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.
The Hood River R1’s experience includes traveling to Hood River for
their continuity practice at One Community Health at least once weekly
at minimum 40 weeks of the year. They will maintain their continuity patients
over 3 years. Residents are assigned to a family-centered medical home
team where they co-manage their patients with Hood River family medicine
faculty. One Community Health has just completed a new building construction
project that opened it's doors in July 2020.
In the final block of the R1 Hood River year, our residents get an early start to their 2nd year 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
Portland Providence
Legacy Randall’s Children’s Hospital
One Community Health in Hood River’s New Building
R2 and R3 Curriculum
In the second and third years, residents live in Hood River, seeing patients at One Community Health, Providence Hood River Memorial Hospital, and community physicians’ offices.
Residents care for their patients at One Community Health three to four half-days a week. 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 are scheduled in 3 month blocks called “Quarto’s”. The schedule has dedicated time for assignments related specifically to each Quarto during “Specialist Week”.
The general Quarto themes are:
Surgery and MSK (S/MSK)
Maternal Child Health and Pediatrics (MCH/Peds)
Procedures & Rural Health (P/RH)
Elective & Away (E/A)
There are 13 weeks in each Quarto block. Weeks 1-12 of each Quarto will rotate between the following weekly themes for each resident.
Week 13 of each Quarto is an “open” week to allow for make-up of any needed curricular areas or clinic hours, PMH coverage, away rotations, vacation, etc.
PGY2
PGY3
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.
Hospital work includes daily rounding with the inpatient family medicine service. Residents manage adult, pediatric, maternity and neonatal patients, in addition to shifts in the Emergency Room.