Residency Curriculum

Family Medicine Residency Program

Curriculum

Year 1

Year 2

Year 3

  • Inpatient Medicine 12 weeks
  • Emergency Medicine 4 weeks
  • ICU 4 weeks
  • OB 4 weeks
  • Cardiology 4 weeks
  • Orthopedics 4 weeks
  • Pediatric ER 4 weeks
  • Pediatric Inpatient 4 weeks
  • Women’s Health 4 weeks
  • Dermatology 4 weeks
  • Vacation 4 weeks
  • Inpatient Medicine 8 weeks
  • Emergency Medicine 4 weeks
  • Nightfloat 4 weeks
  • OB 4 weeks
  • Orthopedics / Sports Med. 4 weeks
  • Geriatric I 4 weeks
  • Gynecology 4 weeks
  • Radiology 4 weeks
  • Pediatrics Outpatient 4 weeks
  • Health Systems Management 4 weeks
  • Elective 4 weeks
  • Vacation 4 weeks
  • Inpatient Medicine 8 weeks
  • Nightfloat 8 weeks
  • Surgery 4 weeks
  • Ambulatory Procedures 4 weeks
  • Medical & Surgical Specialty Clinics 4 weeks
  • Pediatrics Outpatient 4 weeks
  • Ambulatory Care 4 weeks
  • Geriatrics II 4 weeks
  • Electives 8 weeks
  • Vacation 4 weeks

Open Door Community Health Centers

Residents will build their continuity clinic within the Open Door Community Health Centers (ODCHC) system, Humboldt County’s largest primary care provider. ODCHC provides quality medical, dental and mental health care and health education to all regardless of financial, geographic or social barriers. ODCHC values patient centered, relationship based care. Innovative services include Teen Clinics, HIV Care, Intensive Care Management, Substance Abuse Recovery Services, Trans Services, Support Groups, and Wellness Center Services. Providers work with an integrated team of behavioral health providers, nurses, medical assistants, social workers, case managers, and support staff. Residents will work at their primary continuity clinic 2-4 clinics per week, managing a panel size of about 250 patients with their care team. Our Core family medicine faculty serve as the attendings for the outpatient service.

U.C. Davis Rotation

Residents will spend two four week blocks of their intern year at the University of California Davis campus (UC Davis). At UC Davis, residents will work alongside pediatric and emergency medicine residents to complete their rotations in emergency pediatric medicine and inpatient pediatric medicine. The resident program will house residents in Davis, California during the rotation. Davis is approximately 280 miles from Eureka.

Clinic First Curriculum

First and foremost, residents are Primary Care Physicians for their small panel of patients from day 1. We give each resident a panel, pre-selected to be balanced for gender, age, and medical diagnosis diversity. In scheduling rotations, we place a priority on keeping each resident in their continuity clinic enough that they are able to provide excellent primary care for those patients, with the support of the clinic faculty.

We also practice team-based care, continuously striving towards top-of-license work. Our patients have a medical home supported by a behavioral health specialist, medical assistants, nurses, and administrative staff so that the residents can focus their mental energy on patient care and learning.

Longitudinal Curriculum – Focus on Integration

Historically, residency training programs immersed residents in a specialty for a month at a time, largely to the exclusion of other patient care settings or other specialties. When Family Medicine became an official specialty in the U.S. in 1969, residency programs adopted this same monthly rotation model. Over the decades, it has become a truism of training that you learn each individual piece of education during residency, but you don’t really learn how to integrate it all into your family medicine practice until after residency graduation.

Now, Family Medicine residencies are seeing a renaissance nationwide towards a more integrated learning schedule. Instead of having a three separate four week blocks of inpatient medicine, our residents will do a week of inpatient medicine at a time, and return to the inpatient service frequently throughout the year. The total time spent in each learning setting or specialty is not changed, but the duration and frequency is.

As another example, consider dermatology. In the traditional model, a family medicine resident would spent a single four week block working with dermatologists, learning all they could about skin conditions in that period. Now, each resident will get four separate weeks working in a dermatologist clinic. This allows them to integrate what they learn on each derm week into caring for their own patients in their continuity clinic, and develop additional questions for the dermatologist before they return and work with them again. This is a better way to learn.

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