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 have greater clinical judgment to know when they need assistance; however, faculty supervision is available in the center at all times. Chart auditing and patient safety 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. 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 300-350 individuals and the resident is responsible for reaching a total of 1650 outpatient encounters at the Family Medicine Center.
Electives - four 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 in a variety of settings in Klamath Falls and beyond. 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. Electives may also be used to investigate future practice sites or for international medicine experiences. As per regulatory standards, the maximum away rotation time in each year is two months.
Inpatient Medicine - one, two, or three blocks
The inpatient medicine rotation for third year residents takes place at Sky Lakes Medical Center. The second and third year residents supervise and assist the first year residents on the medicine service in delivering inpatient care. Residents will develop their proficiency and efficiency in managing complex patients and become leaders of the inpatient team, running teaching rounds and prioritizing admissions.
Maternal Child Health- zero or two blocks
This rotation is for MCH/OB track residents only as third years have the ability to tailor their education based on whether they intend to provide maternity care after graduation.
As third-year residents on MCH/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 primary C-section training exist through our C-section pager program, through which recent residents have primaried more than 60 C-sections.
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. Three experienced general surgeons from the community supervise residents, on a one-to-one basis.
Subspecialties - one block
Training in otolaryngology, urology, dermatology, and ophthalmology occur in Klamath Falls in order to further residents' skills in recognizing, managing and coordinating primary care issues related to each of these fields.
Pediatric ER - one block
Another innovative rotation, we have residents stationed in our Sky Lakes ER with the goal of evaluating every pediatric patient in the ER and, between such cases, they are free to roam the ER, doing procedures or scanning one and all for practice in the Point of Care Ultrasound field.
Chronic Care Management - one block
This is an innovative one-month rotation during all three years that provides an integrated community medicine curriculum series. Included in the series is experience in Patient-centered Medical Homes, population health, health systems management and chronic illness care. Residents develop skills in managing their panels of patients, working in clinical teams, and understanding the underpinnings of transformed primary care practices. By third year, residents learn to become leaders in quality improvement and clinical teams, integrate behavioral health into primary care and implement principals of population-based health.