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Typical Schedules

3+1 Block Schedules

What is 3+1?

  • Block scheduling that helps to separate inpatient and outpatient duties and minimize conflicts between inpatient responsibilities and outpatient clinical responsibilities. Residents will spend 3 weeks in a consult or inpatient setting including general medicine, subspecialty medicine and critical care exposure.  They will then spend 1 week in a primarily ambulatory setting with increased didactic time.
  • Allows for longitudinal clinical experiences in sub-specialty training sites.
  • Increases exposure to a variety of ambulatory experiences.
  • Allows for a longitudinal board prep experience.
  • Allows for a weekend free of clinical duties at the end of every +1 week.  

Sample scheduling showing 3+1 pattern over the course of the 4 firms. 

Sample of Ambulatory +1 week.


Typical Schedule

Categorical PGY-1

Categorical PGY-2/3

Preliminary PGY-1


18-24 weeks

13-16 weeks

18-24 weeks

Critical Care (MICU/CCU)

6-10 weeks

6-10 weeks

6-10 weeks

Night Float

4-6 weeks

4 weeks

4-6 weeks


3-6 weeks

9-12 weeks

16-18 weeks


3 weeks

3 weeks

3 weeks

Clinic (+1 week)

13 weeks

13 weeks


**Preliminary interns do not have a continuity clinic.  The +1 week of block scheduling includes additional consult experiences as well as time in destination programs per ACGME recommendations.

First Year Residents (PGY 1: Categorical and Preliminary)

  • 0-1 overnight shift weekend calls per inpatient block on general medicine and subspecialty wards at KU Med and KCVA only.
  • No inpatient call while on non-inpatient blocks
  • Preliminary year interns can spend time in destination programs per ACGME recommendations and these will primarily be during the +1 weeks.

Second and Third Year Residents (PGY 2 and PGY 3)

  • 1-3 blocks of elective time (three total for all of training): International rotations, Research, Specialty/Clinical rotations of resident's choice (must meet requirements of program)
  • 1-2 overnight 12 hour weekend call shifts per non-inpatient rotation

All Categorical Residents will complete an experience in:

    • Geriatrics
    • Neurology
    • Emergency Medicine

Categorical Residents will be encouraged to complete consult experiences in:

    • Gastroenterology
    • Infectious Disease
    • Rheumatology
    • Endocrinology

Other inpatient consult experiences available:

    • Cardiology
    • Pulmonary
    • Nephrology
    • Hematology
    • Oncology
    • Palliative Care
    • General Medicine
    • Psychiatry  

Last modified: Oct 09, 2019