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:
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 MedicineResidents experience critical care medicine with an intensivist and work alongside internal medicine residents at Tuality Community Hospital. The ICU is closed, allowing for focused learning while on this rotation.
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 about complications 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.
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)
- Long-acting reversible contraception (LARC) placement and removal
They will spend some time at Planned Parenthood and the mammography center.
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 Tuality Community Hospital, residents will:
- Round with neonatologists in Tuality’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.
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 Tuality Community Hospital
- Training in Physician’s Orders for Life-Sustaining Treatment (POLST)
- Exposure to a hospice setting and palliative care setting
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.
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.
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 minimum of one-week rotations with each of the following surgical sub-specialists: urology, ENT, ophthalmology and dermatology.
Residents spend at least eight weeks in Tuality’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.
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 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 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.