Annual Schedule Overview

X+Y Schedule

As of July 2025, Stony Brook Children’s will convert all schedules 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 and 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 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.  
 

*Indicates supervisory role

**Resident Continuity Practice counts will be spread out longitudinally over the year.