In an attempt to keep working holidays fair throughout the three years, each resident is assigned a track at the start of their training. They will follow this track throughout and this will dictate which months they attend different assignments.  

With the exception of Inpatient Pediatrics and Pediatric Emergency Medicine, all Inpatient rotations occur at Ascension Providence Rochester Hospital. Inpatient Pediatrics and Pediatrics Emergency Medicine occur at Children's Hospital in Detroit. Outpatient rotations occur at a variety of clinical sites in the Rochester Area. 

The general rotational curriculum per PGY is as follows: 

PGY1 

• 4 months Inpatient Family Medicine 
• 1 month Emergency Medicine 
• 1 month Inpatient Pediatrics 
• 1 month Surgery (Inpatient and Outpatient) 
• 1 month Outpatient Pediatrics 
• 1 month Integrated Family Medicine (Outpatient) 
• 1 month Inpatient Obstetrics 
• 1 month Outpatient Obstetrics 
• 1 month Elective 

PGY2 

• 2 months Inpatient Family Medicine 
• 2 months Family Medicine Clinic 
• 1 month ICU 
• 1 month Dermatology 
• 1.5 months Electives 
• 0.5 months Radiology 
• 1 month Orthopedics 
• 1 month Inpatient Newborn 
• 1 month PM&R/Sports Medicine 

PGY3 

• 2 months Inpatient Family Medicine 
• 1 month Family Medicine Clinic 
• 1 month Cardiology 
• 1 month Emergency Medicine 
• 3.5 months Electives 
• 1 month elective or gynecology
• 0.5 month Outpatient Psychiatry
• 1 month Pediatrics Emergency Medicine 
• 1 month Outpatient Pediatrics