Introduction

Goals & Philosophy

Curriculum

Community Description

Family Practice Center

Mercy Medical Center

Faculty

Compensation and Benefits

Residents

Additional Program Information

Interview Information

Redding Web Links

Application

The educational curriculum of the Mercy Redding Family Practice Residency consists of a comprehensive program of 39 four-week rotation blocks, plus a three-year continuity component of patient care at our two family practice centers. The curriculum is designed to prepare our graduates for real world practice in rural and suburban settings.

R1		R2		R3
Behavioral Science	2 wks	Clinic doctor 1 Specialty Clinics	4 wks	Cardiology	2 wks
Community Medicine	2 wks	Clinic doctor 2 emphasis on GYN	8 wks	Clinic doctor 1 Specialty Clinics	4 wks
Emergency Medicine	4 wks	Elective	8 wks	Elective	12 wks
Pediatrics/Obstetrics Inpatient	16 wks	Pediatrics/Obstetrics Inpatient	8 wks	ENT/Urology/Opthalmology	4 wks
Intensive Care unit	2 wks	Medicine	8 wks	Family Practice Service	8 wks
Medicine	14 wks	Night Float	4 wks	Pediatrics/Obstetrics (inpatient)	8 wks
Night Float	2 wks	Orthopedics	4 wks	Night Float	2 wks
Outpatient Pediatrics	2 wks	Rural location	4 wks	Surgery	4 wks
Surgery	4 wks	Vacation	4 wks	Emergency Department	4 wks
Vacation	4 wks			Orthopedics	4 wks
				Vacation	4 wks

• Internal Medicine
• Surgery
• Pediatrics
• Obstetrics and Gynecology
• Behavioral Science
• Family and Community Medicine
• Emergency Medicine
• Other Rotational Components
  • Rural Family Medicine
  • Night Float
• Elective Rotations

Rotations

Internal Medicine:
The in-patient medicine rotations consist of block rotations in general medicine inpatient service, night float, critical care and cardiology. There are ambulatory experiences including Allergy & Immunology, Home & Hospice Care, Long Term Care and a busy Dermatology clinic. All residents receive certification in Advanced Cardiac Life Support.

Surgery:
Surgery rotations include the general surgery/trauma service, orthopedics and sports medicine, ENT, urology, and ophthalmology. For residents with special interests, opportunities are provided for certification in Advanced Trauma Life Support.

Pediatrics and Obstetrics:
Pediatrics and Obstetrics have organizationally been intergrated into one rotation (POB) to facilitate family centered OB and to make supervision more efficient. The component experiences are:

• Pediatric rotation consists of the inpatient pediatric ward, outpatient pediatrics clinic, general newborn nursery, and neonatal intensive care. The program has a state-of the-art Telemedicine Program which links Mercy to the UC Davis Pediatric Intensive Care Unit. Special curriculum elements include certification in Pediatric Advanced Life Support and Neonatal Advanced Life Support.

• The curriculum includes four OB/Gyn rotations. Residents manage the Mercy OB Clinic patients for prenatal and post partum care and deliver those patients under the supervision of our obstetrical specialists.

Behavioral Science:
The curriculum begins in the first year with our Family and Behavioral Medicine rotation, focusing on the integration of behavioral science in the community and family practice settings as well as our longitudinal components throughout the three-year program.

Family and Community Medicine:
The expanded curriculum includes clinical experience in our rural Hill Country Community Clinic, exposure to local community health resources, and ongoing "Community-Oriented Primary Care".

Emergency Medicine:
The curriculum includes eight weeks in the Emergency Department of Mercy Medical Center in Redding (Level II Trauma Center), and St. Elizabeth’s in Red Bluff where there is a significant migrant farm population. Experience in pre-hospital care, Mercy Air Ambulance and trauma are also part of the residency program.

Other Rotational Components

Cardiology
This two-week block includes experience in outpatient cardiology, cardiac assessment modalities, cardiac surgery and rehabilitation.

Night Float
Our curriculum includes a night-float rotation to cover internal medicine and family practice admissions during the weekday evening hours. This rotation was developed in a teamwork effort involving significant resident input. This service is covered by third year residents (2 weeks), second year residents (4 weeks), and first year residents toward the end of academic year (2 weeks).

Orthopedics and Sports Medicine
This rotation emphasizes outpatient orthopedics and sports medicine. Time is spent with local orthopedic surgeons in their offices and at Mercy Family Health Center. Mercy Family Health Center has incorporated both routine and post-trauma orthopedic clinics. These clinics are staffed by residents working closely with an orthopedic surgeon and orthopedic technician.

Outpatient Specialty Clinics
These rotations are dedicated to outpatient specialty clinical services, based primarily at the Mercy Family Health Center and Shasta Community Health Center. Residents actively provide care including colposcopy, psychiatry, HIV consultation, dermatology, nutrition, allergy, orthopedics, gynecology, and minor surgery under the supervision of appropriate attendings.

Rural Family Medicine
Our program is located in a unique setting, serving a local suburban community and a vast remote rural catchment area of 33,000 square miles. Having residents experience the realities of rural medicine is a special focus of the program, with a rural rotation during their second year at one of three sites in the surrounding underserved mountain and rural communities. Residents gain invaluable experiences including understanding referral patterns, stabilizing and transporting trauma patients, and practicing the full range of family medicine. The sites include rural mountain locations of Mt. Shasta and Fall River. New in 2005, is the location of Tehama County Health Clinic in Red Bluff which cares for a large Spanish speaking population.

Elective Rotations:
We believe that residents, as adult learners, need to determine what they need to learn and then assist them in finding suitable opportunities that meet that need, and provide time. If needed electives are not available locally, we work with our residents to find suitable experiences at other sites in California.