As of July 2015, we have transitioned to a 4+2+2 block schedule for all residents. Four week inpatient blocks are separated by two weeks of ambulatory care and two weeks of either Vacation, Night Relief, Quality Improvement (QI), or Elective. The 4-week blocks are reserved for inpatient wards, critical care, emergency medicine, and elective rotations. Our 2-week ambulatory care blocks consist of 4 half-days of continuity practice at each resident's assigned site (JMH, VA, or UM PAC) and one academic half-day each week. On days when residents are not in their continuity practice, they participate in QI, research, subspecialty clinics, and walk-in visits. 

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categorical PGY-1 Sample schedule



Internal medicine preliminary interns are guaranteed well-rounded exposure to both inpatient and outpatient medicine, with the depth and breadth to prepare them for their subsequent clinical training. Preliminary year does not have a continuity clinic requirement and therefore does not necessarily follow a strict 4+2+2 format. The exact breakdown may vary slightly from year to year, but as of the 2016-2017 academic year, preliminary interns have 8-10 weeks of elective time and 2 weeks of research time, aside from their other rotations. Preliminary PGY-1 Sample Schedule