Attach a generic block diagram for the rotations of

							     1.   Attach a generic block diagram for the rotations of A&I residents for the first and second years in
          the program. A narrative to provide clarity may accompany the diagram.


Block diagram of weekly scheduled times for first and second year fellows.
               Mon                Tue                      Wed             Thu              Fri
*0715-0800                        Inpt case conf           QI/QA conf      Immunol conf
0800-1200       Clinic/research   Clinic/research          Clinic/research Clinic/research  Clinic/research
*1215-1300      Allergy conf      Research conf            Portfolio case  Journal club     Board review
                                                           conf
1300-1630       Clinic/research Clinic/research            Clinic/research Other: Didactic  Clinic/research
*Conference time is over and above a standard 8 hr day (7 hours per week)
Conference is approximately 4 hours per week in the standard 8 hr day (Thursday afternoon)
Each first year fellow spends approximately 6 weeks on inpatient service arranged in 2 week blocks.
During the inpatient rotations the fellows attend all conferences and Thursday PM educational block.


Typical First Year Resident Schedule
                  Jul    Aug     Sep    Oct     Nov     Dec     Jan     Feb       Mar     Apr     May    Jun    Tot   %*
                                                                        #                         ##
Clinics (1/2       13     23      23     24     24     28        26     2       24       28       42    24    275     55%
day blocks)
Research (1/2 1           1       0      9      4      5         10      32     5.5      6       0      8     81.5    16%
day blocks)
Other (1/2 day 26         10      21     6      14     3         5       1      4        4       7      6     107     21%
blocks)
*% based on 252 total work days/year
% total does not add up to 100 % because leave is not counted here but would make “other” = 25 %
#Most of month spent in diagnostic laboratory rotation. All first year fellows participate at the same time.
##Each first year fellow rotates for one month at St Joan of Arc. This is a totally clinical rotation spent
entirely at St. Joan of Arc (May was chosen to generically show the effect of this rotation on every resident’s
overall schedule).

Typical Second year Resident Schedule
                        Jul    Aug     Sep    Oct     Nov     Dec     Jan   Feb     Mar     Apr    May    Jun   Tot   %*
Clinics (1/2 days)      24     20      27     22      17      18      17    20      18      17     15     16    231   46
                                                                                                                      %
Research (1/2 day       12     15    15    15     13       12     14       18     14     13     13      18      172   34
blocks)                                                                                                               %
Other (1/2 day          0      6     4     5      12       12     6        0      12     11     5       6       86    17
blocks)                                                                                                               %
Electives may be taken in the second year. Continuity clinic is usually still maintained unless elective is
taken at another location.


2.   Referring to the block diagrams, provide a chart that documents the percentage of time spent in direct
     patient care activities (50%), research and scholarly activities (25%) and other educational activities
     (25%). A narrative to provide clarity may accompany the chart.

Cumulative 2 year schedule
                               Cum 2 yr total
Clinics (1/2 days)             506        50.2%
Research (1/2 day blocks)      253.5      25.2%
Other (1/2 day blocks)         193        19.2%

% total does not add up to 100 % because leave is not counted here but would make “other” = 24.6 %