Text Size: A- A+ Facebook Twitter LinkedIn YouTube

Education

Curriculum

The 4:1 schedule

The innovative 4:1 curriculum consists of 10 inpatient rotations throughout the academic year, each four weeks in duration. Between each inpatient rotation is one week dedicated to outpatient medicine. This system provides the resident a robust outpatient experience by enhancing continuity in the clinic experience while minimizing the outpatient duties of residents when they are on inpatient rotations. 

The 4:1 curriculum gives you the best of both inpatient and outpatient worlds.
 
The benefits of the 4:1 schedule

1.     Continuity of Care – You are never pulled off-service, rushing to sign out to leave the hospital for clinic. This improves your patient safety. The primary team will be in house (i.e., in the hospital) to triage acute events rather than letting a covering physician deal with acute problems while you’re at clinic.
 
2.     Better Outpatient Experience – In the traditional system, a resident would have clinic for half a day once a week. Now there will be a dedicated week in which the resident will go to clinic Monday through Friday. There will be a better focus on the outpatient side. In addition, it gives the resident a “break” from the daily hospital life. During this time, the schedule is lighter but still demanding and challenging.
 
3.     Staff Exposure and Teaching Modalities – In the traditional system, teams would be formed and expected to work cohesively until the one-month rotation was over. With the 4:1 schedule, there will be rotating team members. This will allow interns to see different teaching styles of different seniors and expose seniors to more of the intern staff. By doing so, this encourages more interaction among interns and senior residents making it a friendlier environment in which to learn.
 
PGY1 - Categorical and Preliminary
Rotation
Categorical Blocks
Preliminary Blocks
Location
General Medicine
4
4
AGH, WPH
Critical Care (includes ICU and/or CCU)
2   
2  
AGH, WPH
Night Teaching
1  
AGH, WPH
Emergency Medicine
1  
1  
AGH
Ambulatory Clinic
10 (1-week blocks) 
10 (1-week blocks)
AGH, WPH
Selective
2  
AGH, WPH
PGY2
Rotation
Categorical Blocks
Location
General Medicine
2 to 3
AGH, WPH
Critical Care
AGH, WPH
Night Teaching
1 to 2 (2-week blocks)
AGH, WPH
Hematology/Oncology
1  
AGH, WPH
Neurology/Patient Safety
2 weeks each 
AGH
Oncology/BMT
2 weeks each
AGH, WPH
Ambulatory Clinic
10 (1-week blocks) 
AGH, WPH
Selective
2 to 3
 
PGY3
Rotation
Categorical blocks
Location
General Medicine
2 to 3
AGH, WPH
Critical Care
2
AGH, WPH
Night Teaching
1 to 2 (2-week blocks) 
AGH, WPH
Geriatrics
1
AGH, WPH
Medicine Consults
1
AGH, WPH
Ambulatory Clinic
10 (1-week blocks) 
AGH, WPH
Selective
2 to 4
AGH, WPH
Osteopathic Traditional Rotating Internship
The Osteopathic Rotating Internship addresses all AOA requirements and accommodates individuals' learning needs and interests. Interns must work with the Director of Osteopathic Medical Education to develop their rotation schedule in a way that best addresses their learning needs and interests.

Rotation
Categorical blocks
Location
Family Practice
1
AGH, WPH
Anesthesia/Radiology
2 weeks each
AGH, WPH
Emergency Medicine
1
AGH
Critical Care
2
AGH, WPH
General Medicine
5
AGH, WPH
Night Teaching
1
AGH,WPH
Ambulatory Clinic
10 (1-week blocks) 
AGH, WPH
Selective
1
AGH, WPH
 
Combined Emergency Medicine/Internal Medicine Curriculum
Rotation
Categorical blocks
Location
EM/IM R1 Intern Curriculum
General Medicine
2 to 3
AGH, WPH
Medical ICU
1
AGH, WPH
Night Teaching
AGH, WPH
Ambulatory Clinic
5 (1-week blocks)
AGH, WPH
Emergency Medicine
5 to 6
AGH, WPH
EM/IM R2 Curriculum
Medical ICU (Considered R1 level)
1
AGH, WPH
Cardiac Care Unit
1
AGH, WPH
Ambulatory Clinic
5 (1-week blocks) 
AGH, WPH
Sports Medicine
1 to 2 weeks
AGH
Neurology
2 weeks
AGH
Selective
2 weeks
AGH, WPH
Emergency Medicine
5 to 6
AGH, WPH
EM/IM R3 Curriculum
General Medicine
1 to 2
AGH, WPH
Critical Care
1 to 2
AGH, WPH
Medicine Consults
1
AGH
Ambulatory Clinic
5 (1-week blocks) 
AGH, WPH
Selective
2 to 4 weeks
AGH, WPH
Emergency Medicine
1 to 5
AGH, WPH
EM/IM R4 Curriculum
Geriatrics
1
AGH
Ambulatory Clinic
5 (1-week blocks) 
AGH, WPH
Mini Fellowship
12 weeks
AGH
Emergency Medicine
6
AGH,WPH
EM/IM R5 Curriculum
General Medicine
1 to 2
AGH, WPH
Critical Care
1 to 2
AGH, WPH
Ambulatory Clinic
5 (1-week blocks) 
AGH, WPH
Selective
1
AGH, WPH
Emergency Medicine
5 to 7
AGH, WPH
 

 

X
West Penn Allegheny Health System
Tell us who you are:

What areas do you use on our website?*
(select more than one if it applies)











Did you find what you were looking for?


Would you refer others to our website?

Can we contact you for future questions?

CAPTCHA math question:* 3 + 4 =

Thank you for completing the West Penn Allegheny Health System website survey.
We value your feedback and comments.