The X + Y schedule is an exciting new schedule design that allows for a much more robust ambulatory experience.
The X + Y schedule adopted by the University of Iowa Internal Medicine Residency is a 4 + 1 model. Residents rotate for 4 weeks on an inpatient rotation or a consult service followed by 1 week of ambulatory experience. This consists of 5 half days of continuity clinics, subspecialty clinic experience, one half-day allotted for administrative time, educational half-day with Quality Improvement curriculum, Residents as Teachers Curriculum, and Ultrasound Curriculum. Having this dedicated Y block after every 4 week rotation reliably places the residents in their continuity clinics every month which enhances follow up, continuity and the overall outpatient experience.