Residency Experience

The OHSU Hillsboro 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. Residents will be assigned to one of two residency continuity clinic sites in South Hillsboro or Orenco.

South Hillsboro Primary Care residents meet Behavioral Health faculty Marni Doerfler, LCSW.

South Hillsboro Primary Care residents meet Behavioral Health faculty Marni Doerfler, LCSW.

Rotations include:

Family Medicine Inpatient Service

Two residents looking over chart

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 Hillsboro Medical Center 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 Hillsboro Medical Center. The ICU is closed, allowing for focused learning while on this rotation.

Maternity Care

Family Medicine Faculty Sam Crane and Morgan Lisner delivering triplets
Family Medicine faculty Sam Crane, M.D. and Morgan Lisner, M.D. deliver first triplets ever born at the hospital. 

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 Hillsboro Medical Center in the Family Birth Unit.  Residents participate in pre- and post-natal care.

Residents also have the opportunity to learn ultrasound skills and about complications in high risk pregnancies at the Maternal Fetal Medicine clinic on the Hillsboro Medical Center 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

Dr. Douglas in NICU

Residents spend four weeks over their residency rounding at OHSU Doernbecher Children’s Hospital alongside pediatric residents. All residents will have PALS and NRP certification.

During inpatient pediatrics at the Hillsboro Medical Center, residents will:

  • Round with neonatologists in Hillsboro Medical Center’s Level 2 NICU.
  • Learn how to stabilize and transfer sick children.
  • Care for admitted pediatric patients.

Specialized care for outpatient pediatrics takes place at a busy pediatrician’s office in Hillsboro, as well as seeing pediatric patients during their continuity clinic.

Geriatrics

All residents will work with a board-certified geriatrician during their geriatric rotation.  Other aspects of this rotation include:

  • Geriatric Assessment Clinic at South Hillsboro
  • Home visits
  • Rounding on patients at a nearby long-term care facility
  • Experience on the Geriatric Psychiatry unit at Hillsboro Medical Center
  • Training in Physician’s Orders for Life-Sustaining Treatment (POLST)
  • Exposure to a hospice setting and palliative care setting

Community Medicine

 Residents and Faculty participate at the Pasifika Unity Festival August 2021
Residents and faculty participated at the Pasifika Unity Festival. (August 2021)

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.

Other opportunities include staffing health booths at the local minor league baseball stadium and health tents at community events and farmers markets.

Orthopedics and Sports Medicine

Residents and Faculty participate in high school sports physicals
Residents and faculty participate in high school sports physicals.

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 high schools.
  • 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

Dr. O’Leary leading a suturing didactics
Patrick  O’Leary, M.D. leads a suturing didactics.

Residents work with general surgeons at Hillsboro Medical Center during their general surgery experience and learn the basics of pre- and post-operative care, including spending time in the operating room.

Residents have a minimum of one-week rotations with each of the following surgical sub-specialists: urology, ENT, ophthalmology and dermatology.

Emergency Department

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

  • Treating adult and pediatric patients
  • Learning about a wide variety of acute and emergent health issues
  • 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 Hillsboro Medical Center 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

Residents participating in ALSO training
Residents participating in ALSO training.

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 Hillsboro Medical Center will focus on specialist topics, Patient Safety presentations and Journal Club.

Evaluations

Evaluations will be tracked on-line and shared with residents.  Together with your advisor and our faculty team, we will collaborate over the three years of your training to graduate you as a competent family physician who is ready to practice independently upon completion of the program.