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.  Residents will have rare back up call responsibilities during this time.


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

Typical Schedule

 

Categorical PGY-2

Categorical PGY-3

Wards

15-18 weeks

12-15 weeks

Critical Care (MICU/CCU)

6-8 weeks

4-7 weeks

Night Float

2-4 weeks

2 weeks

Consults/Electives

8-12 weeks

12-18 weeks

Vacation

3 weeks

3 weeks

Clinic (+1 week)

13 weeks

13 weeks

 

 

Categorical PGY-1

Preliminary PGY-1

Wards

18-24 weeks

18-24 weeks

Critical Care (MICU/CCU)

6-10 weeks

8-12 weeks

Night Float

4-6 weeks

4-6 weeks

Consults/Electives

3-6 weeks

**

Vacation

3 weeks

3 weeks

Clinic (+1 week)

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  


Sample of Ambulatory +1 week.

Last modified: Jul 18, 2014
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