Our Internal Medicine program started transitioning to this model of block scheduling in 2015. Unlike the traditional scheduling model which adds a weekly continuity clinic into a residents existing rotations and duties, this curricular redesign separates continuity clinic into a separate rotation that is repeated longitudinally throughout the year. The “Y” block, or ambulatory block, is 2 weeks in duration and includes the resident’s continuity clinic, weekly academic half day, and additional outpatient subspecialty experiences. The “X” block is 6 weeks in duration, which can be broken into 3 different 2-week rotations or a 4-week rotation (such as ward or ICU) with a 2-week rotation.
|Block 1||Block 2||Block 3||Block 4||Block 5||Block 6||Block 7||Block 8...|
Each year in residency is divided into 26 2-week blocks, with residents rotating into their clinic block every 8 weeks. Above you see part of the schedule for a resident in Clinic Group C and Clinic Group B. At any given time, 25% of our residents are in the Clinic Block.
Here are some of the benefits of block scheduling (X+Y):