Residency Experience

Transitional Year residents receive a broad exposure to foundational clinical skills in ambulatory and inpatient medicine, emergency medicine, general surgery, and critical care.

Clinical Rotations

  • Inpatient Medicine*: 4 blocks
  • Ambulatory Clinic*: 1 block
  • Emergency Department*: 1 block
  • General Surgery*: 1 block
  • Intensive Care Unit*: 1 block
  • Elective/Selective: 5 blocks

*Core (required) rotation for all residents

Specialty Tracks

Specialty tracks are aimed at preparing residents for specific subspecialties. These were developed in partnership with OHSU program directors to prepare residents for Post Graduate Year Two (PGY2) and beyond. Specialty tracks are open to all residents, but strongly encouraged for those who have matched into a corresponding advanced residency at OHSU.

*Encourage cardiology, pulmonology, diagnostic radiology, or palliative care

Diagnostic Radiology Track

  • Core Rotations: 8 blocks
  • Diagnostic Radiology 1 block
  • Elective/Selective: 4 blocks

Rotation descriptions

The following rotation description indicate where they take place in parentheses.

  • Hillsboro Medical Center (H)
  • Kaiser Westside Medical Center (K)
  • OHSU Marquam Hill (O)

Inpatient Medicine (H/K)

Each resident will complete 2 blocks of inpatient medicine at Hillsboro Medical Center and 2 blocks at Kaiser Westside Medical Center. At Hillsboro Medical Center, residents will be assigned to an internal medicine team with an upper-level resident and hospitalist attending. At Kaiser Westside Medical Center, the team structure will include the resident, an OHSU family medicine intern, OHSU family medicine resident, and hospitalist attending. At both locations, residents will be exposed to a diverse mix of patients.

Ambulatory (H)

The ambulatory rotation takes place at our Primary Care Clinic in Forest Grove, one of several community sites located less than 6 miles from the hospital. The clinic serves a diverse patient population, many of whom experience structural barriers to healthcare. Supervised by Family Medicine faculty, residents will be the first-contact, primary provider for an assortment of same-day, urgent care, medication titration, and hospital follow up appointments.

Emergency Department (K)

All residents will rotate through the Emergency Department at Kaiser Westside Medical Center, where they will gain exposure to a wide variety of acute and emergent health conditions.

General Surgery (H)

During the required general surgery experience, residents will learn the essentials of pre- and post-operative care in both inpatient and outpatient settings, and also spend time in the operating room.

Intensive Care Unit (H)

Residents will work with interprofessional teams to care for a variety of critically ill patients in the (closed) Intensive Care Unit at Hillsboro Medical Center. Residents will rotate alongside IM and/or FM residents.

Anesthesiology (O)

Anesthesia-bound residents will rotate with the Department of Anesthesiology and Perioperative Medicine at the OHSU Marquam Hill campus. For those who have matched into the Anesthesiology Residency Program [link] at OHSU, this will give them the opportunity to meet and work directly with the same faculty and leadership involved in their destination program. This rotation takes place at the end of the academic year (May or June).

Diagnostic Radiology (H/K)

Diagnostic Radiology is split 50/50 between Kaiser Westside Medical Center and Hillsboro Medical Center, where residents will work directly with diagnostic radiology faculty on both imaging interpretation as well as image-guided procedures.

Multidisciplinary Oncology Clinic (H)

An outpatient clinic featuring specialists in medical oncology, radiation oncology, and surgical oncology, this rotation provides residents a unique exposure to providing multidisciplinary care to patients with cancer.

Research

Residents are allowed to use 1 block of elective to pursue scholarship. This is reserved for residents who can demonstrate a need for, and ability to use make full use of, a dedicated research experience, with the expectation that they will work full-time on a scholarly project throughout the block.

Electives

  • Addiction medicine (H)
  • Cardiology (H)
  • Cardiovascular intensive care unit (O)
  • Dermatology (H)
  • Pulmonology (H)
  • Endocrinology (H)
  • Infectious diseases (H)
  • Gastroenterology (H)
  • Medical intensive care unit (O)
  • Neurosurgical intensive care unit (O)
  • Otolaryngology (H)
  • Orthopedic surgery (H)
  • Plastic surgery (O)
  • Palliative care (H)
  • Rheumatology (O)
  • Toxicology (O)
  • Trauma/surgical intensive care unit (O)

If a resident desires an elective that is not listed above, the program director will make every effort to accommodate the request. For rotations not available at Hillsboro Medical Center, these can often happen at either Kaiser Westside or OHSU main campus.

Didactics

The Transitional Year residency curriculum includes a variety of in-person and virtual didactics focused on both fundamental clinical skills as well as specialty-based topics. Many of these occur jointly with Hillsboro Medical Center Internal Medicine or Family Medicine residents.

Internal Medicine Noon Conference (Tue/Thu, 12-1 p.m.)

Part of the Internal Medicine residency curriculum covering a wide variety of general medicine and subspecialty topics.

Internal Medicine Noon Report (Mon, 12-1 p.m.)

Joint ‘morning report’ style case-presentation with internal medicine residents and facilitated by internal medicine faculty. Residents are required to present at least one case.

Grand Rounds (Wed, 12-1 p.m.)

Rotating topics including medical education, morbidity and mortality / quality improvement, and subspecialty didactics.

Journal Club (Fri, 12-1 p.m.)

Joint journal club with internal medicine residents promoting critical appraisal of literature and principles of evidence-based medicine. Residents are required to present at least once at journal club.

Internal Medicine/Family Medicine Didactics (Wed, 1-2 p.m.)

Joint lecture series focusing on a variety of ambulatory topics.

Additional required didactics include a resident conference and the Health Systems Education Program at Kaiser Westside. Residents will also have the option to attend (virtually) a number of OHSU Grand Rounds presentations on various topics, including anesthesiology, surgery, dermatology, radiology, and neurology.

Scholarship

We are committed to supporting residents in the pursuit of scholarship and research in their various forms. Residents are required to participate in a mentored scholarship (broadly defined) prior to completion of the program.