Scheduling for Large Residency Programs That Actually Works

Thrawn's managed service uses mathematical optimization to deliver complete, fair, and ACGME-compliant Block, Call, Clinic, and Attending schedules for large residency programs at scale.

Why Large Programs Break Scheduling Tools

Conflicts Cascade Across Schedules

With dozens of residents across multiple rotations and sites, one change to the block schedule breaks the call schedule, which breaks clinic coverage. Manual fixes take days.

Fairness Becomes Impossible to Prove

Distributing nights, weekends, holidays, and coveted rotations equitably across a large resident cohort is mathematically complex. Gut-feel scheduling invites complaints and erodes morale.

ACGME Compliance Slips at Volume

Tracking duty hour compliance for 50 or more residents across overlapping rotations and call patterns is error-prone. Violations discovered after scheduling put your accreditation at risk.

Finished Schedules Built for Scale

Thrawn's proprietary Scheduling Programming Language treats your block, call, clinic, and attending schedules as one interconnected system — optimizing all of them simultaneously. Send your constraints. Receive finished, mathematically optimal schedules. Program directors and chief residents review instead of build.

Built for the Complexity of Large Programs

Five capabilities selected for residency programs managing large resident cohorts across multiple sites and schedule types.

One Optimized System Across All Schedules

Scale Architecture

One Optimized System Across All Schedules

Block, call, clinic, and attending schedules for your entire program are optimized simultaneously as a single interconnected system. Changes in one schedule never break another, eliminating the cascading failures that cripple large programs.

  • Simultaneous multi-schedule optimization
  • No domino effect from changes
  • Multi-site coordination built in
Mathematically Proven Fairness at Scale

Equity Engine

Mathematically Proven Fairness at Scale

Distributing nights, weekends, holidays, and competitive elective rotations across a large cohort requires mathematical precision. Thrawn's equity engine ensures every resident receives a provably fair assignment distribution, removing the perception of favoritism.

  • Balanced holiday and weekend distribution
  • Equitable elective rotation access
  • Reduces scheduling complaints program-wide
ACGME Compliance Across Every Resident

Compliance

ACGME Compliance Across Every Resident

For large programs, tracking duty hour compliance manually across dozens of residents is where errors hide. Thrawn prevents ACGME violations at generation time across every resident simultaneously, so your program is audit-ready before the schedule is published.

  • Violation prevention not detection
  • Compliance tracked across full cohort
  • Accreditation audit readiness built in
Year-Long Block Schedules for Large Cohorts

Rotation Scheduling

Year-Long Block Schedules for Large Cohorts

Assigning every resident in a large program to the right blocks while satisfying educational requirements, vacation requests, and complement constraints is a combinatorial challenge. Thrawn's optimization engine solves it completely, delivering a finished year-long rotation schedule.

  • Full cohort block assignment automated
  • Educational requirements met by design
  • Vacation and preference constraints honored
Rapid Re-Optimization for Any Absence

Resilience

Rapid Re-Optimization for Any Absence

In a large residency program, unplanned absences are a near-daily operational reality. Thrawn re-optimizes the affected schedule rapidly to maintain coverage, fairness, and ACGME compliance without manual scrambling or emergency phone trees.

  • Fast re-optimization after any absence
  • Coverage maintained without manual patching
  • Fairness preserved across reassignments

Frequently Asked Questions

Ready to Scale Your Residency Scheduling?

Thrawn serves 19 departments across 14 hospitals at top-20 academic health systems. See what optimized scheduling looks like for your program.

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