We use 4-week blocks for both the clinical and conference schedule Each week one entire class is protected from 11pm Tuesday until 7am Thursday when on EM-based rotations - about 75% of rotations as an EM-1/2 and 100% of rotations as an EM-3/4. We have arranged this so that the EM-1s are protected 1st week of the block, EM-2s are protected 2nd week of the block, and so on.

On the assigned "Class Wednesday" the schedule is generally as follows:

• 8am - 12pm: Conference
• 12pm - 12:45pm: Lunch
• 12:45pm - 1:15pm: Class meeting with PDs
• 1:15pm - 3:30pm: Procedural workshop + Simulation (split into 2 groups of 4-5 residents) - including competency assessments
• Simulation
• 4pm onwards: Class bonding/wellness evening

Both simulation and procedural workshops are now year-directed such that more senior residents are not getting "bored" with basic procedures, while more junior residents don't feel "lost" with complicated simulation cases

With this change an incoming resident will now have about 30 procedural workshops and simulation sessions under their belt by the time they graduate. This is not only a substantial increase compared to our previous format, but also puts us at the cutting edge of using simulation to ensure that our graduates are well-trained and competent when they leave the program.