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Schedule Format


At the University of Utah, our interns are on a 4+1 schedule system, with at least every fifth week spent on an outpatient rotation. This +1 week ambulatory combines four or five half-day continuity clinic sessions with morning didactic conferences, general medicine clinics, subspecialty clinics, and the Thursday afternoon intern seminar to create a unique educational experience. There are no night or weekend responsibilities during the +1 week, which guarantees you a minimum of one full weekend off out of every five weeks. We believe this allows you to focus on and maximize the rotations you are on between +1 weeks, and subsequently focus on your panel during the +1 week. Preliminary interns may have a modified 4+1 schedule to accommodate their PGY1 curriculum.

What is the Reason for 4+1?

We believe this schedule maximizes the educational experience for our interns. Interns have a steep learning curve. As you are learning the systems and gaining knowledge and confidence, this schedule allows the opportunity to prioritize patients on your scheduled rotation without having to balance rotation and continuity clinic responsibilities. This schedule promotes wellness by ensuring that interns have at least one week of a business hours, Monday-Friday schedule every five weeks.


Our PGY2’s and 3’s continue to have a traditional block system with weekly clinics. We take pride in the flexibility of our resident schedules and the diversity and depth of subspecialty opportunities. The resident’s 2 week subspecialty rotations are not as compatible with the 4+1 schedule.

Sample Schedules

    Interns begin the academic year on June 24. The schedule is based on the 4+1 model, with 4 week rotations punctuated by 1 week ambulatory care rotations. 

    1 +1 2 +1 3 +1 4 +1 5 +1 6 +1 7 +1 8 +1 9 +1 10 +1 11
    Geriatrics Amb Care ICU Amb Care Wards Amb Care * ER Amb Care Wards Amb Care NF/  Amb Care * Amb Care Wards Amb Care Wards Amb Care ICU Amb Care Wards Amb Care Amb Care *

    * = block includes 1 week of vacation. In addition, all interns have the final week of the year off (for a yearly total of 4 weeks vacation)

    Sample Resident Schedule

    PGY2 and PGY3 residents begin on July 1 and their schedules are based on 28 day blocks, with a total of 13 blocks in a year.  All residents receive three weeks of vacation each year.

    1 2 3 4 5 6 7 8 9 10 11 12 13
    GI       Wards Elective * MICU Amb Care * Wards Rheum & Sleep Med NF & ER STICU Cards Elective & Derm * Pulm Wards

    * = block includes 1-2 weeks of vacation (for a yearly total of 4 weeks of vacation)