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Curriculum

group of residents

  • Year 1
  • Inpatient Medicine 8 weeks
  • Emergency Medicine 4 weeks
  • ICU 4 weeks
  • OB 4 weeks
  • Cardiology 4 weeks
  • Musculoskeletal 4 weeks
  • Pediatric ER 4 weeks
  • Pediatric Inpatient 4 weeks
  • Women’s Health 4 weeks
  • Dermatology 4 weeks
  • Vacation 4 weeks
  • Behavioral Health 4 weeks
  • Year 2
  • Inpatient Medicine 8 weeks
  • Emergency Medicine 4 weeks
  • Cancer Care 4 weeks
  • OB 4 weeks
  • Orthopedics / Sports Med. 4 weeks
  • Geriatrics/Palliative Care 4 weeks
  • Gynecology 4 weeks
  • ICU 4 weeks
  • Pediatrics Outpatient 4 weeks
  • Health Systems Management 4 weeks
  • Elective 4 weeks
  • Vacation 4 weeks
  • Year 3
  • Inpatient Medicine 8 weeks
  • Nightfloat 8 weeks
  • Surgery 4 weeks
  • Ambulatory Procedures 4 weeks
  • Medical & Surgical Specialty Clinics 4 weeks
  • Pediatrics Outpatient 4 weeks
  • Ambulatory Care 4 weeks
  • Geriatrics II 4 weeks
  • Electives 8 weeks
  • Vacation 4 weeks

Clinic First Philosophy – Our goal is to train excellent Family Medicine Specialists who will mostly work in an outpatient setting. Therefore, residents are assigned a panel of primary care patient on their first day who they will follow for their 3-year residency. Residents are never far from their panel of patients. They attend their continuity clinic at the Redwood Community Health Center for either 2 or 3 half days a week during all rotations of all 3 years of their residency caring for their panel of patients.

Longitudinal Curriculum – The challenge for primary care physicians is to know something about a very wide range of medical conditions. We feel that learning is best accomplished in small increments. Therefore, throughout the 3-year residency rotations are divided into one to two-week segments wherever possible. Therefore, when working with specialists, be it in Orthopedic Surgery, Cardiology, Dermatology, Woman’s Health, or whatever, residents have many small exposures over the year.

Didactics – There are typically four 45-minute didactic sessions each week. Residents lead a monthly journal club and guideline reviews. Specialists in various disciplines discuss topics pertinent to family physicians. There are also Board review sessions.

Clinical Research – Residents are expected to complete two research projects during their 3 years. One may be a Quality Improvement project involving the clinic or hospital. The other may focus on community medicine. The isolation of our community and the fact that almost all of the population of Humboldt County have medical records in the Open Door or St. Joseph EMRs make it an ideal setting for community-based research.

Inpatient Adult Medicine – Residents spend 8 weeks of each year on the adult inpatient service at St. Joseph Hospital, in 2 weeks blocks. The service consists of an Attending Physician, and one resident from each of the 3 years. Some of the attending physicians are Family Medicine residency faculty and some are hospitalists. The goal is for residents to be prepared to care independently for patients with a wide range of illnesses by the end of their third year of training.

Emergency Medicine – First- and Second-year residents spend 4 weeks apiece in the Emergency Room of St. Joseph Hospital in one-week blocks. As the only level 3 trauma center in our region the emergency room is busy. Training is supervised by Board Certified ER physicians. By the end of their training, residents are expected to be prepared to care for the wide range of patients typically seen in ERs.

Intensive Care Unit – First- and Second-year residents spend 4 weeks apiece in the ICU in one-week blocks. Our 15 bed ICU is supervised by Intensivists. Since the FM residents are the only residents in the ICU, our residents are expected to be competent in the care of acutely ill patients by the end of their training.

Obstetrics – First- and Second-Year residents spend 4 weeks each year in Labor and Delivery. They are supervised by Family Physicians on the Residency faculty as well as OB-GYNS and Nurse Midwives on the staff of Open Door Clinic and the St. Joseph Health Medical Group. Residents also follow the pregnant women in their continuity clinic and are expected to attend their birth whenever possible. While in L&D, residents also round on newborns including those in the NICU.

Night Float – Third year residents spend a total of 8 weeks on night float. This rotation is delayed until the third year when residents are competent to function at a greater level of independence. They admit patients through the ER and cover patients in the hospital under the supervision of a night float hospitalist.

Pediatric Emergency Room – First year residents attend one 4-week rotation at the UC Davis Medical Center Pediatric Emergency Room. The program pays for transportation expenses and lodging in Sacramento close to the UCD Medical Center.

Pediatric Inpatient Medicine - First year residents attend one 4-week rotation at the UC Davis Medical Center Pediatric Emergency Room. This rotation is not sequential with the UCD Pediatric Emergency Room rotation. The program pays for transportation expenses and lodging in Sacramento close to the UCD Medical Center.

Pediatric Outpatient Medicine – Residents have 4 weeks of Pediatric Outpatient Medicine in one-week blocks during both their second and third year of residency. This rotation is supervised by Pediatricians at the Open Door Eureka Community Health Center Pediatric Clinic and in the offices of community Pediatricians.

Musculoskeletal/Orthopedics/Sports Medicine – There are 4-week rotations in the first and second year of residency divided into one-week blocks. Time is spent with Orthopedic Surgeons in the St. Joseph Health Medical Group as well as FPs with sports medicine training,
Rheumatology and Podiatry.

Women’s Health/Gynecology – There are 4-week rotations in the First and Second year of residency in Women’s Health and Gynecology in one-week blocks. This is supervised by FPs in the Open Door Clinic with practices focused on Women’s Health as well as OB/GYN specialists in both the Open Door Clinic and the St. Joseph Health Medical Group.

Behavioral Health – There is a 4-week rotation during the first year in Behavioral Health in one-week blocks. Time is spent with an Open Door FP with additional training in behavioral Health, Psychiatrists in the Open Door Clinic and private practice, and the Humboldt County Psychiatric inpatient unit.

Dermatology – There is a 4-week rotation in Dermatology on the first year in one-week blocks. Supervising ate Dermatologists in the St. Joseph Health Medical group and in private practice.

Cardiology – There is a 4-week rotation in year 1 in Cardiology in one-week blocks. Time is spent with Cardiologists from the St. Joseph Health Medical Group in their clinic seeing patients as well as doing Cardiology consultations with them in the hospital.

Cancer Care – In the 4-week Cancer Care rotation in the second-year residents work with physicians in the St. Joseph Hospital Cancer Care program. The goal is to integrate primary care into multi-disciplinary cancer care involving medical and radiation oncologists, surgeons and palliative care specialists.

Geriatrics/Palliative Care – There are 4-week rotations in the second and third years in Geriatrics and Palliative Care. The second-year rotation is divided into 2 two-week blocks. One is spent in the Redwood Coast Program for the All-Inclusive Care of the Elderly (PACE). The other 2 weeks are spent working with Hospice of Humboldt. The third-year rotation may be spent with a local FP with subspecialty credentials in Geriatric Medicine or the hospital Palliative Care service. Residents also have a few of their continuity patients who reside in a local skilled nursing facility who they will see monthly during all 3 years under the supervision of an FP who is the Medical Director of the nursing home.

Surgery – There is a 4-week rotation in the 3rd year of residency in surgery. However, in addition residents are encouraged to assist in operations when their continuity patients in clinic or the patients they care for in the hospital go to the OR throughout the residency.

Health System Management – There is a 4-week rotation in the second year on Health System Management divided into one-week sections. Time is spent in a variety of settings including the quality assurance departments of the hospital and Open Door Clinic. Principles of managed care are covered by the Humboldt Independent Practitioners Association (IPA) and Partnership Health Care which manages the Medicaid program in Humboldt County. The Humboldt-Del Norte County Medical Society discuss laws relating to the practice of medicine and the role of organized medicine guiding political action for progress in medical care.

Electives - There is a 4-week block in the second year and two 4-week blocks in the third year of residency for electives. These are broken into 2-week sessions so there is time for six different electives during the three-year residency. Current elective options working with community physicians include:

  • Allergy/Asthma
  • Infectious Disease
  • Medical Management of Substance Use Disorder
  • Neurology
  • Neurosurgery
  • Otolaryngology
  • Pulmonary Medicine
  • Rehabilitation Medicine
  • Urology
  • Residents are also encouraged to design their own electives