Hood River Rural Training Program

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Residency description

The program is accredited by the ACGME to accept 2 residents each year. Residents in the first year will live in Portland and will complete rotations in area hospitals, training with residents from our sister residency program, the Providence Oregon Family Medicine Residency. In the second and third years, residents will live in Hood River, OR, a beautiful and diverse rural community 70 miles east of Portland in the Columbia River Gorge. Inpatient work will be centered at Providence Hood River Memorial Hospital, a 25-bed critical access hospital with a full emergency department and medical, surgical, pediatric and an obstetrical unit that delivers 400 babies a year. In all three years, the residents will have their continuity family medicine ambulatory practice at an affiliated Hood River based Federally Qualified Health Center, One Community Health. Residents will return to Portland for two- to four-week blocks each year for higher volume rotations in obstetrics, adult medicine and desired electives.

Rationale for a rural training residency program

Rural communities depend on clinicians with a broad scope of skills to care for them and their families. Modern rural family physicians still require a breadth of training, experiences and mentorship that may not be available or easily supported in urban communities. 

We expect to be a rural residency program that incorporates the rigors of academic-based training with real-world experience in a small community away from urban academic centers. We expect that our program graduates will practice in small, rural communities and have the skills to care for a diverse patient population, maintain life balance and enjoy life-long learning.

Schedule and curriculum

First year curriculum: First year residents will live in Portland/Milwaukie and participate in all but one rotation in Portland and alongside residents at the core program at Providence Milwaukie Hospital. The hospital and residency curriculum will be the standard First year rotation schedule with the exception of block 4.

Block 4 will be an introductory family medicine rotation in Hood River and the option to improve Spanish language fluency. First year residents will begin their continuity practice in Hood River and see their patients at La Clinica del Carino at scheduled days throughout the year.

Residents will be assigned to a family-centered medical home team where they will co-manage their patients with Hood River family medicine faculty.

Second and third year: In the second and third year, residents will live in Hood River and the majority of their clinical experience will revolve around their family health center’s practice at La Clinica and Providence Hood River Memorial Hospital.

Residents provide care to their patients at La Clinica three to four half-days a week and admit patients and attend deliveries at Providence Hood River Memorial Hospital. 

Residents will be expected to communicate in Spanish with the patient population by the beginning of the second year.

The curriculum and rotations will be organized longitudinally, with the exception of two to three months in Portland for rotations in high-risk obstetrics, critical care and adult inpatient and electives.

Longitudinal elements will provide the required number of hours in cardiology, surgery and surgical specialties, emergency medicine, behavioral health and psychiatry, sports and physical medicine, obstetrics and pediatrics.

Example of a four-week block of second and third year schedule

Call will be in rotation with residents and community family physicians. Resident call will involve an evening shift in the Emergency Department, followed by at-home call. 

Hospital work will include weekly rounding on an inpatient family medicine service that will include adult, pediatric and maternity patients.

An international medicine rotation in the second and third year will be encouraged.

Didactic and educational seminars will be both local and regional. Telemedicine and remote videoconferences with residents in the core program will be blended with local conferences. Residents will return to Portland for select seminar and educational sessions.

Resident support groups, retreats and leadership meetings will be also blended with the core program. In addition, residents from the core program at Providence Milwaukie Hospital will continue to participate in their small community rotation in Hood River during their second year and be scheduled in order to provide coverage when residents are away for Portland or international rotations.

Faculty

Family medicine faculty will include seasoned clinicians from La Clinica Migrant and One Community Health Center, and private practitioners from Columbia Gorge Family Medicine and Summit Medical Group.

The faculty is a very enthusiastic group of family medicine clinicians with up to 30 years of clinical and teaching experience in broad-spectrum family medicine, including routine and high risk obstetrics, surgical obstetrics, pediatric and neonatal care, geriatric and behavioral health.

Specialty faculty are largely part of Providence Medical Group, and include disciplines of general and orthopedic surgery, ophthalmology, urology, ENT and Ob/Gyn. Visiting faculty in pulmonary, hem-oncology and behavioral medicine as well as family medicine and behavioral medicine faculty from our core program complete the rural program faculty.

Timeline/interview process

All applications should be made through ERAS only and are accepted through November 1, 2015. We welcome qualified graduates from both allopathic and osteopathic programs. Providence Oregon Family Medicine Residency participates in the National Resident Matching Program.

To apply, please include:

  • Personal statement
  • Dean's letter
  • Official transcript
  • Three letters of reference
  • USMLE Step 1 with minimum score 200
  • COMLEX scores accepted for DO applicants

The Providence Hood River Family Medicine Rural Program has a separate match number for the Family Medicine NRMP from the Providence Oregon FM Residency - ACGME Program # 1204000729.

Application deadline is November 1, 2015. Interviews are by invitation and are conducted from October through December.

Please address any additional correspondence to:

Providence Hood River Family Medicine Rural Program
Providence Hood River Memorial Hospital
810 12th Street
Hood River, OR 97031
Phone: 541-387-1954

Resident Eligibility and Selection Criteria:

Applicants must be graduates of medical schools in the United States and Canada accredited by the Liaison Committee on Medical Education (LCME); colleges of Osteopathic medicine in the US accredited by the American Osteopathic Association (AOA); or graduates of medical schools outside the United States and Canada who meet one of the following qualifications:

  • Have received a currently valid certificate from ECFMG prior to appointment, or 
  • Have full and unrestricted license to practice medicine in a US licensing jurisdiction in which they are training

Applicants should be eligible to be licensed in the State of Oregon.
Applicants must have passed USMLE or Comlex Part I and Part II.
Applicants should be proficient in Medical Spanish and be able to care for patients in most settings without a translator by the beginning of their second year of the program.

International medical graduates must have a valid ECFMG certification and U.S. citizenship, or permanent resident status. Providence Health & Services and Providence Hood River Family Medicine Rural Program DO NOT sponsor visas of any kind. In addition, applicants should have demonstrable inpatient experience and credible recommendations from an ACGME accredited teaching hospital within the last five years. Applicants must speak fluent English, though other language skills can be an asset. Passage of the 'English Proficiency' test for the ECFMG does not assure this level of competency.

Providence Health & Services -- Portland Service Area will ensure that its ACGME-accredited programs select from among eligible applicants on the basis of their preparedness, ability, aptitude, academic credentials, communication skills, and personal qualities such as motivation and integrity. ACGME accredited programs in the Portland Service Area will not discriminate with regard to sex, race, age, religion, color, national origin, disability, or veteran status.