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Curriculum

Innovation in Education

Providence Portland Medical Center focuses on providing our residents with the depth and breadth of experiences that will build a foundation for success. Our planning process is rigorous, attracts active resident input and allows our residency to continually evolve to meet the individual needs of each resident.

Our curriculum follows a four week plus two week block cycle. Four week rotations are inpatient wards, ICU, Night Float, or inpatient electives. There are no continuity clinics during this time, so that residents can focus on their learning.

The 2 week blocks are called integrated clinic blocks (i-blocks). These blocks are comprised of eight to nine half-days of continuity clinic and seven to eight half days of outpatient subspecialty clinics.

Learning Labs occur in four sessions over this two weeks and is protected didactic time. Each intern and resident is part of a longitudinal cohort that follows the same four + two cycle. The learning labs will cover various topics. It is both an opportunity to cover ambulatory topics, but also be able to do more time-intensive workshops. The 4:2 schedules also give predictability in being able to work on longitudinal scholarly activity and research. We have built in some dedicated time within the curriculum, but the standard scheduling will make it easier to use the time outside of duty-hours.

Overall schedule at a glance:

  • Rotation (weeks)

    First Year

    Second Year

    Third Year

  • Inpatient Wards

    20

    18

    12

  • Night Float

    4

    4

    4

  • ICU

    6

    6

    6

  • Emergency Medicine

    None

    2

    2

  • Subspecialty/Electives

    12

    16

    22

  • Procedures Rotation

    2

    NA

    NA

  • Intro to Outpatient Medicine

    2

    NA

    NA

  • Vacation

    6

    6

    6

*Geriatrics, Palliative Care, Primary Care, Hospitalist care are included in Subspecialty/Electives

i-block options

  • Neurology
  • Infectious Disease
  • Pulmonary
  • Ophtho/ENT
  • Rheumatology
  • Nephrology
  • Behavioral Medicine
  • Addictions
  • Women’s/Men’s Health
  • Gastroenterology
  • Cardiology
  • Endocrinology
  • Dermatology
  • Hematology/Oncology
  • Pain
  • Sleep Medicine
  • Geriatrics (R3)

Learning Lab schedule at a glance

Monday

  • Orientation and sharing of experiences
  • Outpatient topics
    • Tobacco Cessation
    • Epic Efficiency/Tips & Tricks
    • Musculoskeletal Exams
    • Chronic Pian
    • Preventative Care
    • Contraception
  • R1 EBM sessions
  • R2 QI sessions
  • R2/R3 assortment of clinic reasoning, scholarly activity, and independent study sessions
  • Noon Conference
  • Ambulatory Resident Report

Wednesday

  • Resident Report or Grand Rounds
  • Complex Case Conference
  • Team Huddles
  • Modules
  • Evaluation

Friday

  • Desktop Time: Goal to leave Epic Desktop completely clear by end of i-block
  • Clinical Questions (group discussion)
  • Simulation Lab, outpatient procedures, POCUS, Advanced Care Planning, feedback