Balancing Structure and Flexibility: Innovations to Support Individual Career Paths
Details

Overview

As the expectations for individualized learning in graduate medical education grow, residency programs must strike a careful balance between providing structure and supporting career-specific flexibility. In this interactive workshop, we will present two scalable and adaptable curricular models—“Inpatient Threads” and “Block 2.0”—developed and implemented at UCSF to address this challenge. Inpatient Threads refers to inpatient residency tracks that allow residents to pre-select between a more critical care and procedural set of rotations versus a more well-rounded general medicine categorical experience. Similarly, Block 2.0 refers to an innovative program with high-yield use of teaching in outpatient blocks via longitudinal subspecialty clinics selected by residents with their intended career goals in mind. These curricular innovations offer longitudinal mentorship, skills-based learning, and individualized academic development. We will discuss creation, implementation, expansion, and evaluation of these curricular innovations. Participants will explore common barriers to individualized education in internal medicine programs, share strategies for optimizing flexibility without compromising equity or core training, and collaboratively workshop adaptations for their own institutions. We will also share tools and frameworks used in the UCSF redesign process, including stakeholder engagement strategies and methods for maintaining continuity in a modular system. Workshop attendees will walk away with concrete ideas and proposals for how to design similar interventions at their home institutions.

Speakers

Bryn Boslett, MD
David Chia, MD, MS
Rebecca Berman, MD

Content Track

Curriculum: Point of Care

Audience

GME

Program Type

University-Based, Community-Based

Additional Information

Year Published: 2025 - APDIM Fall Meeting 2025