Curriculum

Phoenix Children’s Pediatric Residency Alliance (PCPRA) is participating in an ACGME approved pilot program and has transitioned to an X+Y block schedule. The goal of X+Y scheduling is to decouple inpatient and ambulatory experiences; this allows for residents to remain focused in a clinical area and reduce the number of transitions and handoffs needed.

In our X+Y schedule each resident will do 3 weeks of an “X” block followed by 1 week of a “Y” block. X blocks are typically hospital-based experiences such as inpatient wards, ICU, or ED. The Y block is focused on outpatient activities such as continuity clinic, the resident longitudinal experience (RLE), and rotations such as Community and Developmental Pediatrics.

X+Y scheduling has several benefits:

• Significantly decreases number of patient hand-offs (residents will no longer leave inpatient experiences for continuity clinic)
• Allows for decompression after more challenging rotations as every 3-week block is followed by an outpatient experience
• Allows for more consistency in continuity clinic scheduling, ideally providing more continuity overall
• Inpatient teams will no longer have the challenge of managing patients while 1-2 residents are in outpatient clinics