Curriculum Overview
3+1 Resident Block Schedule
The Pediatrics Residency Program at UTCOM-Chattanooga transitioned to an X+Y (3+1) immersion schedule on July 2019. In this format, each resident spends three weeks on a core or block rotation followed by one week of ambulatory pediatrics. This scheduling format is part of a pilot project (called AIRE) approved by the ACGME Pediatric Residency Review Committee. The goal of this scheduling format is:
- Improved patient continuity in pediatric resident clinics
- Less conflict between inpatient and ambulatory responsibilities
- Improvement in resident wellness, leading to less burnout
- Improved patient and resident satisfaction
Sample 3+1 Rotation Master Schedule
Not all residents can be on the 3 week portion or 1 week portion at the same time. We have established 4 cohorts of residents across all PGY levels. Each cohort should include 2-3 residents in each PGY level. Once a resident is in a cohort, they remain in the same cohort for the year. At the beginning of an academic year, the cohorts are staggered and rotations may be shortened to begin the recurring 3+1 pattern.
Resident - Cohort 1 | Resident - Cohort 2 | Resident - Cohort 3 | Resident - Cohort 4 | |
---|---|---|---|---|
Week 1 | Ambulatory | Rotation | Rotation | Rotation |
Week 2 | Rotation | Ambulatory | ||
Week 3 | Rotation | Ambulatory | ||
Week 4 | Rotation | Ambulatory | ||
Week 5 | Ambulatory | Rotation | ||
Week 6 | Rotation | Ambulatory | ||
Week 7 | Rotation | Ambulatory | ||
Week 8 | Rotation | Ambulatory | ||
Week 9 | Ambulatory | Rotation | ||
Week 10 | Rotation | Ambulatory | ||
Week 11 | Rotation | Ambulatory | ||
Week 12 | Rotation | Ambulatory | ||
Week 13 | Ambulatory | Rotation | ||
Week 14 | Rotation | Ambulatory |
Sample Block Rotation (in weeks)

PGY-1 | PGY-2 | PGY-3 | |
---|---|---|---|
Hospital Medicine | 10 | 7 | 9 |
Night Float - Inpatient (PGY1, 3) PICU (PGY2) | 4 | 3 | 6 |
PICU | 0 | 9 | 0 |
NICU | 3 | 3 | 0 |
Newborn Nursery | 4 | 0 | 3 |
Heme/Onc | 3 | 0 | 3 |
Emergency Medicine | 3 | 3 | 3 |
Developmental / Behavioral | 0 | 3 | 0 |
Adolescent | 0 | 3 | 0 |
Community Rotation | 3 | 0 | 0 |
Psychiatry / Psychology | 0 | 2 | 0 |
Elective Rotation | 9 | 6 | 15 |
Ambulatory | 10 | 10 | 10 |
Vacation | 3 | 3 | 3 |
Ambulatory/ Continuity Clinic
Sample Ambulatory Week
Monday | Tuesday | Wednesday | Thursday | Friday | |
---|---|---|---|---|---|
Morning | Continuity Clinic | Acute Care Clinic | Continuity Clinic | Acute Care Clinic | Acute Care Clinic |
Afternoon | Continuity Clinic | Acute Care Clinic | Continuity Clinic | Independent Study | Didactic Lecture Block |
Intern Bootcamp
One unique aspect of the 3+1 schedule at UTCOM is the inclusion of an initial four-week bootcamp month. New interns spend one week in each of the key areas of the hospital: inpatient wards, night float, newborn nursery and ambulatory clinic, allowing interns to understand the workings of the entire system beginning with the first month of their residency. *In the color graphic above, the weeks of bootcamp are counted as part of the clinical rotations, rather than their own bootcamp rotation.
Sample Bootcamp Rotation Schedule
Resident - Cohort 1 | Resident - Cohort 2 | Resident - Cohort 3 | Resident - Cohort 4 | |
---|---|---|---|---|
Week 1 | Ambulatory | Newborn Nursery | Inpatient Days | Inpatient Nights |
Week 2 | Inpatient Nights | Ambulatory | Newborn Nursery | Inpatient Days |
Week 3 | Inpatient Days | Inpatient Nights | Ambulatory | Newborn Nursery |
Week 4 | Newborn Nursery | Inpatient Days | Inpatient Nights | Ambulatory |
Sample Bootcamp Didactic Schedule
New residents receive special lectures during the month of July to further ease the transition from medical school to residency. The responsibilities of a resident can be a large jump from the role of a medical student and these lectures lay out expectations and include small group workshops. All residents participate in the Friday lecture block during bootcamp for refresher lectures.
July Bootcamp (example)Tentative 2023 |
||||
Monday | Tuesday | Wednesday | Thursday | Friday |
---|---|---|---|---|
3
|
4 Clinic Closed |
5 8 am: Intro to Rapid Response (Bennett), MSB140 |
6 8 am: IPASS Workshop (Cary), MSB140 |
7 Friday Lecture (MSB140) |
10 8 am: Overview of MR(Cary), MSB140 |
11
|
12 8 am: Endo Emergencies (Martin), MSB140 |
13 8 am: SBAR (Garcia), MSB140 |
14 Friday Lecture (MSB140) |
17 8 am: Intro to Res Software (Thurston), MSB140 |
18
|
19 8 am: Inpatient Pathways (Bennett), MSB140 |
20 8 am: Legal Issues (Heise), MSB140 |
21 Friday Lecture (CHOC): |
24 8 am: CPS Nuts and Bolts (Kate Wilson), MSB140 |
25
|
26 8 am: Medication Errors (Gerwin), MSB140 |
27 8 am: Newborn Emergencies (Goins), MSB140 |
28 Friday Lecture (MSB140) |
31 8 am: Intro to Telehealth (Pigg), MSB140 |
Didactic Teachings
Monday | Tuesday | Wednesday | Thursday | Friday | |
Morning | Board Review | Ambulatory Lecture | Grand Rounds | Morning Report | |
---|---|---|---|---|---|
Afternoon |
Didactic Lecture |