Starting in the 2018-19 academic year, we have changed to our 2 week “Mini-Block” schedule that allows more frequent but shorter blocks of inpatient rotations and a separation of inpatient training from outpatient continuity clinic. Block scheduling is an entirely different way to structure a residency program. In the traditional structure residents have a 1-3 half days of continuity clinic during their inpatient rotations. In this structure, residents often feel torn between their inpatient and outpatient duties, and they rarely feel focused on their ambulatory training. Under this “new & improved” scheduling system, our residents are immersed in their continuity clinic early in residency, which enables them to build a strong foundation in ambulatory skills earlier in training. Additionally, removal of clinics from most inpatient rotations helps keep the whole team present each day, allowing for better continuity with patients, fewer hand offs, and more time for teaching and learning. While we are in the process of formally evaluating the impact of this schedule on resident learning, continuity of care, patient access, and overall volume of clinical training, thus far our residents & faculty have given this schedule a big “thumbs up.”
PGY-I
ORIENTATION (1 BLOCK)
CLINIC & HEALTH EQUITY/ADVOCACY (1 BLOCK)
CLINIC & HEALTH SYSTEMS (3 BLOCKS)
HEALTH EQUITY (1 BLOCK)
FAMILY AND COMMUNITY MEDICINE (2 CONTIGUOUS BLOCKS)
ICU (1 BLOCK)
MEDICINE - AMBULATORY (1 BLOCK)
MEDICINE - INPATIENT (4-5 BLOCKS DEPENDING ON INDIVIDUAL SCHEDULE)
NIGHT FLOAT (2-3 BLOCKS DEPENDING ON INDIVIDUAL SCHEDULE)
OBSTETRICS AT SANTA CLARA VALLEY MEDICAL CENTER (2 CONTIGUOUS BLOCKS)
OBSTETRICS/PEDIATRICS - INPATIENT (2-3 BLOCKS DEPENDING ON INDIVIDUAL SCHEDULE)
PEDIATRICS - INPATIENT AT KAISER-SANTA CLARA (2 BLOCKS)
SELECTIVE (2 BLOCKS: OPTIONAL AMBULATORY PEDIATRICS, SURGERY SELECTIVE)
SPORTS MEDICINE (1 BLOCK)
PGY-II
CLINIC & HEALTH SYSTEMS (1 BLOCK)
EMERGENCY MEDICINE (1 BLOCK)
FAMILY AND COMMUNITY MEDICINE (2 CONTIGUOUS BLOCKS)
GERIATRICS (1 BLOCK)
ICU (1 BLOCK)
JEOPARDY/POPULATRION HEALTH (2 BLOCKS, SEPARATED 1 WEEK EACH)
MEDICINE - AMBULATORY (2 BLOCKS)
MEDICINE - INPATIENT (3 BLOCKS)
NIGHT FLOAT (3 BLOCKS)
OBSTETRICS/PEDIATRICS (2 BLOCKS)
PEDIATRICS - AMBULATORY (2 BLOCKS)
SELECTIVE (3 BLOCKS)
SPORTS MEDICINE (1 BLOCK)
WOMEN’S HEALTH, INTRO TO FAMILY PLANNING, & OB CALL AT SANTA CLARA VALLEY MEDICAL CENTER (2 BLOCKS)
PGY-III
CLINIC & HEALTH SYSTEMS (1-2 BLOCKS)
ELECTIVE (2 CONTIGUOUS BLOCKS)
EMERGENCY MEDICINE (1 BLOCK)
FAMILY AND COMMUNITY MEDICINE (2 CONTIGUOUS BLOCKS)
GERIATRICS (1 BLOCK)
JEOPARDY/POPULATRION HEALTH (1 BLOCK, SEPARATED 1 WEEK EACH)
MEDICINE - AMBULATORY (2 BLOCKS)
MEDICINE - INPATIENT (3-4 BLOCKS DEPENDING ON INDIVIDUAL SCHEDULE)
NIGHT FLOAT (3-4 BLOCKS DEPENDING ON INDIVIDUAL SCHEDULE)
OBSTETRICS/PEDIATRICS - INPATIENT (1-2 BLOCKS DEPENDING ON INDIVIDUAL SCHEDULE)
PEDIATRICS - AMBULATORY (1 BLOCK)
SELECTIVE (4 BLOCKS)
SPORTS MEDICINE (1 BLOCK)
WOMEN’S HEALTH (2 BLOCKS)
ALL ROTATIONS ARE AT O’CONNOR HOSPITAL OR THE FAMILY MEDICINE CENTER UNLESS OTHERWISE NOTED