Training Program - Flexible Pathway

UCSF has developed the Flexible Pathway, a part-time residency training track. This pathway is designed specifically for those residents whose family and/or health dictate a more flexible training experience. Selected residents may join this pathway after their PGY1 or PGY2 years. Flexible Pathway residents participate in residency training for 6 months each year, in 2 or 3-month blocks, taking 3-1/2 - 5 years to complete internal medicine training. For more details on this program, please see the Flexible Pathway Guidelines.

Flexible Pathway Guidelines

Who is eligible for the Flexible Pathway?
Due to heavy clinical responsibilities in the R1 year, this pathway will not be available to interns. All residents are eligible; however this track is designed specifically for those residents whose family and health dictate a more flexible lifestyle. If need and interest for this program exceed available slots, then a lottery system will be implemented in decision-making. The criteria for consideration for the flexible pathway are the following:
  1. Residents who either are currently expecting a child, who have children, or who are in the process of adopting a child.
  2. Residents who are planning to start a family, but who are not currently expecting or in the active act of adoption.
  3. Residents who need a flexible schedule option for medical or psychiatric reasons for self, significant other, or family member.
How does the Flexible Pathway differ from the traditional residency pathway?
Each program (categorical, PRIME, and primary care) is slightly different in how the schedule would look.
  1. R2 participation only: In general, R2's would divide their responsibilities of R2 year into two years (R2a and R2b). R3 year would be entirely composed of electives and/or block. There would be four total years of residency.
  2. R3 participation only: In general, R3's would divide their R3 year into two years (R3a and R3b). There would be four total years of residency.
  3. R2 and R3 participation: In general, each of R2 and R3 years would be divided into two years. There would be five total years of residency.
What about night float, jeopardy and other responsibilities?
  1. Jeopardy: The flex track participant would have either a total of four weeks of jeopardy duty during leave time in the 3rd calendar year of residency or they would perform jeopardy during an elective month of that same year (where possible).
  2. Night Float: Depending on staffing, participants may have the option to fulfill night float duty during leave time or to owe the program an equivalent amount of time in subsequent years for duties to be determined by the program (e.g. jeopardy, night float, day float, etc).
What about my clinic responsibilities?
In order for continuity clinic to remain truly continuous, the resident will be required to keep a continuity clinic one half day a week for at least the first 3 years of training (during both rotation AND leave blocks except when on official leave). Primary care and PRIME participants will have additional continuity clinics as their program requires, but will be credited while on block with academic half days for time spent in continuity clinic during leave. Flex track participants will complete the same number of clinic sessions as is normal for their program, but these sessions will be distributed in a different manner as determined by the individual program director. Medical malpractice and disability insurance coverage will be continued by the program during leave blocks.
What about salary and vacation?
Residents will receive a salary and benefits only during the rotation months. Each participating resident will still receive three months of paid vacation during the entire residency program. Only elective months (non-jeopardy) will be available for vacation. Residents will complete 33 months of rotations as required by the ABIM for board eligibility.
What about insurance?
Residents may choose to either continue their health insurance coverage at their own expense via COBRA, to reimburse the department at pre-determined intervals for continuation of regular coverage, or to become insured under a spouse's or domestic partner's policy instead.
When do I need to apply?
In order for grids to be designed so that all ward responsibilities are properly covered, participants will need to commit to this option by December of the prior academic year.
What if I change my mind?
Once a resident commits to this option and a track is planned for him/her, the resident is obligated to participate.