Residency Scheduling for Emergency Medicine Programs

Thrawn's managed service takes your EM program's constraints — ACGME duty hour rules, rotation requirements, resident preferences — and delivers complete, optimized schedules ready for review.

Why EM Scheduling Is Brutal

Shift Coverage Gaps Happen

A single swap request in a 24/7 ED environment can unravel weeks of careful planning, leaving uncovered shifts and scrambling program staff.

ACGME Violations Found Too Late

Manual spreadsheets and rule-based tools flag duty hour violations after the schedule is already built, forcing costly rebuilds close to publication.

Fairness Complaints Never Stop

When nights, weekends, and holidays are distributed by gut feel, residents question the process and chiefs spend hours defending every assignment.

Optimized EM Schedules Delivered to You

Thrawn's Scheduling Programming Language (SPL) takes your program's shift patterns, ACGME duty hour rules, rotation requirements, and resident preferences and produces finished, mathematically optimal schedules. No software to configure. No conflicts to resolve manually. Your chief residents and program directors review a complete schedule, not build one from scratch.

Built for Emergency Medicine Programs

Five capabilities selected for the specific demands of EM residency scheduling, from 24/7 coverage to ACGME duty hour compliance.

Fair Shift Distribution Across Every EM Rotation

Call Optimization

Fair Shift Distribution Across Every EM Rotation

Nights, weekends, and holidays are distributed with mathematical precision across all EM residents. No more gut-feel spreadsheet formulas that miss edge cases or create inequities that erode resident trust.

  • Equitable night and weekend rotation
  • Holiday and jeopardy coverage balanced
  • Backup shift distribution included
Zero Coverage Gaps in the ED

Coverage Assurance

Zero Coverage Gaps in the ED

Every required ED shift and rotation slot is filled before the schedule is published. The optimizer prevents uncovered shifts from occurring rather than discovering them after residents have already made plans.

  • 24/7 ED shift coverage guaranteed
  • Gap prevention not gap detection
  • Overstaffing minimized simultaneously
ACGME Duty Hour Compliance Built In

Compliance

ACGME Duty Hour Compliance Built In

EM duty hour rules are enforced at schedule generation time, not audited after the fact. Violations are structurally prevented, so your program arrives at every ACGME site visit with confidence.

  • Violations prevented at generation time
  • Accreditation audit readiness built in
  • 80-hour and rest period enforcement
Block, Call and Attending Schedules as One System

Schedule Coordination

Block, Call and Attending Schedules as One System

EM programs run multiple interdependent schedule types simultaneously. Thrawn optimizes block, call, clinic, and attending schedules together, eliminating the domino effect where fixing one schedule breaks another.

  • Simultaneous multi-schedule optimization
  • Domino effect eliminated by design
  • No siloed scheduling systems needed
Instant Re-optimization When Residents Are Out

Rapid Response

Instant Re-optimization When Residents Are Out

In a 24/7 emergency department, an unexpected absence is a patient care issue. Thrawn re-optimizes the affected schedule rapidly, generating compliant coverage alternatives without emergency phone trees or manual patching.

  • Rapid re-optimization on absence
  • Fairness maintained after adjustments
  • ACGME compliance preserved throughout

Frequently Asked Questions

Stop Building EM Schedules Manually

Thrawn serves 19 departments across 14 hospitals at top-20 academic health systems. Schedule a consultation to see how it works.

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