Curriculum

Young Doc

Clinic First Curriculum

Our Clinic First curriculum includes ample inpatient and outpatient rotations; residents experience the fast-paced, complex care provided in the hospital, while maintaining patient access and continuity of care in their home clinic. Residents also spend time working across Oregon to experience a wide range of healthcare settings.

Shaping the Future of Family Medicine

Our program offers residents a personal, intimate, small team experience within our five clinics, plus the benefits of a large, clinical system. Our patient-centered clinical team of practicing faculty, residents and staff see about 200,000 visits per year. We offer all our residents experience in:

  • Family-centered, full-spectrum maternity care (delivery services, cesarean section, pre-pregnancy counseling, prenatal  and newborn care)
  • Women's and reproductive health (RHEDI, abortion training optional)
  • Pediatric and adolescent care
  • Behavioral health
  • Geriatric care
  • Adult medicine
  • Integrative medicine
  • Osteopathy
  • Palliative care
  • Podiatry
  • Sports medicine
  • Research department with expertise in communication, educational, clinical translational and evidence-based research
  • Balance of  medical training and educational experiences in both community, university and rural settings
  • Collaborative relationship with faculty

Anticipated Rotations

First Year (PGY1)

Orthopedics/Sports Medicine 4 weeks
Emergency Medicine 4 weeks

Family Medicine Inpatient Service 12 weeks

Obstetrics
4 weeks

Rural Surgery (Ontario, OR)
2 weeks

Newborn Intensive Care Unit
4 weeks

Family Medicine Maternity / Newborn Service
4 weeks

Inpatient Pediatrics
4 weeks

Clinic Weeks
10 weeks

Clinic Orientation
4 weeks
Longitudinal Curriculum: Leadership
   
Longitudinal Curriculum: Patient Centered Primary Care
   

Orthopedic / Sports Medicine Outpatient

Residents spend time with family medicine faculty in a variety of sports medicine clinics as well as working in orthopaedic specialty clinics.

Emergency Medicine

Interns will spend at least three shifts per week in the Emergency Department at Oregon Health & Science University.

Family Medicine Inpatient Service

This service admits adult and pediatric patients from all of our family medicine clinics and local safety net clinics. Interns are paired with a senior family medicine resident and are expected to manage at least five patients independently.

Obstetrics

Interns will function as an obstetrics intern on this service, developing skills appropriate for low risk labor and delivery management.

Rural Surgery in Ontario, Oregon

Ontario, Oregon is home to approximately 20,000 people. During this experience, interns function as partners to general surgeons. This includes evaluating patients in the emergency room, office and hospital. Interns will first-assist in the OR and with upper and lower G.I. endoscopy.

Newborn Intensive Care Unit

Interns participate in newborn resuscitation, as well as management of newborns admitted to the NICU at OHSU.

Family Medicine Maternity / Newborn Service

Interns are paired with second year Family Medicine residents.They will manage labor and delivery of patients and newborns from our family medicine clinics and local safety net clinics.

Inpatient Pediatrics

Interns work in inpatient care at Doernbecher Children's Hospital and care for general pediatric sub-specialist patients.

Clinic Weeks

During these outpatient rotations, interns see patients at their continuity clinic, participate in clinic curriculum didactics, behavioral health activities, Planned Parenthood ultrasound training, integrative medicine clinic and attend the Board of Directors and Section Meetings. Clinic Curriculum didactics for the PGY1 year includes learning about electronic health record workflows, administrative efficiency and time management, patient clinic experience, community resources and health literacy.

Intern Clinic Orientation

The first month of residency is spent in clinic orientation, where residents become acquainted with the work flow in their home clinic. During the month of July interns start seeing patients in continuity clinic, go through the Patient Centered Primary Care Home curriculum, complete ALSO training, and participate in clinic curriculum didactics

Longitudinal Curriculum: Leadership

During the leadership blocks, interns focus on developing leadership skills and understanding leadership opportunities within the Department of Family Medicine. This includes rotation between facilitated small group learning and time blocked for independent study, reading and reflection activities.

Longitudinal Curriculum: Patient Centered Primary Care Home

Small group of residents focus on understanding the principles of the Patient-Centered Primary Care Home, and evaluate their own practice as part of a PCPCH.

Second Year (PGY2)

Family Medicine Inpatient Service 4 weeks
Geriatrics
4 weeks
Family Medicine Maternity / Newborn Service
4 weeks
Addiction Medicine
2 weeks
Emergency Medicine
4 weeks
Gynecology at Legacy Emanuel
4 weeks
Outpatient Pediatrics
4 weeks
Medical ICU at Veterans Affairs Healthcare System
4 weeks
Elective (may be out of state)
4 weeks
Night Team
4 weeks
Rural Family Medicine in Enterprise, Oregon
6 weeks
Clinic Weeks
7 weeks
Longitudinal Curriculum: Information Management

Family Medicine Inpatient Service

Second-year residents lead inpatient teams while supervising an intern and a sub-intern.

Geriatrics Outpatient

Residents focus on care of elderly patients in nursing home and hospice settings.

Family Medicine Maternity / Newborn Service

Second-year residents will supervise an intern while caring for maternity care patients and newborns from our practices and local safety net clinics.

Addiction Medicine

Residents care for patients through the recovery process in settings such as: medication assisted treatment (MAT) team, CODA (an opiate treatment center), and Hazelden Inpatient Treatment.

Emergency Medicine

Second-year residents see patients in the OHSU Emergency Department, covering four night shifts per week.

Gynecology at Legacy Emanuel

Residents over labor and delivery at a busy community hospital, GYN clinic and ER consultations for common GYN problems. Residents will participate in Colposcopy and LEEP clinic at our Gabriel Park clinic once a week.

Outpatient Pediatrics

Residents will see children in a local safety net clinic that primarily serves the Portland Metro area's Hispanic population.

Medical Intensive Care Unit

Residents care for critically ill adults at the Portland Veterans Affairs hospital adjacent to OHSU.

Elective Outpatient

This rotation may be completed away from OHSU. Residents are expected to use elective time to work on areas of special interest or to reinforce areas of need.

Night Team

Second-year residents are paired with third- or fourth-year residents to participate in four nights per week of night float coverage.The team covers all four of the Family Medicine inpatient services.

Rural Family Medicine in Enterprise, Oregon

Residents will participate in clinic, ED coverage, hospital rounds, maternity care, C/S, endoscopy as well as practice management and community participation.

Clinic weeks

Resident see patients at their continuity clinic as well as participate in clinic curriculum didactics and Planned Parenthood TABS. Clinic Curriculum didactics for the PGY2 year include going over the clinic budget, understanding the data that is collected within the clinic, clinic citizenship, the different ways that residents can be involved, time management in clinic and understanding the clinic referral process.

Longitudinal Curriculum: Information Management

This curriculum focuses on developing lifelong learning skills, and management of data from the resident's clinical practice.

Third Year (PGY3)

Family Medicine Inpatient Service 4 weeks
Night Team 4 weeks
Orthopedics/Sports Medicine 4 weeks
Surgery/Vasectomy Training 4 weeks
Elective (one may be out of state) 4 weeks
General Medicine
4 weeks
Obstetrics at Legacy Emanuel 4 weeks
Pediatric Emergency Medicine 4 weeks
Palliative Care 2 weeks
Subspecialities / Dermatology 4 weeks
Area of Concentration
8 weeks
Clinic Weeks
6 weeks
Longitudinal Curriculum: Behavioral Health / Social Medicine
 
Longitudinal Curriculum: Geriatrics
 
 

Family Medicine Inpatient Service

Third-year residents inpatient lead teams while supervising an intern and a sub-intern. They also manage sign-out rounds and teaching rounds.

Night Team

Third-year residents supervise a second year resident as the team cares for all four inpatient services four nights per week.

Orthopedics / Sports Medicine

Residents care for patients at various sports medicine clinics and have opportunities to work with local sports teams.

Surgery / Vasectomy training

Residents spend one half day per week in the surgical breast clinic evaluating women with breast masses; one half day a week doing minor procedures with general surgery faculty; one day a week in a minor injury clinic; and one half day per week performing vasectomies with family medicine faculty.

Elective (may be out of state)

Electives offer residents the opportunity to further modify their residency experience and to address areas of interest or deficiency outside of their area of concentration.

General Medicine

Third-year residents will supervise an  intern and medical students, while caring for adults and patients. They will work with internal medicine attending faculty.

Obstetrics at Legacy Emanuel

Residents share call with second year OB residents caring for high-risk maternity patients and performing Cesarean sections.

Pediatric Emergency Medicine

Residents care for children that come in to the pediatric emergency department at OHSU under the supervision of a pediatric emergency physician.

Palliative Care

Residents learn the basics of palliative care in the inpatient and outpatient setting. This includes utilizing community resources, and understanding end-of-life medications.

Dermatology

Residents see patients referred to the general dermatology and pediatric dermatology clinics at OHSU under the supervision of attending dermatologists.

Area of Concentration

Resident-organized blocks of time that with a focus that will be sustained over the last two years of the residency. This time is also used in making progress on capstone projects.

Clinic Weeks

Residents see patients at their continuity clinic as well as participate in clinic curriculum didactics, Richmond pain clinic, gynecology clinic at Gabriel Park and ear nose throat clinic. Clinic curriculum didactics for the PGY3 year include a personal quality improvement project, leadership development, resident as educator, practice based management and home visits.

Longitudinal Curriculum: Behavioral Health / Social Medicine

This longitudinal reinforces family medicine behavioral techniques and understanding how community resources can be used in the Patient Centered Primary Care Home.

Longitudinal Curriculum: Geriatrics

Building on the previous portions of the geriatrics curriculum, residents will develop additional skills in serving a geriatric population. Residents will gain further understanding of the special needs of this population and how the Patient Centered Primary Care Home can be tool which maximizes the health of seniors.

Fourth Year (PGY4)

Family Medicine Inpatient Service 10 weeks
Night Team 6 weeks
Adolescent Medicine
4 weeks
Elective (may be out of state) 4 weeks
Developmental Pediatrics
4 weeks
Areas of Concentration
28 weeks
Longitudinal Curriculum: Population Management
Longitudinal Curriculum: Leadership


 

Family Medicine Inpatient Service

Fourth-year lead inpatient teams supervising an intern and a sub intern. They are also responsible for quality improvement efforts and the transitions of care curriculum for the inpatient teams.

Night Team

Fourth-year residents cover inpatient services in teams of two, two - three nights per week. They are also available for regular clinical care and focus on hospital follow-up visits either in the office or on home / rehab center visits.

Adolescent Medicine

Residents work at a school based health center. The center serves a particularly vulnerable population that requires a unique skill set and an understanding of community resources that best fit the adolescents' needs.

Elective (may be out of state)

Electives offer residents the opportunity to further modify their residency experience and to address areas of interest outside of their area of concentration.

Developmental Pediatrics

Residents gain a deeper understanding of abnormal pediatric development and how the Patient Centered Primary Care Home can work with community resources and medical specialists to provide care to families with special needs children.

Areas of Concentration

Resident-organized blocks of time that are sustained over the last two years of the residency. This time is also to be used in making progress on capstone projects.

Longitudinal Curriculum: Population Management

Residents develop an understanding of the unique skills and knowledge required to care for a community and how this fits in with leadership, the Patient Centered Primary Care Home and information management.

Longitudinal Curriculum: Leadership

Residents build on leadership skills gained from the first leadership longitudinal and the subsequent years. They will also be very involved in the teaching of leadership to residents in earlier years.