Residency Experience

The Family Medicine Residency Program uses a modified “2 + 2” schedule that allows residents to complete most rotations in two-week segments, alternating between outpatient and inpatient experiences. Rotations include:

Family Medicine Inpatient Service

The Family Medicine Inpatient Service (FMIS) is the adult medicine rotation and features a resident team of interns, upper-level residents and visiting medical students who round on the service with one of our family medicine faculty members.

Residents care for patients from their continuity clinics and learn to consult various specialists in our hospital.  Because Tuality Healthcare is a community hospital setting, residents learn to transfer higher acuity patients who need an advanced level of care to our tertiary care partner, OHSU.

Residents take overnight call in-house as night float with an in-house family physician.  All residents must be BLS and ACLS certified.  Cross-cover resident coverage allows residents on inpatient services to go to afternoon clinic, at least once a week.


Critical Care Medicine

Critical Care MedicineResidents experience critical care medicine with an intensivist and work alongside internal medicine residents at Tuality Community Hospital.

Maternity Care

Residents follow prenatal patients in both FMP sites and precepted by family physician faculty who provide prenatal care, several of whom also perform c-sections.  Babies are delivered at Tuality Community Hospital in the Family Birth Unit.  Residents participate in pre- and post-natal care.

Residents also have the opportunity to learn ultrasound skills and issues in high risk pregnancies at the Maternal Fetal Medicine clinic on the Tuality hospital campus.  All residents must complete the Advanced Life Support in Obstetrics (ALSO) course.

Gynecology

During the four-week Gynecology rotations, residents treat women of all ages and learn various outpatient procedures including:

  • Pap smears
  • Potassium hydroxide test (KOH test)
  • Wet prep
  • Endometrial Biopsy (EMB)
  • Colposcopies
  • Long-acting reversible contraception (LARC) placement and removal

They will spend some time at Planned Parenthood and the mammography center.

Pediatrics

Residents spend four weeks rounding at OHSU Doernbecher Children’s Hospital [LINK] alongside pediatric residents. During inpatient pediatrics at the Tuality Community Hospital, residents will:

  • Round with neonatologists in Tuality’s Level 2 NICU.
  • Learn how to stabilize and transfer sick children.
  • Attend the PALS and NRP courses.
  • Have a video connection to neonatology fellows during resuscitation efforts.

Specialized care for outpatient pediatrics takes place at a busy pediatrician’s office in Hillsboro.

Geriatric

All residents rotate through a Geriatric Assessment Clinic at South Hillsboro with a board-certified geriatrician. The rotation includes:

  • Home visits.
  • Rounding on patients at a nearby long-term care facility.
  • Experience in the inpatient Center for Geriatric Psychiatry at Tuality Community Hospital.
  • Training in Physician’s Orders for Life-Sustaining Treatment (POLST).
  • Exposure to a hospice setting.

Community Medicine

Residents learn about community medicine with ¡Salud! services, a program that provides health care to Oregon’s seasonal vineyard workers and their families.  Residents travel with a bi-lingual outreach team in the ¡Salud! medical van to local vineyards and get first-hand experience treating patients.

Orthopedics and Sports Medicine

Residents spend eight weeks working with a fellowship trained sports medicine family physician and orthopedic surgeons on their Orthopedic and Rehabilitation rotations and rotate through a Sports Medicine clinic.

The rotation emphasizes:

  • Improving physical exam skills.
  • Giving joint injections.
  • Learning when to refer acute or chronic conditions.
  • Providing sports physicals for athletes at Pacific University.
  • Interacting with the community at outreach events.

Residents have the opportunity to learn musculoskeletal point-of-care ultrasound (POCUS) skills from a national expert.

Surgery

Residents work with general surgeons at Tuality Community Hospital during their General Surgery experience and learn the basics of pre- and post-operative care, including spending time in the OR.

Residents have a one-week rotation with surgical sub-specialists in urology, ENT, ophthalmology and dermatology.

Emergency Department

Residents spend at least eight weeks in Tuality’s Emergency Department. They’ll will gain experience in:

  • Treating adult and pediatric patients,
  • Participating in the hospital’s rapid response teams
  • Performing procedures in the ER.

Electives

Residents have three months of Electives that help prepare them for future practice goals.  Multiple opportunities exist at Tuality for specialty rotations and residents will have access to various elective and CME opportunities at OHSU, as well as rural rotations throughout the state.

Didactics

Didactics will be scheduled for a half day each week and cover a rolling 18-month curriculum to cover the breadth of family medicine.  Some shared didactics with the Internal Medicine Residents at Tuality will focus on specialist topics, Patient Safety presentations and Journal Club.

Evaluations

Evaluations will be tracked on-line and shared with residents as we work together over the three years of training to graduate family physicians who are competent to practice independently upon completion of the program.