Starting in the 2018-19 academic year, we have changed to our 2 week “Mini-Block” schedule that allows more frequent but shorter blocks of inpatient rotations and a separation of inpatient training from outpatient continuity clinic. Block scheduling is an entirely different way to structure a residency program. In the traditional structure residents have a 1-3 half days of continuity clinic during their inpatient rotations. In this structure, residents often feel torn between their inpatient and outpatient duties, and they rarely feel focused on their ambulatory training. Under this “new & improved” scheduling system, our residents are immersed in their continuity clinic early in residency, which enables them to build a strong foundation in ambulatory skills earlier in training. Additionally, removal of clinics from most inpatient rotations helps keep the whole team present each day, allowing for better continuity with patients, fewer hand offs, and more time for teaching and learning. While we are in the process of formally evaluating the impact of this schedule on resident learning, continuity of care, patient access, and overall volume of clinical training, thus far our residents & faculty have given this schedule a big “thumbs up.”

PGY-I

  • ORIENTATION (BEFORE ACADEMIC YEAR BEGINS)

  • CLINIC (3 BLOCKS)

  • CLINIC & HEALTH EQUITY/ADVOCACY (1 BLOCK)

  • FAMILY AND COMMUNITY MEDICINE (2 CONTIGUOUS BLOCKS)

  • ICU (1 BLOCK)

  • MEDICINE - AMBULATORY - ADDICTION MEDICINE, CARDIOLOGY, ALLERGY, & DERMATOLOGY AT LOCAL COMMUNITY SPECIALISTS’ OFFICES (1 BLOCK)

  • MEDICINE - INPATIENT (5-6 BLOCKS DEPENDING ON INDIVIDUAL SCHEDULE) 

  • NIGHT FLOAT (2-3 BLOCKS DEPENDING ON INDIVIDUAL SCHEDULE) 

  • OBSTETRICS AT SANTA CLARA VALLEY MEDICAL CENTER (2 CONTIGUOUS BLOCKS) 

  • OBSTETRICS AT REGIONAL MEDICAL CENTER - INPATIENT (1 BLOCK)

  • NEWBORN AT SANTA CLARA VALLEY MEDICAL CENTER - INPATIENT (1 BLOCK)  

  • PEDIATRICS - INPATIENT AT KAISER-SANTA CLARA (2 BLOCKS)

  • PEDIATRICS - AMBULATORY (1 BLOCK)

  • SELECTIVE (2 BLOCKS: OPTIONAL SURGERY SELECTIVE)

  • SPORTS MEDICINE (1 BLOCK)

PGY-II

  • CLINIC (1-2 BLOCKS DEPENDING ON INDIVIDUAL SCHEDULE)

  • EMERGENCY MEDICINE (1 BLOCK)

  • FAMILY AND COMMUNITY MEDICINE (2 CONTIGUOUS BLOCKS)

  • GERIATRICS AT STANFORD SENIOR CARE (1 BLOCK) 

  • ICU (1 BLOCK)

  • JEOPARDY/POPULATION HEALTH (2 BLOCKS, SEPARATED 1 WEEK EACH)

  • MEDICINE - AMBULATORY - ADDICTION MEDICINE, CARDIOLOGY, ALLERGY, & DERMATOLOGY AT LOCAL COMMUNITY SPECIALISTS’ OFFICES (2 BLOCKS)

  • MEDICINE - INPATIENT (2-3 BLOCKS DEPENDING ON INDIVIDUAL SCHEDULE) 

  • NIGHT FLOAT (2-3 BLOCKS DEPENDING ON INDIVIDUAL SCHEDULE)

  • OBSTETRICS AT REGIONAL MEDICAL CENTER - INPATIENT (1 BLOCK)

  • NEWBORN AT SANTA CLARA VALLEY MEDICAL CENTER - INPATIENT (1 BLOCK)   

  • PEDIATRICS - AMBULATORY (2 BLOCKS)

  • SELECTIVE (3 BLOCKS)

  • SPORTS MEDICINE (1 BLOCK)

  • WOMEN’S HEALTH, INTRO TO FAMILY PLANNING, & OB CALL AT SANTA CLARA VALLEY MEDICAL CENTER (2 BLOCKS) 

PGY-III

  • CLINIC (1-2 BLOCKS)

  • ELECTIVE (2 CONTIGUOUS BLOCKS) 

  • EMERGENCY MEDICINE (1 BLOCK)

  • FAMILY AND COMMUNITY MEDICINE (2 CONTIGUOUS BLOCKS) 

  • GERIATRICS AT STANFORD SENIOR CARE (1 BLOCK) 

  • JEOPARDY/POPULATION HEALTH (1 BLOCK, SEPARATED 1 WEEK EACH)

  • MEDICINE - AMBULATORY - ADDICTION MEDICINE, CARDIOLOGY, ALLERGY, & DERMATOLOGY AT LOCAL COMMUNITY SPECIALISTS’ OFFICES (2 BLOCKS)

  • MEDICINE - INPATIENT (2-3 BLOCKS DEPENDING ON INDIVIDUAL SCHEDULE) 

  • NIGHT FLOAT (2-3 BLOCKS DEPENDING ON INDIVIDUAL SCHEDULE) 

  • OBSTETRICS AT REGIONAL MEDICAL CENTER - INPATIENT (1 BLOCK)

  • NEWBORN AT SANTA CLARA VALLEY MEDICAL CENTER - INPATIENT (1 BLOCK)   

  • PEDIATRICS - AMBULATORY (1 BLOCK) 

  • SELECTIVE (4 BLOCKS) 

  • SPORTS MEDICINE (1 BLOCK)

  • WOMEN’S HEALTH AT SANTA CLARA VALLEY MEDICAL CENTER & LOCAL GYNECOLOGY CLINICS (2 BLOCKS) 

ALL ROTATIONS ARE AT O’CONNOR HOSPITAL OR THE FAMILY MEDICINE CENTER UNLESS OTHERWISE NOTED