Schedules and Firm System

To continue to cement the feeling of community and family at UTSW, we have 5 Firms who rotate through their inpatient rotations and +1 clinic weeks together! This continuity, along with having your golden weekends off together, helps you form deep relationships over 3 years and allows planning for fun activities with your firm.

graphic image depicting the 5 firm system in the Internal medicine residency program

4 + 1 Highlights

  • The academic year is made up of 10 blocks, each is 5 weeks long.
  • The 5 weeks are broken up into a 4 week rotation followed by a +1 Continuity Clinic week. The 4 week rotations are made up of inpatient wards, ICU, and hybrid rotations.
  • You rotate through the 4 week rotations with your firm and will always be on the +1 clinic weeks with your entire firm.
  • You do not need to worry about seeing your clinic panel during inpatient rotations, your colleagues in a shared practice will do that for you!​
  • The weekend before your +1 clinic week is always off (“Golden weekend”). You can know all your weekends off for 3 years of residency!

Hybrid Rotations

You might be wondering, what are “Hybrid” rotations? We have combined the strengths of our inpatient and outpatient experiences in each of the major subspecialties at all 3 of our hospitals into a single, uninterrupted experience. This will give every resident and intern a 4-week emersion into each these subspecialties. We offer hybrid rotations in Nephrology, Gastroenterology, Geriatrics, Infectious Disease, Hematology/Oncology, Neurology, Rheumatology, Endocrinology, Cardiology, and Pulmonary Medicine.​

These Hybrid rotations are built into each year of training so that at the end of your three years here, you will have been exposed to each of the major subspecialties, creating a very strong and valuable general medicine experience for each of our residents. Plus, you will have most weekends off during Hybrid rotations!

Graphic of Sample Resident Block Schedule
Sample Resident Block Schedule

Rotations available for each block

Parkland Memorial Hospital

  • General Wards
  • MICU
  • Cardiology
  • Hybrid Rotations:
    • Nephrology
    • GI/Liver
    • Infectious Disease
    • Hematology/Oncology (including an inpatient oncology service)
    • Neurology
    • Rheumatology/Endocrinology
    • Cardiology/Pulmonary

UT Southwestern William P. Clements Jr. University Hospital

  • General Wards
  • MICU
  • Advanced Heart Failure
  • Hybrid Rotations:
    • Nephrology
    • GI/Liver (including an inpatient liver transplant service)
    • Infectious Disease
    • Hematology/Oncology (including rotation through the bone marrow transplant unit)
    • Neurology
    • Rheumatology/Endocrinology
    • Cardiology/Pulmonary

Dallas Veterans Affairs Medical Center

  • General Wards
  • Combined MICU and CCU service
  • Hybrid Rotations:
    • Nephrology
    • GI/Liver
    • Infectious Disease
    • Hematology/Oncology
    • Neurology
    • Rheumatology/Endocrinology
    • Cardiology/Pulmonary