Orbit for Academic Medicine

The scheduling stack for residency programs

Real-time schedules, ACGME compliance, continuity tracking, training exposure, the DIO/GME institutional dashboard, Medicare GME finance exports, cross-department resource sharing, and the chief resident handoff toolkit. One platform, built by a practicing program director.

Works across specialties · ACGME-aligned · Institution-ready

Residency programs run on seven tools that don't talk to each other

Schedules in Amion or a spreadsheet. Duty hours in MedHub. Attestation by email. Continuity clinic tracked manually. Conference attendance on a clipboard. GME finance in an Excel export the CFO's office asks for once a year. Program DNA — the tacit knowledge of how the program actually runs — lives in the chief resident's head until they graduate.

Orbit replaces that with one integrated stack where the schedule is the data source for compliance, finance, and handoff. No double entry. No reconciliation. No week-of-site-visit scramble.

Six capabilities, one schedule

Everything below is driven by the same weekly schedule. Publish once, feed every surface.

⏱️

ACGME duty hour compliance

Real session times, not estimates. Continuous monitoring against the 80-hour rule, 4-week rolling average, 6-day max consecutive, 1-in-7 day off. Per-resident violation and warning cards. One-click site visit report.

Compliance deep dive →
🏥

Continuity clinic tracking

Configure which sessions and sites count. Orbit auto-scans resident assignments, tracks monthly attendance against target and minimum, and produces YTD trend charts by PGY level. No more manual tally spreadsheets.

🎯

Training exposure

Program-defined training goals with priority levels. Per-site tags (Mohs, pathology, subspecialty clinic, inpatient). Heat map per resident vs target. Cohort averages. Gap detection HAL can close automatically.

🏛️

Institutional Dashboard (DIO/GME)

Cross-program view for DIOs and GME offices. Every program in the institution, rolled up. Compliance grades, attestation rates, training progress, DIO alerts, key-date tracking for site visits and GMEC meetings.

See the dashboard →
💰

GME finance exports

Medicare direct and indirect GME reimbursement rides on accurate rotation math. Orbit computes FTE counts, rotation splits across sponsor vs. participating sites, and exports the numbers your CFO's office needs for the cost report.

Finance details →
🧬

Program DNA handoff

The chief resident handoff kit. Unwritten rules, rotation logic, who-pairs-with-whom, the stuff that normally walks out the door every June. Orbit captures it as the program runs so incoming chiefs don't start from zero.

How it works →

One dashboard for the DIO and GME office

Institutions with multiple residency programs don't want per-program logins and per-program spreadsheets. They want the roll-up: which programs are on track, which are at risk, which have an accreditation site visit in the next 90 days.

Orbit's Institutional Dashboard sits above the individual programs and aggregates the signals the DIO actually watches for.

  • Compliance grade per program, with 12-week trend
  • Attestation and training-exposure rates, cohort-aggregated
  • DIO alerts for programs that drift off-target
  • Key-date calendar: site visits, GMEC, accreditation deadlines
  • One-click export of institution-wide documentation for the JCAHO / ACGME institutional review
Institutional Dashboard
Q2 2026
Dermatology
76.2h avg
94%
A
Internal Medicine
78.8h avg
89%
B
Surgery
79.4h avg
91%
B
Pediatrics
74.1h avg
96%
A
Family Medicine
77.3h avg
82%
C
2 DIO alerts · Next site visit: 47 days

Borrow people and rooms across departments without leaving the schedule

Most scheduling tools are single-business-unit. They assume one department, one roster, one schedule. Multi-department institutions live with parallel spreadsheets, no shared roster, and a Slack channel where chairs ask each other — can I borrow Dr. Chen on Tuesday? Can Internal Medicine use Procedure Room 4 next week?

Orbit treats cross-department resource arbitrage as a first-class workflow. The four-layer architecture makes the loan structural, not anecdotal.

  1. Discover idle capacity Saved views surface availability across the org. The same view a coordinator uses to find their own residents becomes the slate a sibling chair queries when they need help. Discovery is composable, not bespoke.
  2. Negotiate through structured requests The owning chair sees pending requests on a board, approves with one click and a borrower-site picker, denies with a reason, or completes the loan when it ends. Both sides see the agreement the whole time.
  3. Execute atomically on the schedule Staff loans add the borrowed person to the requesting department's grid. Room loans render a virtual row under the borrower's chosen site for the loan window, with a provenance badge. People get assigned inline like any other cell — the loan is real on the schedule, not just a tracking record.
  4. Audit every agreement Every loan carries provenance: who requested, who approved, when, with what reason. Completion clears future cells while preserving past assignments as historical record. Compliance and finance reads from the same source the work runs on.

No other scheduling tool we've seen treats this as a primitive. Float pools require formal labor models that academic departments don't have. Slack channels are unstructured and unaudited. Orbit makes the workflow structural — and that's the line we draw against single-business-unit tools.

Internal Medicine · West Loop · Tue PM
Borrowing
Room
Provider
Resident
MA
Room 1
Dr. Patel
R. Martinez
A. Liu
Room 2
Dr. Khan
B. Nguyen
🚪 Procedure Room 4 from Dermatology
Dr. Reyes
S. Cho
M. Garcia
🚪 Procedure Room 4 — Borrowing from Dermatology · West Loop Active

The Medicare reimbursement math, done right

Direct and indirect medical education (DME / IME) payments depend on rotation-site math that's tedious and error-prone when done on spreadsheets. Orbit tracks every rotation at every site, computes FTE allocations across sponsor and participating sites, and produces the numbers the institutional cost report needs.

Accurate rotation math is millions of dollars for a mid-sized institution. Orbit replaces the CFO-office Excel export with a signed, auditable source of truth.

Supports sponsor and participating-site allocation, PGY-level weighting, inpatient / outpatient splits, and the IRIS and Medicare cost report export formats.

FY 2026 · Dermatology · Sample Export
Total resident FTEs5.00
Sponsor site FTEs3.72
Participating site FTEs1.28
Inpatient FTE fraction0.15
Outpatient FTE fraction0.85
Reimbursable FTEs5.00

Program DNA — the knowledge that usually graduates

Every June, chief residents graduate. They take with them the unwritten rules: who covers whose late day, which attending wants morning clinic, which rotation has the steepest learning curve, which site you don't send a PGY-1 to solo. Incoming chiefs start from zero.

01 · Capture
During the year
Orbit captures the tacit rules as the current chief works — pairing preferences, rotation sequencing, gotchas.
02 · Structure
Into a living doc
HAL structures the captured knowledge into a handoff document organized by rotation, site, and scenario.
03 · Review
Chief-to-chief
Outgoing chief reviews, edits, adds what's missing. The PD signs off on what's program policy vs. chief preference.
04 · Handoff
Into the new chief's hands
Incoming chief starts July 1 with the full playbook, not the first three months of rediscovering why things are the way they are.

Built specialty-agnostic. Deepest build today is dermatology.

The six capabilities above work for any ACGME-accredited residency. The scheduling engine, compliance rules, and institutional layer are specialty-agnostic. On top of that, Orbit has a flagship vertical build for dermatology with specialty-specific tooling.

Flagship Vertical

Dermatology

Mohs-aware scheduling, medical / cosmetic / surgical day mix, procedure-type balancing across attendings, and residency integration for academic derm programs.

Explore Dermatology →
Other Specialties

IM, Surgery, Peds, FM, and more

Full residency stack — ACGME compliance, continuity, training exposure, institutional dashboard, GME finance, Program DNA. Specialty-specific tuning rolling out program by program.

Start Your Program →

Built by a program director who uses it every week

Orbit is built by a practicing department chair and dermatology residency program director. The features above are not a roadmap — they're how the founder's program runs today.

Every capability on this page exists because an ACGME review, a CFO conversation, a chief-resident handoff, or a site visit made it necessary. This is the software academic medicine should have had a decade ago.

Put your program on Orbit

Start free. No credit card. The compliance, continuity, and GME finance surfaces activate the moment you publish your first schedule.

Start Your Free Program
✓ Built for residency programs · ACGME-aligned · Institution-ready
The Academic Medicine Stack

Other ways to read the platform

Overview

Academic Medicine

The full residency stack — compliance, continuity, training exposure, institutional dashboard, GME finance, and chief resident handoff.

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Compliance Deep Dive

ACGME Compliance

Five compliance surfaces, continuous monitoring, and the one-click site visit report. HAL auto-repairs violations before you see them.

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Flagship Vertical

Dermatology

Mohs-aware scheduling, medical / cosmetic / surgical day mix, and procedure balancing. The deepest vertical build — for residency or private practice.

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Operations Layer

Medical Groups

Cross-department arbitrage, multi-site coordination, utilization roll-ups, and the audit trail. For practice managers and operations directors at multi-specialty groups.

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