The Implementation of X + Y Scheduling in Combined Internal Medicine-Pediatrics Residency Programs: Practical...

Area of Science:

• Medical Education
• Residency Training
• Pediatrics

Background:

• The X + Y scheduling model, or block scheduling, is prevalent in internal medicine residency programs.
• A 2018 pilot program by the American College of Graduate Medical Education enabled pediatrics and internal medicine-pediatrics (Med-Peds) programs to adopt X + Y scheduling.
• This approach presents distinct challenges and opportunities for combined Med-Peds residencies.

Discussion:

• This paper shares early experiences with X + Y scheduling in Med-Peds residencies.
• It offers practical considerations for Med-Peds programs contemplating or implementing a transition to the X + Y schedule.
• Key areas discussed include gaining stakeholder support, selecting optimal block structures, and designing ambulatory curricula.

Key Insights:

• X + Y scheduling offers opportunities for curriculum design within Med-Peds programs.
• Maximizing the clinical benefit in the residency continuity clinic is a crucial aspect of this model.
• Successful implementation requires careful planning regarding block structure and stakeholder engagement.

Outlook:

• Further research into the long-term impact of X + Y scheduling on Med-Peds resident education is warranted.
• Sharing best practices can facilitate wider adoption and optimization of this scheduling model.
• Adapting the X + Y schedule may enhance the training experience and clinical outcomes in combined residencies.