Curriculum

R1 Curriculum

Our first year residents live in Portland and work alongside residents of the Providence Milwaukie Program. Our Hood River residents rotate through three hospitals during their R1 year in the Portland Metropolitan area. This provides them the benefit of learning in diverse environments and allows them a broad spectrum of training in these high-acuity medical centers of Portland. Participating hospitals are Providence Milwaukie Hospital for inpatient family medicine and internal medicine, Portland Providence Medical Center for Obstetrics, Neonatal and Intensive Care and Legacy Randall Children’s Hospital for Inpatient Pediatrics. For this upcoming year, the Hood River R1's will also have one week of inpatient addiction medicine experience and one week of medical spanish.

In the final block of the R1 Hood River year, our residents get an early start to their 2^ndyear and move to Hood River for their last 3 weeks of that year to help make relocating easier and get settled before beginning their second year. This 3 week last segment of the curriculum features a migrant and agricultural workers health curriculum, outreach to serve migrant farmworkers and native populations and an orientation to our community.

• Providence Milwaukie & Hood River Intern Schedule
• One Community Health - Learn more about our community health center.

What is the 1^st year like? Two residents’ perspectives

Providence Milwaukie Hospital

Providence Portland Medical Center

Randall Children’s Hospital at Legacy Emanuel

One Community Health in Hood River - New Building opened July 2020

R2 and R3 Curriculum

Laura Brown, MD & Enrique Riddle, MD visit a packing house to learn about where their patients work

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In the second and third years, residents live in Hood River, seeing patient at One Community Health, Providence Hood River Memorial Hospital, and community physicians’ offices.

Residents care for their patients at One Community Health for an average of 12 half-days a month. They admit to the inpatient service, do emergency room shifts, and attend deliveries at Providence Hood River Memorial Hospital. Additionally, they rotate with community physicians to gain experience in specialties such as surgery, orthopedics, ob-gyn, pediatrics, geriatrics, and rheumatology.

Residents follow a longitudinal curriculum that provides the required number of hours in cardiology, surgery and surgical specialties, emergency medicine, behavioral health and psychiatry, sports and physical medicine, obstetrics and pediatrics. Each quarter there is an emphasis on a theme: maternal child health, surgery, orthopedics / rheumatology, procedures, rural health and elective blocks

The main components of the longitudinal curriculum are:

1. Elective Week – this allows for flexibility in scheduling to incorporate additional elective/selective rotations & assignments. Residents are given the opportunity to tailor their assignments during these weeks to focus on areas of their personal interest.
2. Hospital Week – Runs Friday – Wednesday with overnight call on Friday and Monday. The first half of the week is dedicated to OB, Newborn and Pediatrics and the second half focuses on inpatient medicine. OCH clinic all day on Thursday is then followed by a “Golden Weekend” with 3 days off whenever possible. During Hospital Week the residents have the opportunities to manage patients in all service areas of our 25-bed Critical Access Hospital. This includes managing inpatient adult medicine and surgical admits with our IM-FM Hospitalist Service. Residents will also co-manage labor and delivery patients and their newborns attended by Family Physicians and OB/GYN’s and deliver those patients and assist on cesarean deliveries during this week. They also will have the opportunity to assist on surgeries of their inpatients and participate in hospital procedures under those attending physicians or our radiologists.
3. Clinic Intensive Week – Extra clinic half days, along with 2-3 half days dedicated for home study, QI/Research projects and interviews (seasonally).
4. Community Week – 1-2 ED shifts & 1-2 Women’s Clinic shifts, Hood River Care Center Geriatric Rounds, & OCH Clinic.

Home Call In Hood River: Residents take call overnight for One Community Health about once-a-week, and also while on overnight shifts in the hospital. Home Call includes triaging after-hours phone calls, managing labor patients and going into the hospital for deliveries, pediatric admissions or neonatal resuscitations.

Continuity Deliveries: We encourage all of our residents to be full spectrum family physicians and deliver a goal of 80 babies during their training. 10 of those must be continuity deliveries that they have also provided the prenatal and post-partum care for. Residents are expected to be called in for their continuity deliveries even when not on call or on hospital week.

Mandatory assignments to be scheduled in addition to regular rotations include:

All Years

• ITE exams scheduled at end of October each year

PGY2

• Extra Inpatient Peds @ Legacy Randall Children’s Hospital as elective time for interested residents
• Schedule and take Step 3 exam by January of 2nd year

PGY3

• Peds ED @ PSVMC. Must work a minimum of 5 shifts in order to reach mandatory ACGME requirement for Pediatric ED encounters (50 total)
• High Risk OB Rotation @ PSVMC (Required for OB Competency – optional if not planning to do OB after residency)

Download Longitudinal Schedule Curriculum 5.0