Our rotation schedules are built on a “4 + 4” model, with no more than 4 sequential weeks on the primary team for an inpatient service. Although no two schedules are completely identical, we work hard to accommodate your vacation preferences and tailor your inpatient work to your interests, a typical 3-year categorical resident schedule looks like this:
PGY-1
| Block | Type | Rotation |
|---|---|---|
| 1 | X | Hospital Medicine WRJ VA |
| 2 | Y | GIM |
| 3 | X | MICU |
| 4 | Y | Elective |
| 5 | X | Cardiology |
| 6 | Y | RTM / US / Neurology |
| 7 | H | Holiday block schedule applies |
| 8 | X | Nights / Vacation |
| 9 | Y | GIM |
| 10 | X | Hematology |
| 11 | Y | Elective |
| 12 | X | Weekend nights / Emergency Medicine |
| 13 | Y | Coverage / Endocrinology |
PGY-2
| Block | Type | Rotation |
|---|---|---|
| 1 | X | Hospital Medicine DHMC |
| 2 | Y | Geriatrics |
| 3 | X | MICU |
| 4 | Y | Elective |
| 5 | X | Cardiology or Hematology |
| 6 | Y | Coverage / FIRE |
| 7 | H | Holiday block schedule applies |
| 8 | X | Nights / Vacation |
| 9 | Y | Pain / Addiction Medicine / Disability |
| 10 | X | Hospital Medicine WRJ VA |
| 11 | Y | Elective |
| 12 | X | Weekend Night Float / Hospital Medicine DHMC |
| 13 | Y | Infectious Disease / Hospice and palliative medicine |
PGY-3
| Block | Type | Rotation |
|---|---|---|
| 1 | X | Hospital Medicine DHMC |
| 2 | Y | GIM |
| 3 | X | MICU |
| 4 | Y | Elective |
| 5 | X | Cardiology or Hematology |
| 6 | Y | Coverage / Nephrology |
| 7 | H | Holiday block schedule applies |
| 8 | X | Nights / Vacation |
| 9 | Y | GIM |
| 10 | X | Hospital Medicine WRJ VA |
| 11 | Y | Elective |
| 12 | X | Hospital Medicine DHMC |
| 13 | Y | Coverage / Rheumatology |
In general residents work 1 day each weekend on X blocks and have both weekend days off on their Y blocks. Residents attend outpatient continuity clinics and the academic half day program during their Y blocks. During block 7, which spans Christmas and New Year, all residents have 1 week of vacation - 5 days around either Christmas or New Year – and will have both inpatient and outpatient experiences in the other 3 weeks.