The OHSU and VAMC offer subspecialty consultation rotations (“selectives”) in Cardiology, Endocrinology, Gastroenterology, Hematology/Oncology, Infectious Diseases, Nephrology, Pulmonary, and Rheumatology. Over the course of 3 years, residents will rotate on almost all of these “selectives”, with assignments based on resident preferences. When on subspecialty consultation services, residents participate in the clinics, conferences, consulting rounds and diagnostic laboratories of those subspecialties, working closely with the faculty and fellows. The residents play a central role in the consultation component of those disciplines, but also have opportunities to develop related procedural skills. Senior medical students on subspecialty electives often work with the consulting residents.
In addition, rotations in Neurology and Geriatrics are provided in the intern year. The neurology rotation is available at OHSU Hospital and is usually done in the PGY-1 year. Interns on this service work alongside the Neurology housestaff and are supervised by Neurology faculty. The Geriatrics rotation is also based at OHSU, with interns rotating at one of the two local (SNF/LTC) facilities; Mirabella Portland or Holladay Park Plaza. The overarching goal of this rotation is to expose trainees to the skilled-nursing and long-term care settings in which their older adult patients reside. Interns will learn principles of geriatric medicine and common geriatric syndromes, models of geriatric care including rehabilitation and nursing home structures, transitions of care, and interprofessional team care within the skilled nursing facility (SNF) and long-term care (LTC) settings.
- Cardiology, Endocrinology, GI, Hematology, Infectious Diseases, Oncology, Pulmonary, Renal, Rheumatology, and Palliative Care services offered.
- Over the course of training, residents will have the opportunity to work in most subspecialties.
- We strongly encourage residents to diversify his/her education by rotating in all specialties and avoiding too much focus on one subspecialty of interest.
- Most consult rotations are 1-3 weeks in duration. The range is due to a number of scheduling and personal needs.
- If you are scheduled on a consult rotation for 2 or more weeks, you will be asked to work the weekend in-between.
- There are no continuity clinics during consults, which results in residents being more fully present, thereby enhancing continuity of care and increased teaching and consistency of presence for the team.