Our interns spend two weeks getting acquainted with one another, faculty members, hospital staff and community preceptors. A structured program is presented with emphasis on Family Medicine concepts and practical tools to succeed in residency. New residents are introduced to clinic teams, trained in the electronic health record, assessed for learning styles and learn pearls from fellow residents. 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, panel management, with special attention to the appropriate use of consultants. During the first year, each resident will be responsible for the ongoing care of approximately 100 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 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, several area primary care clinic patients and any patients without admitting physicians in the area. There are multiple admissions per day and includes ICU admissions and care.
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.
Maternal Child Health - two blocks
First year residents spend two months in maternal-child health training with an emphasis on low risk obstetrics, but with significant high risk obstetrical involvement, as well. We manage patients with the supervision of faculty and community providers, including family physicians and OB-GYNs. We deliver between 60-80 babies each month, with residents leading almost every delivery.
Orthopedics - one block
Our structured exposure to orthopedics includes one block with the orthopods in the first year and another focusing on sports medicine in the third year. The first year rotation emphasizes outpatient management of common office problems and fracture care. Sports medicine experience and operative orthopedics are also part of this rotation. In addition, we have a follow-up continuity clinic for orthopedic problems in the family medicine center.
Behavioral Health- one block
This one-month rotation occurs during all three years and provides education in the integration of behavioral health and primary care. Included in the series is experience with our behavioral health providers in warm hand-offs, health and behavioral interventions, specialty mental health care with psychiatrists in the community, and time with other mental health and behavioral health providers in the community. Home visits, video precepting, and aspects of community health and population health are also integrated into this experience. Our behavioral health faculty also facilitate a focus on provider wellness, recognizing that this is integral to our role as healers.
Emergency Medicine - one block
Sky Lakes Medical Center in Klamath Falls has a busy emergency department, with over 26,000 outpatient visits per year. Experienced emergency room physicians boarded in emergency medicine staff the emergency department. 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 problems that will be encountered in a hospital setting. The strong teaching environment of Doernbecher provides an excellent learning experience and the program provides housing for residents in Portland during this block.
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 on some weekends residents on call see emergency room pediatric patients and participate in admissions.
Gynecology - one block
This 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.
NICU - one block
A three-week 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 prepares residents to stabilize and prepare infants for transport in isolated communities upon graduation.