Annual Schedule Overview

X+Y Schedule

As of July 2025 our program has converted to X+Y scheduling in a 4+1 format. Alternating 4 weeks of X and 1 week of Y enables residents to experience better continuity on their inpatient, subspecialty rotations, and their continuity clinics. X+Y scheduling leads to fewer handovers on inpatient rotations and also allows regular alternating of core rotations with ambulatory experiences, contributing to resident wellness. On X blocks, residents can spend more time on inpatient and outpatient rotations without the interruption of continuity clinic. During Y blocks, residents focus on longitudinal rotations along with continuity clinics. Our academic half days will continue on Wednesdays for all residents, regardless of X or Y block scheduling. 

Ample time for subspecialty rotations and electives throughout each training year provides residents the opportunity to explore potential career choices before fellowship applications are due. 
 
All residents receive career guidance. As part of the creation of an individualized curriculum, residents customize their schedule’s rotation selections to meet their own personal learning needs.  Of course, sometimes residents have not yet decided on a career path at the end of their first year.  The Program Director and resident advisor work with the resident to help determine which track is best for someone who has not selected a definite career path.  
 

CURRENT ROTATION DISTRIBUTION

Rotation**

PGY-1

PGY-2 PGY-3
Adolescent Medicine 2 weeks   2 weeks
Ambulatory Care General Pediatrics 2 weeks   6 weeks*
Ambulatory Care Subspecialty Outpatient 4 weeks    
Board Prep weekly during Y weekly during Y weekly during Y
Clinic Orientation/Clinic Immersion  1 week 1 week 1 week
Community and Advocacy  

4 weeks
(Y Rotation)

4 weeks
(Y Rotation)
Developmental and Behavioral Pediatrics 4 weeks
(Y Rotation)
   
Emergency Medicine 4 weeks 4 weeks 4 weeks
Individualized Curriculum - Subspecialty 8 weeks 8 weeks 4 weeks
Individualized Curriculum (choice from any subspecialty or elective rotation)   10 weeks 10 weeks
In-Patient Hematology/Oncology   2 weeks 2 weeks
Inpatient-General Pediatrics/Night Intern 4 weeks    
Inpatient-General Pediatrics/Night Senior   4 weeks* 4 weeks*
Inpatient-General Pediatrics/Ward Intern 8 weeks    
Inpatient-General Pediatrics/Ward Senior   4 weeks*  
Mental Health     4 weeks
Newborn Nursery 4 weeks    
NICU 2 weeks 2 weeks 2 weeks
PICU   4 weeks 4 weeks*
SIM, Patient Safety, Wellness weekly during Y weekly during Y weekly during Y
Vacation 4 weeks 4 weeks 4 weeks

*Indicates supervisory role

**4 sessions of Resident Continuity Practice (continuity clinic) are scheduled during each Y block throughout the year, in addition to continuity clinic during the immersion week.