Cascades East Family Medicine Residency
2801 Daggett Avenue
Klamath Falls, OR 97601
(541) 274-4611
info@ruralresidency.com

CURRICULUM

 Kirsten in Niger
Kirsten in Niger
Our strengths are excellent attendings, flexible schedules, and elective time to pursue your own particular interests.
Kirsten Caine, M.D., '05
Practicing in Enterprise, OR


Goals & Objectives

Rotations

First Year

Second Year

Third Year

Student Electives

OB and Teaching Track

Lectures

Patients

Managed Care

Third Year Curriculum

Family Medicine Clinic

(longitudinal)
Third year residents spend three to five half-days each week in the Family Medicine Center. Each resident provides health care for his or her panel of patients. Patients also are treated for episodic illnesses as in a family physician's office. Third year residents generally have matured sufficiently in clinical judgment to know when they need assistance; however, faculty supervision is available in the center at all times. Regular chart auditing and morbidity/mortality conferences stimulate residents to review their own performance more closely. Patients in the Family Medicine Center who require admission into the hospital are admitted directly to the inpatient service. The service admits patients to labor and delivery, critical care unit, medicine, surgery and pediatric units as needed. Third year residents share after hours and weekend call for Family Medicine Center patients. During the third year, each resident's patient panel is approximately 600 individuals and the resident is responsible for at least 1,000 outpatient encounters at the Family Medicine Center.

Inpatient Medicine

(one or two blocks)
The internal medicine rotation for third year residents takes place at Sky Lakes Medical Center. The third year residents supervise and assist the first year residents on the medicine service in delivering inpatient care.

Residents who choose the Teaching Track spend two blocks supervising interns, while those who choose the OB Track will spend one block.

Obstetrics

(zero or one block)
This rotation is for OB track residents only as third years have generally decided if they plan to provide obstetric care after graduation.

As third years, residents on obstetrics have greater independence and involvement triaging and managing patients at the Family Birthing Center. Residents gain skills in both low and high risk obstetrics and assist on C-sections. Options for further C-section training exist. Third years also have the opportunity to go to San Jose, CA, (45 miles south east of San Francisco), for a high-volume obstetrics rotation.

Gynecology

(one block)
This one-month rotation occurs under the supervision of one of the obstetrician/gynecologists in Klamath Falls. The rotation emphasizes the evaluation of outpatients and performance of outpatient procedures such as endometrial biopsy and colposcopy. Some experience assisting on surgeries is also gained.

Outpatient Pediatrics

(one block)
The senior pediatric rotation provides experience and instructions 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. Community pediatricians provide instruction in the outpatient setting and the resident receives specific instruction in developmental pediatrics. Residents also help provide care to adolescents at the local juvenile detention center during this month.

NICU

(one block)
A one-month rotation in Neonatal Intensive Care takes place at the NICU in Medford, Oregon, under the direction of a board certified neonatologist who has a wealth of experience in academic teaching and care of ill and premature newborns. This experience is designed to prepare those residents who will deliver infants in an isolated setting to allow them to stabilize and prepare infants for transport.

Cardiology

(one block)
This rotation, which occurs in the hospital and office of a cardiology group in Klamath Falls, emphasizes outpatient assessment of patients with cardiac problems and experience with procedures such as exercise stress testing and echocardiography. Residents develop the necessary skills to read EKG's and perform stress tests unsupervised.

Subspecialty

(two blocks)
Training in otolaryngology, urology, dermatology, ophthalmology, and rheumatology takes place in Klamath Falls, Medford and Ashland.

Electives

(five blocks)
The purpose of the elective blocks is to allow residents to augment their education with an individualized plan developed by each resident and his or her advisor. Elective rotations can occur at any of the over one hundred electives available to residents here and at our sister program in Portland. In addition, electives are available in Klamath Falls or Bend for residents who desire further training in procedures such as endoscopy or colposcopy or who desire further training in obstetrics or general surgery. Electives may also be used to investigate future practice sites or for international medicine experiences. The maximum elective time available in each year for rotations outside of the home site of Klamath Falls is two months. This limit is determined by the Residency Review Committee of the ACGME and applies to all family practice residencies.

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