categorical residents.
• Residents participating in the 8 week ambulatory block may apply to receive credit for a consult block in a subspecialty (usually Endo, Rheum or Allergy).  This decision will be made on a case by case basis after consultation with the Associate Program Director for Subspecialty Medicine and the relevant subspecialty consult block director.  Residents should inquire about this in advance.
4. Other Elective Experience:  4-5 Blocks
• In addition to all Primary Care Track residents, interested Categorical residents may design an 8 week Ambulatory Block for self-styled immersion in ambulatory skills.
• Subspecialty  (e.g. Hem/Onc, Geriatrics, Palliative Care, Allergy)  Electives
• Non-Internal Medicine Specialties (e.g. Derm, Ophtho, ENT, Sports Medicine)
• Research Electives
• Clinical and Basic Research: Tinsley Harrison Research Experience (2 blocks)
• Community-Based Experiences & Other Self-Styled Electives (including international electives) based on the individual learner's needs
• EBM and Medical Systems/Systems Improvement

Vacation:

Preliminary interns receive 6 days of holiday leave over Christmas or New Year's and two other weeks of their choosing (during ambulatory rotations or the ED rotation).  In addition, preliminary interns complete the year on June 24 to prepare for their advanced training.

Categorical interns received 6 days of holiday leave over Christmas or New Year's, and 2 other weeks of their choosing (during ambulatory rotations or the ED rotation).   Categorical Residents complete the program on June 24 of their HO-3 year to allow time to prepare for job or fellowship transitions.

Residents receive six days of holiday leave over either Christmas or New Year's and three additional weeks each year (1 week during an Elective and 2 weeks paired with Board Study).