Transitional Year Residency

Each resident will complete 12 weeks of inpatient medicine at Hillsboro Medical Center and/or Kaiser Westside Medical Center. At Hillsboro Medical Center, residents will be assigned to an internal medicine team with another PGY1 (either TY or IM), an upper-level resident, and hospitalist attending. At Kaiser Westside Medical Center, the team structure will include the TY intern, an OHSU FM intern, OHSU FM resident, and FM hospitalist attending. At both locations, residents will be exposed to a diverse mix of patients.

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.

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

During the required general surgery experience, which takes place at Hillsboro Medical Center, 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.

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.

In addition to the HMC ICU rotation (above), Anesthesia-bound residents also rotate through one of three subspecialty ICUs at the OHSU main campus: the cardiovascular ICU (CVICU), surgical ICU (SICU) or neurosurgical ICU (NSICU). Non-Anesthesia TYs can also choose to take this as an elective for additional critical care experience.

Anesthesia-bound residents will rotate with the Department of Anesthesiology and Perioperative Medicine at the OHSU Marquam Hill campus. This rotation takes place at the end of the academic year (May or June).

In addition to other core rotations listed above, residents also select two from the following options: Swing (Hillsboro Medical Center), Night Float (Hillsboro Medical Center), General surgery (Hillsboro Medical Center), Intensive Care Unit (Hillsboro Medical Center) or Emergency Medicine (Kaiser). Anesthesiology-bound residents may also choose Cardiology or Pulmonology consults, but may not choose ICU.

Anesthesia-bound residents have to the option to rotate at the OHSU Comprehensive Pain Center at the South Waterfront. Residents participate in a multimodal approach to pain management, including a mixture of acupuncture, massage, rolfing and pain psychology, working with doctors, advanced practice providers and naturopathic medicine providers.

All Radiology-bound residents will complete a 4-week radiology rotation, which provides exposure to image interpretation and image-guided procedures. Non-Radiology TYs can also choose to take this as an elective.

Residents can take up to 4 weeks of elective time for research. 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.

Between Hillsboro Medical Center, Kaiser Westside Medical Center and OHSU, we can accommodate most elective requests.

The following is a list of electives for which we have established agreements and/or our residents have taken in the past.

• Addiction medicine
• Allergy & Immunology
• Anesthesiology
• Critical Care: MICU, CVICU, SICU, NSICU
• Dermatology
• Medicine Subspecialties
• Neurology
• Ophthalmology
• Pain medicine
• Palliative Care
• Radiology
• Research
• Surgical Subspecialties: ENT, Ortho, Plastics
• Toxicology
• Ultrasound

The above list is not exhaustive. We will attempt to accommodate requests for electives that are not listed above.

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.

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.

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.