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Schedule, Team Structure and Call

Typical Rotation Schedule

The table shows rotations during the three years of training. Our academic year is divided into four-week blocks, thus there are 13 blocks in each year. A few rotations may be for two weeks and are therefore shown as "0.5" blocks. Please Note: the table below is an approximation for a house officer in a given year. The spectrum for individual house officer's in each year may vary somewhat, though not substantially.

Ward Rotations MICU / VA-ICU CCU Nights
Jeop. Amb. ED Elective Vacation
PGY-1 Categorical 4.0 1.0* 0.5-1.0* 1.0
0.5 3.0 0.5 1.0
1.0 ^
PGY-1 Preliminary 5-6 1.0-1.5 0-0.5** 1.0
0.5 0 0.5 2.0
1.0 ^
PGY-1 Anesthesia 4.0 2.0 0 1.0
0.5 1.0 1.0 0
1.0 ^
PGY-2 Resident 4.5 1.0 0.5-1.0 0.5-1.0
0.5 3.0 0.5
1.0 ^
PGY-3 Resident 4.5
1.0 0 1.0
0.5 3.0 0*** 2.5
1.0 ^

* All PGY1 residents are scheduled for a total of two blocks of ICU time.

** ONLY Neurology preliminary interns rotate through the CCU. All other preliminary interns do not do CCU.

*** PGY-3 will do ED only if they do not rotate through the ED as interns.

^ All house officers receive a total of four weeks (one block) of vacation during each academic year: two weeks (0.5 block) in the first half of the academic year and two weeks (0.5 block) in the second half of the academic year.

Team Structure and Call Schedule

  • Most teams at Yale, with the exception of our Medical ICU teams, have two residents (two PGY-2 or two PGY-3 residents or one of each) and two interns (or 1 intern and 2 sub interns). These four-person medical teams allow the interns and residents to have one-to-one pairing of intern and resident while on call, and the structure enables both the exchange of ideas among the supervising PGY-2 or PGY-3 residents and sharing of responsibility when an intern or resident is post-call, off, or, rarely, in afternoon clinic. The Medical ICU teams are structured with one senior resident and 2 interns. At the York Street Campus, each resident admits every other day with their intern who can admit 2 holdovers and 4 new patients per day. All team members go home in the evening signing out to a night float or call resident for coverage overnight. At the West Haven VA, resident-intern teams admit every 4 days, and can take holdovers on non-admitting days if required by their sister team.
  • Call for interns is limited to the Fitkin service and occurs one to two times per two-week block (no more frequent than every fourth night). For senior residents at the York Street Campus, call occurs one to two times per two-week block (no more frequent than every fourth night) on most services depending on the service.