Intrigma alternative built for residency programs

Intrigma is a self-serve SaaS platform with a rule-based engine — your team configures the software, resolves flagged conflicts, and manually balances the output. Thrawn is a fully managed service built on a proprietary mathematical optimization engine. You send your constraints and receive finished, ACGME-compliant schedules. The architectural difference is fundamental: Thrawn produces complete schedules, not suggestions requiring human intervention.

Yes. ACGME duty hour rules — including the 80-hour weekly limit, shift caps, and required rest periods — are built directly into Thrawn's Scheduling Programming Language. Violations are prevented at the point of schedule generation, not flagged after the fact. This means every schedule you receive is compliant before you review it, reducing accreditation risk.

No. Thrawn is a done-for-you managed service, not a software platform. There is nothing to configure, no interface to learn, and no implementation burden on your team. Thrawn's scheduling specialists work with your program to capture your constraints before generating your first schedule. Your team's only job is to review the finished output.

Thrawn's optimization engine treats Block, Call, Clinic, and Attending schedules as one interconnected system and optimizes them simultaneously. This eliminates the domino effect — the cascading failures that occur when separately built schedules are updated one at a time. Changes in one schedule are automatically reconciled across all others.

Thrawn currently serves 19 departments across 14 hospitals at multiple top-20 academic health systems on the East Coast, West Coast, and Southwest. The service is designed specifically for residency and fellowship programs — it is GME-native, not an enterprise scheduling tool adapted for graduate medical education.