The “4+1” Block Schedule

  • Our block schedule design completely separates inpatient “service” rotations from outpatient clinic experiences
  • Interns and Residents spend 2-4 weeks on service rotations or electives with the 5th week at their continuity clinic site for ambulatory medicine
  • More balanced distribution of service rotations throughout the year.
  • Allows for a better integrated focus on ambulatory medicine with patient care sessions each afternoon during the week.
  • 60% of inpatient service rotations are assigned to RWJUH.
  • Vacations are assigned in two week blocks at the PGY1 level and in one or two week blocks at the PGY2/3 level.
  • Selectives include Emergency Medicine, Geriatrics, and outpatient HIV management.  All of these required rotations are free of weekend or night call.
  • Continuity clinic experience population management incorporation
  • AM sessions during clinic each week dedicated to the ambulatory curriculum, quality improvement, safety, and EBM

PGY-1

4  Weeks vacation
10 Weeks of Continuity Clinic
8 Weeks Elective
18 Weeks Inpatient Floors
6 Weeks Night Float
4 Weeks Medical Intensive Care Unit
2 Weeks Intermediate Medical Care Unit

PGY-2

4 Weeks vacation
10 Weeks of Continuity Clinic
8 Weeks Elective
13 Weeks Inpatient Floors
4 Weeks Night Float
4  Weeks Medical Intensive Care Unit
4 Weeks Coronary Critical Care Unit
2 Weeks Hematologic Malignancies Inpatient Service
1 Weeks General Internal Medicine Consult Service
2 Weeks Back-up Resident

PGY-3

4 Weeks vacation
10 Weeks of Continuity Clinic
8 Weeks Elective
12 Weeks Inpatient Floors
4 Weeks Night Float
4 Weeks Medical Intensive Care Unit
3 Weeks Coronary Critical Care Unit
2 Weeks Hematologic Malignancies Inpatient Service
2 Weeks General Internal Medicine Consult Service
2 Weeks Back-up Resident
1 Week Intermediate Medical Care Unit