Residency Experience

Residents receive robust training in the care of adults with complex medical issues across all subspecialties in inpatient and ambulatory settings.

Rotations

Residents rotate through a 2+2 schedule with an equal balance of inpatient and outpatient rotations (2 weeks each), and a strong focus on continuity clinic experiences.  During ambulatory weeks, residents engage in quality improvement, scholarly projects, review population health data and connect with the interprofessional care team.

Postgraduate Year One (PGY-1) Intern

PGY-1 graph

  • Medicine Outpatient: 4 months
  • ICU: 1 month
  • Inpatient Internal Medicine: 3.5 months
  • Geriatric Psychiatry: 2 weeks
  • Rural Underserved and Social Determinants of Health (RUSH): 1 month
  • Medicine Subspecialties: 1 month
  • Vacation: 3 weeks

Postgraduate Year Two (PGY-2)

PGY-2 graph

  • Medicine Outpatient: 5.25 months
  • ICU: 1 month
  • Inpatient Internal Medicine: 2 months
  • Geriatric Psychiatry: 2 weeks
  • RUSH: 1 month
  • Medicine Subspecialties: 1 month
  • Rural or Local Elective: 1 month
  • Neurology: 2 weeks
  • Emergency Medicine: 2 weeks
  • Vacation: 3 weeks

Postgraduate Year Three (PGY-3)

PGY-3 graph

  • Medicine Outpatient: 4.75 months
  • ICU: 1 month
  • Inpatient Internal Medicine: 2 months
  • Geriatric Psychiatry: 2 weeks
  • RUSH: 1 month
  • Medicine Subspecialties: 1.5 month
  • Rural or Local Elective: 2 months
  • Emergency Medicine: 2 weeks
  • Vacation: 3 weeks

Rotation descriptions

Medicine Outpatient

Medicine outpatient is the core ambulatory rotation of the residency program, occurring every two weeks in the X+Y structure. Residents work with a panel of patients in the Hillsboro Internal Medicine clinic and learn key principles of primary care.

Subspecialty clinics in the internal medicine subspecialties (e.g., endocrinology) support a broad-based internal medicine curriculum. During the rotation, residents also have protected time to participate in quality improvement, scholarship projects, and population health.

Rotation Example

rotation week 1 graph

Inpatient Hospital Medicine

Residents core inpatient experience is at Tuality Community Hospital in which they will work closely with internists in the management of a wide variety of patients in terms of both complexity, payor mix and severity. The team structure includes an attending physician, an upper level resident and an intern. The experience is bolstered by a strong interprofessional approach including collaboration with care management, nursing, rehabilitation, and social work.

Rural Underserved and Social Determinants of Health

The RUSH rotation is a 6-week experience on the social determinants of health. Residents will work with:

  • Addiction treatment centers
  • ¡Salud! Program to bring health care to seasonal, migrant workers
  • Clinics focused on the care of the underserved

PGY-1 residents gain skills in recognizing the signs of addiction and initiating treatment by completing the American Society of Addiction Medicine (ASAM) Treatment of Opioid Use Disorder course.

Residents also receive training in culturally responsive care, the management of healthcare disparities and implicit bias.

Rural or Local Elective

The opportunity to craft rotations to fit a resident’s interests is a core tenet of the program. Residents have one month of elective time in their 2nd year and two months in their 3rd year. Residents can choose among a number of rural electives or local experiences.

Residents have time to elect experiences that align with career goals in various focus areas and subspecialties, including:

  • Women’s health
  • Addiction medicine
  • HIV
  • Hepatitis C
  • Geriatrics
  • Leadership

Medical Subspecialties

Residents work closely with subspecialists in the internal medicine subspecialties. They include:

  • Cardiology
  • Endocrinology
  • Hematology-oncology
  • Pulmonology
  • Infectious disease
  • Gastroenterology
  • Rheumatology
  • Nephrology

The rotations are a mix of inpatient and outpatient care that are supervised by experienced subspecialists. Residents have the opportunity for mentorship if a plan for fellowship aligns with their career interests.

Emergency Medicine

Residents work with emergency medicine physicians at Tuality Community Hospital’s Emergency Department to care for adult patients of a diverse patient population. Rotations are two weeks in duration and split between the 2nd and 3rd year.

Neurology

In collaboration with our colleagues at Kaiser Permanente, residents gain experience in neurology through inpatient and outpatient diagnosis and management. Experiences include the care of admitted patients with complicated neurological diseases (e.g., cerebrovascular accidents, multiple sclerosis) and common outpatient neurological disorders.

Intensive Care Unit

Residents will care for critically ill patients on interprofessional teams that include an intensivist, nursing staff, care management, and others. Resident teams will consist of one intern and one resident.

Mentorship

Each resident is assigned a faculty mentor for coaching and support throughout their training. Residents work with mentors to develop a learning portfolio that serves as a framework for their education throughout the residency.

Mentors help residents find project or career specific mentors, including some of the following areas:

  • Research
  • Quality improvement
  • Rural and underserved medicine
  • Medical education
  • Leadership
  • Global health
  • Health equity
  • Women’s health