Department of
Internal Medicine at Highland Hospital
A member of Alameda Health System

3 + 1


Our 3+1 (also known as X+Y) schedule ensures separate inpatient and outpatient clinical experiences. Inpatient rotations are three weeks long with no continuity clinic responsibilities. Interspersed between inpatient rotations are one-week ambulatory blocks which are uninterrupted by inpatient duties. Our continuity clinic operates on a team-based model to give patients access care when residents are on inpatient services.

Our 3+1 schedule also allows for dedicated didactic time, called Academic Half-Day, during the ambulatory weeks. During this half-day, we provide interactive learning in evidence-based medicine, bedside diagnosis, behavioral medicine, quality improvement, procedures/simulation medicine, ultrasound, integrative medicine, and more!

Residents consistently express that they strongly prefer the 3+1 structure to the traditional residency model which blends inpatient and outpatient experiences: they are able to be more focused on their patients and their clinical work as well as get more protected learning time during the academic half-day.