Rural Family Medicine for the 21st Century

What is your program looking for in a resident?

We are looking for residents who are hardworking, enjoy rural living, and are willing to help the faculty, hospital and community create a superior residency program. The first class, matriculating in July 2020, will be instrumental in shaping curricular and administrative changes by providing real-time feedback to program faculty and administrators. We want our first class to help shape the program and have a vested interest in bettering not only the residency program, but our local community as well. Additionally, this will be the first class, which sets the standard for interaction with community preceptors and provides leadership for subsequent classes in 2021 and 2022.

Aviva Health is an equal opportunity employer; all applicants will be considered without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Will you accept applications from international medical graduates?

Yes. Graduates from recognized international schools are welcome to apply so long as they have satisfied ECFMG requirements, apply via ERAS and register with the National Resident Match Program. At this time, however, we are not equipped to offer visa sponsorship. All international medical graduates applying must be United States citizens or permanent residents to be considered.

CHI Mercy Health is an equal opportunity employer; all applicants will be considered without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

Does your program have a maximum time since medical school graduation after which you will not consider applicants?

We do not review applicants who are greater than five (5) years from their medical school graduation date.

Does your program have a “minimum passing score” for USMLE/NBOME tests?

We have no minimum score requirements for the Step 1 and Step 2 USMLE or COMLEX exams; passing on the first attempt is preferred.

Will your program consider applicants who have failed USMLE Step 1, Step 2 CK, or Step 2 CS?

Board scores are an important indicator of knowledge, but we recognize there are sometimes factors other than knowledge/intelligence that affect testing performance. Passing on the first attempt is preferred, but not required.

Does your program have specific requirements for Letters of Recommendation?

We request no fewer than three (3) Letters of Recommendation of which you have waived your right to view. Letters should reflect a physician’s interpretation of your ability to function as a resident physician. At least one (1) Letter of Recommendation should be from a Family Physician, preferably a FM Clerkship Director. Personalized letters reflecting a long-term association are always valued highly.

Are there rotations at hospitals other than CHI Mercy Health Mercy Medical Center?

Yes. During PGY-1, residents will spend a one-month rotation at the Roseburg VA Hospital (within 10 minutes of MMC) during their Introduction to VA Medicine rotation. The primary purpose of this PGY-1 rotation is to allow the resident to gain familiarity and expertise in the VA Health System prior to assuming responsibility for a cohort of Veterans during PGY-2 and PGY-3. During PGY-2 and PGY-3, one ½ day clinic per week will be spent at the resident continuity clinic within the Roseburg VA Hospital (our secondary FMP clinic) caring for Veterans.

In PGY-2 and PGY-3, residents will receive specialized training in mental health and substance abuse issues affecting our community. The Addiction Medicine rotations are a combined experience that will take place at the ADAPT facilities, including outpatient treatment (within 10 minutes of MMC), a Methadone clinic (within 10 minutes), and an inpatient detox facility (within 15 minutes). Residents will gain skills in substance use disorder screening, intervention, and treatment in detoxification, inpatient, outpatient and certified medication assisted opioid treatment (methadone and buprenorphine) during their Addiction Medicine rotation at Adapt. With the growing prevalence of illicit substance use disorders (especially involving opiates), training on substance use disorders is vital to the future of medicine.

What procedures will you teach residents?

We have faculty who perform a variety of procedures, including: minor skin procedures (biopsies, excisions, cryotherapy); colposcopy & cervical biopsy; intrauterine device placement/removal; endometrial biopsy; vasectomy; Nexplanon placement/removal; first trimester obstetric ultrasound; and loop electrosurgical excision procedure (LEEP). During the PGY-2 Surgery/Procedures rotation residents will have the opportunity to learn upper and lower endoscopy and elective time can be used to gain competence in these procedures as well as other procedures not performed within our Family Medicine practice.

Will I have an opportunity to do “away” rotations?

Yes, within the limits placed upon us by the Accreditation Council for Graduate Medical Education. Usually, one 4-week elective in the PGY-2 and PGY-3 years is available for an “away” rotation. Limitations on time away are in place to maintain continuity within the Family Medicine Practice clinics.

How many elective rotations are offered and what will these rotations look like?

Roseburg Family Medicine Residency allows residents to complete eight (8) weeks of electives during PGY-2 and another twelve (12) weeks of electives during PGY-3, for a total of 20 weeks of elective opportunities. The type of rotations are up to the resident, and are coordinated through the residency offices. RFMR envisions the electives as an opportunity to gain additional skills or knowledge that you, as an individual, hope to incorporate into your future practice. For example, if you are considering pursuing an Obstetrics fellowship, our office will work with you to gain additional OB opportunities within our community. If a resident was interested in Urgent Care or Emergency Medicine, elective rotations could be setup with the Evergreen Family Medicine Urgent Care, MMC Emergency Department or perhaps even with the local EMS units, such as Roseburg Fire Department or Bay Cities Ambulance. There are also opportunities to gain additional hospitalist experience and inpatient experience, or outpatient surgical procedural experience, if these align with your career path. Our goal is to tailor your PGY-2 and PGY-3 elective rotations to you, your interests, and expand your skills relevant to your practice preferences.

What is the schedule for didactic presentations?

Each Wednesday afternoon from 1 PM – 5 PM is dedicated to didactic instruction. Didactics will include lecture presentations, procedural training workshops, practice management activities, journal club, quality improvement & research opportunities, simulation lab activities, board review sessions, and maintenance of certification activities. Faculty will review periodically the available topics and tailor them to residents’ needs. Additionally, we will utilize the “Fifth Wednesday” of the month to participate in a cultural awareness, team-building activities and book club. We intend the cultural awareness activities to build comradery and better understanding of our community in Roseburg. Understanding the community and our patients, allows us to be better healers.

Will I have an opportunity to “moonlight” during residency?

Yes, PGY-2 and PGY-3 Family Medicine Residents who possess a valid, unrestricted medical license in the State of Oregon will be eligible to moonlight with approval from the Program Director. Our program recognizes that moonlighting in the community allows for resident exposure to clinical practice opportunities in our local area. An experience that is not only beneficial for the resident, but also our community. Professional liability coverage is not provided by CHI-Mercy Medical Center for moonlighting activities, as these activities are outside the scope of the residency program.

Are there high-quality schools in the area for my children?

The county surrounding Roseburg has several public school districts including eight (8) elementary schools, two (2) middle schools and one (1) high school.

Learn more about the Roseburg school district via the http://www.roseburg.k12.or.us/ website.

There are also several private schools in the community, including the Geneva AcademyMelrose Christian SchoolCobb Childcare & School, Roseburg Junior Academy and Umpqua Valley Christian School

What is Roseburg really like?

Our faculty and staff would agree that Roseburg is a wonderful place to live. We have mild climates, all four seasons, lots of opportunity for outdoor adventures, every day more wineries are coming to our area, and we live in a tight-knit community. People still hold doors open for strangers, offer a friendly smile, and strike up a conversation in line at the grocery store.

RFMR is dedicated to ensuring that each of our residents feel “at home” in rural (but not frontier) Roseburg, Oregon. We want you to feel welcome and that you are not only joining a residency program, but you have become a part of our “RFMR family.” We know residency is taxing on residents, significant others, families, children, parents and anyone close to the resident. Working long hours can be exhausting, but we want our residents to know that we are always here for them and will do what we can within our power to help each of you succeed in your journey.

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