GME - /im/pct-rotation-schedule - Primary Care Track Rotation Schedule

Our rotation schedules follow the categorical program’s “4 + 4” model, with no more than 4 sequential weeks on the primary team for an inpatient service. For a full description of each rotation, see the Categorical Track’s Inpatient Services and Outpatient Experiences as well as Program Structure for experiences exclusive to the PCT program.

A typical 3-year primary care track resident schedule looks like this:

PGY-1

BlockTypeRotation
1XNight Float/ED
2YCommunity Health Block (CHB)
3XVA Hospital Inpatient
4YCoverage/Endocrinology
5XMICU
6YElective
7HHoliday block schedule applies
8XVacation/Inpatient Medicine/Night Float
9YCHB
10XHematology/Coverage
11YNeurology
12XCardiology Inpatient
13YVacation/Elective

PGY-2

BlockTypeRotation
1XCHB
2YElective
3XNight Float/Vacation
4YInfectious Disease/Palliative Care
5XMICU
6YElective/vacation
7HHoliday block schedule applies
8XCHB
9YVA Hospital Inpatient
10XHospital Medicine WRJ VA
11YElective
12XWeekend Night Float / Hospital Medicine DHMC
13YInfectious Disease / Hospice and palliative medicine

PGY-3

BlockTypeRotation
1XVA Inpatient
2YCHB
3XVA night Float/VA Inpatient
4YRenal/Coverage
5XExtra/Vacation
6YElective
7HHoliday block schedule applies
8XCardiology
9YRheumatology/Vacation
10XCHB
11YElective
12XExtra/Weekend Night Float
13YRural Health Equity Intensive (RHEI)

In general residents work 1 day each weekend on X blocks and have both weekend days off on their Y blocks. Residents attend outpatient continuity clinics and the academic half day program during their Y blocks. During block 7, which spans Christmas and New Year, all residents have 1 week of vacation - 5 days around either Christmas or New Year – and will have both inpatient and outpatient experiences in the other 3 weeks.

Outpatient clinic

Image
Outpatient clinic

Due to the small sizes of the faculty at each of the 2 primary training sites for the PCT program, residents will develop close working relationships with all of their preceptors. While on inpatient rotations, occasional urgent coverage will be provided by these preceptors. However, residents are expected to check in frequently with their continuity clinic colleagues while on inpatient rotations. Residents must also attend to lab and image results, patient messages and nursing requests while on their X blocks or on away Y rotations; in doing so, they will be able to maintain a strong sense of accountability for patient care and stay apprised of their patients’ most current and pressing concerns.