Curriculum & Didactics

Clinical Experiences

Clinical rotations are designed to balance resident autonomy with strong support. Through a structured X+Y schedule, residents alternate between inpatient and elective rotations and dedicated outpatient clinic weeks, allowing full engagement in each setting. This intentional design provides exposure to complex inpatient care, continuity‑focused outpatient practice and longitudinal learning that prepares residents for a wide range of internal medicine careers.

Of note, all required clinical experiences except for neurology (which takes place at OHSU in Portland, housing is provided) are within the Corvallis area.

Rotation Schedule

Below is a sample of our Internal Medicine curriculum for intern year. We provide residents with diverse and robust training experiences in both inpatient and outpatient settings to train confident internists.

Sample PGY-1 Schedule

WeekRotationWeekRotationWeekRotation
1Continuity Clinic19Intensive Care Unit37Continuity Clinic
2Continuity Clinic20Intensive Care Unit38Emergency Medicine
3Inpatient Medicine21Continuity Clinic39Emergency Medicine
4Inpatient Medicine22Elective – Cardiology40Leave
5Elective – Pulmonology23Inpatient Medicine41Night Float
6Continuity Clinic24Inpatient Medicine42Night Float
7Inpatient Medicine25Night Float43Elective – Geriatrics
8Inpatient Medicine26Continuity Clinic44Continuity Clinic
9Intensive Care Unit27Inpatient Medicine45Inpatient Medicine
10Intensive Care Unit28Leave46Inpatient Medicine
11Continuity Clinic29Night Float47Continuity Clinic
12Elective – Endocrinology30Night Float48Inpatient Medicine
13Night Float31Elective – Heme/Onc49Inpatient Medicine
14Night Float32Continuity Clinic50Leave
15Continuity Clinic33Inpatient Medicine51Inpatient Medicine
16Inpatient Medicine34Inpatient Medicine52Inpatient Medicine
17Inpatient Medicine35Inpatient Medicine53Inpatient Medicine
18Leave36Elective – POCUS

Inpatient Experience

Our inpatient training takes place at the flagship hospital of Samaritan Health Services, Good Samaritan Regional Medical Center. This 188‑bed hospital includes a 24‑bed ICU and serves as a Level II trauma center and referral hospital for four surrounding critical access hospitals.

Residents care for patients with a wide breadth of medical conditions. While on‑site subspecialty consultants are available; residents serve as the admitting and managing team for non‑surgical patients, ensuring ownership of patient care.

Academic Teaching Teams

Residents work on academic inpatient teams composed of:

  • 1 attending physician
  • 1 senior resident
  • 2 interns
  • 1 third‑ or fourth‑year medical student

Attendings on academic teams are specifically selected for their commitment to resident education and bedside teaching.

Call & Non‑Call Days

Teams admit patients two days per week on a rotating schedule. On call days, interns typically admit two patients, allowing for a high‑yield balance of patient volume and protected time for learning. This structure maximizes clinical exposure while maintaining a sustainable workload.

Night Float

We do not have 24‑hour shifts. Instead, residents rotate through night float in two‑week blocks. Night teams consist of:

  • 2 interns
  • 1 senior resident
  • 1 attending physician

These teams handle overnight admissions and provide cross‑coverage for the daytime academic teams, ensuring continuity of care and appropriate supervision.

Teaching on the Fly

Education is embedded into daily patient care. Residents and attendings actively participate in real‑time, “whiteboard” teaching on rounds, with brief, targeted mini‑lectures focused on conditions affecting current patients. This approach promotes practical learning that is immediately applicable at the bedside.

Outpatient Experience

Our program uses an X+Y schedule, meaning residents participate in clinic every 4–5 weeks. During clinic weeks, residents spend four out of five days caring for their own continuity clinic (CC) patients in the outpatient clinic. The fifth day is dedicated to a longitudinal experience in geriatrics or rheumatology subspecialty clinics, board study, or scholarly activity work. This allows for focused learning in subspecialities where continuity of care is critical for disease management, scholarly exploration and board preparation.

Longitudinal Clinic Structure

The longitudinal experience varies by PGY year:

  • PGY-1: Geriatrics
  • PGY-2: Rheumatology AND Scholarly Activity
  • PGY-3: Board Preparation

In addition, PGY‑2 residents participate in a Friday morning Pain Lecture series during designated clinic weeks.

MondayTuesdayWednesdayThursdayFriday
Seeing CC PatientsLongitudinal Clinic Day
PGY1: Geriatrics
PGY2: Rheumatology/ Scholarly Activity
PGY3: Board Prep
A.M. – Seeing CC Patients
P.M. – Didactics
Seeing CC PatientsSeeing CC Patients

Longitudinal Clinic Experiences

During each assigned clinic week, residents spend one full day in their designated longitudinal experience:

Geriatrics (PGY-1)

PGY‑1 residents learn to navigate outpatient visits with a board‑certified geriatrician. Residents gain experience managing memory disorders, polypharmacy, functional decline, and prioritizing patient goals and values, including end‑of‑life decision‑making.

Rheumatology (PGY-2)

PGY‑2 residents manage their own panel of patients with autoimmune and rheumatologic diseases. This experience emphasizes diagnostic reasoning and allows residents to see how rheumatologic conditions evolve over time.

Scholarly Activity (PGY-2)

Residents have protected time to work with our research team, receiving guidance on developing, conducting, and completing scholarly projects. A CME stipend is provided that can be put toward publications and conferences, with additional support provided on a case-by-case basis.

Board Study (PGY-3)

As residents prepare for the ABIM board examination, PGY‑3s participate in an individualized board study curriculum:

  • Meeting with a faculty coach to assess test‑taking strengths and challenges
  • Designing a personalized board study plan based on Make It Stick learning principles
  • Working with a co‑resident and faculty mentor on “discordant questions,” focusing on peer teaching and explanation
  • Creating and delivering a board review lecture for co‑residents

Outpatient Continuity Clinic

Our clinic emphasizes team‑based care, with residents working closely alongside care coordinators, dedicated medical assistants, and triage LPNs to provide high‑quality, comprehensive care.

Our outpatient clinic is conveniently located on the hospital campus.

Residents care for their own patient panel, with a gradual increase in patient volume as they progress through residency.

We prioritize hospital follow‑up visits to ensure residents care for patients with the greatest internal medicine needs.

Elective Rotations

We offer the following elective experiences to allow residents to customize their educational experiences for their individual needs.

  • Ophthalmology
  • Gastroenterology
  • Hematology/Oncology
  • Nephrology
  • Palliative Care and Hospice
  • Addiction Medicine
  • Neurology at OHSU
  • Dermatology
  • Pulmonary/Critical Care
  • Geriatrics
  • Infectious Disease
  • Administration Elective
  • Academic Teaching Elective
  • Away Electives Available on Request

Connect With Samaritan Internal Medicine Residency Program

Contact Us – Feel Free to Email Us With Any Questions or Comments at [email protected]

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