2801 Daggett Avenue
Klamath Falls, OR 97601
(541) 274-4611
info@ruralresidency.com
CURRICULUM |
Randy, Kristin, and Grover
I remember my time in Klamath Falls with great happiness. Friends for life were found there; great learning and a longing to help learning. I’ve often wished it never ended!
Becky Coats, M.D., ‘97
Doing locums work at rural clinics in New Zealand |
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Goals & ObjectivesRotationsFirst YearSecond YearThird YearStudent ElectivesOB and Teaching TrackLecturesPatientsManaged Care |
First Year Curriculum
OrientationAn introduction to family medicine allows residents to become acquainted with one another, faculty members and departmental personnel. Following initial orientation, a structured program is presented with emphasis on the philosophy of family medicine and Family Medicine concepts. New residents are introduced to ambulatory care case management in the Family Medicine Center. Our paid two week orientation period includes ACLS and NRP training.
Family Medicine Clinic(longitudinal)Residents in the first year of training spend one to two half days each week in the Family Medicine Center. Experiences involve patient care and orientation toward evaluation methods in primary care. Instruction by full and part-time family medicine faculty from the community helps residents develop skills in the evaluation and management of a variety of health problems. Instruction in patient care emphasizes disease prevention, health maintenance, utilization of community resources and management of the emotional aspects of patient care, with special attention to the appropriate use of consultants. During the first year, each resident will be responsible for the ongoing care of approximately 200 patients, and must have at least 150 patient encounters over the year.
Inpatient Medicine(four blocks)First year residents spend four months on their inpatient adult medicine service at Sky Lakes Medical Center in Klamath Falls. Our patients are admitted either from the emergency room or directly from clinic. We are responsible for Cascades East patients and any patients without admitting physicians in the area. This averages about four admissions per day and can include ICU admissions. Residents have responsibility for the in-hospital and longitudinal care of these patients under the supervision of family medicine and internal medicine faculty. The first year residents work as part of a team along with a second or third year resident on the Resident Medical Team.
Obstetrics(three blocks)First year residents spend three months in maternal-child health training with a strong emphasis on low risk obstetrics. We manage patients with the supervision of faculty and community providers, including family physicians, OB-GYN's, and a nurse midwife. This rotation occurs at Sky Lakes Medical Center Medical Center in Klamath Falls. Our family medicine program has a strong commitment to obstetrics within family medicine. OB/GYN training is supplemented by an opportunity to care for obstetrical patients on a longitudinal basis in the Family Medicine Center.
Surgery(one block)The surgery rotation takes place at Sky Lakes Medical Center in Klamath Falls. The emphasis is on learning minor outpatient surgical procedures, first assisting at major surgery and perioperative care. Two experienced general surgeons from the community supervise residents, on a one-to-one basis.
Orthopedics(one block)The orthopedic rotation occupies one block in the first year and one in the second year curriculum. Residents work with one of the local orthopedic surgeons in Klamath Falls. The rotation emphasizes outpatient management of common office problems and fracture care. Sports medicine experience and operative orthopedics are part of this rotation. In addition, we have a follow-up continuity clinic for orthopedic problems in the family medicine center.
Integrated Family Medicine(one block)This is an innovative one-month rotation during the first and second years that provides an integrated community medicine curriculum series. Included in the series is experience in Child and Adult Outpatient Psychiatry, child abuse case evaluations, evaluative assessments of developmentally delayed children, experience in other outpatient settings as well as specific seminars devoted to Family Life cycles and the community oriented primary care view of family medicine. Residents develop their own community-based improvement project that continues longitudinally throughout their residency during these blocks.
Emergency Medicine(one block)Sky Lakes Medical Center in Klamath Falls has one of the busiest emergency rooms in Oregon, with over 26,000 outpatient visits per year. Experienced emergency room physicians boarded in both emergency medicine and family medicine staff the emergency room. This one-month rotation focuses on learning to assess emergency department patients and basic skills such as suturing, care of fractures, management of major and minor trauma and psychiatric emergencies.
Inpatient Pediatrics(one block)This pediatric rotation takes place at Doernbecher Children's Hospital at OHSU in Portland, Oregon. The emphasis is on the assessment and management of primary care pediatric patient problems that will be encountered by a family physician in a hospital setting.
Outpatient Pediatrics(one block)The pediatric rotation provides experience and instruction in the assessment and management of children with a wide variety of problems including acute infections, chronic debilitating diseases, disorders of growth and development, nutritional disorders, mental retardation and congenital malformations. Instruction is provided by community pediatricians in both inpatient and outpatient care. Considerable experience in well-child care is gained. After hours and weekends, residents on call during this rotation see emergency room pediatric patients and learn to respond to telephone calls from concerned parents. |
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