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Elective rotations give residents an opportunity to customize their training. Residents can use electives to expand their knowledge base in a given area and/or develop the skills they will need to succeed in their future career choice-whether that choice is private practice, academic medicine or fellowship training. The medical staff of Legacy Emanuel and Good Samaritan Hospitals includes approximately 1,200 adult sub-specialists providing residents with ample opportunity for elective training in nearly every specialty. In addition to this in-house resource of medical experts, residents may pursue elective rotations at other teaching hospitals and with physicians who are not part of the Legacy staff. With Program Director approval, residents may also pursue an elective rotation outside of the Portland area. Internal Medicine Subspecialties
Radiology
Salem Ambulatory Block Elective
Palliative Medicine
Epidemiology and Research Elective
Internal Medicine SubspecialtiesDuring elective months, residents rotate through many of the core internal medicine subspecialties. At Legacy, we have several large groups of subspecialist faculty that are enthusiastic, dedicated teachers with a strong commitment to our training program. There is a written curriculum outlining the learning goals, environment, clinical resources and evaluation methods for each elective rotation. However, residents are strongly encouraged to play an active role in establishing learning objectives for each elective rotation. Common subspecialty electives include: - Cardiology
- ECG
- Treadmill testing
- Gastroenterology & Hepatology
- Hematology/Oncology
- Endocrinology
- Neurology
- Nephrology
- Rheumatology
- Pulmonary
- Ambulatory Medicine
- Hospitalist & Consult Medicine
- Dermatology
- Women's Health
RadiologyThe two-week radiology elective is designed to help residents become "expert" in the interpretation of films common to Internal Medicine, and "proficient" in reading other films. Residents become familiar with new and innovative radiology procedures. Each day, residents read ICU films with the staff radiologist and the ICU teams, and spend the remainder of the day rotating in other reading areas, including Neurology and Orthopedics. Salem Ambulatory Block ElectiveThe Oregon State Capitol, Salem, is a city of about 100,000 located 50 miles south of Portland that has a strong group of practicing general internists. Residents spend time working with private practice physicians who are members of the Mid-Valley Independent Physicians Association (IPA). This rotation gives residents an understanding of the unique challenges and opportunities in caring for patients in rural and smaller communities. Residents participate in both general medicine and subspecialty clinics (dermatology, gastroenterology, etc.) with seasoned practitioners who are excellent teachers and role models for residents interested in small town practice. Over the years, a number of our resident graduates have chosen to practice in Salem because of their positive experience on this elective rotation.
Palliative MedicineResidents who are interested in Geriatrics, Oncology, or General Medicine may choose to do an elective in palliative medicine. This elective is a unique blend of inpatient consults and working at an inpatient hospice center. There are also many opportunities for one-on-one teaching with our general internists who specialize in this area. Primary educational components of this elective are pain and symptom management, psycho-socio spiritual management and medical ethics. Epidemiology and Research ElectiveEach resident in the Legacy program completes at least one scholarly activity, whether it is a case presentation at the regional American College of Physicians meeting, a patient survey or an ambitious randomized trial. Many residents choose to use one of their elective months to immerse themselves in Evidence-Based Medicine (EBM) and to complete some component of their own project. During this month, residents work with their faculty advisor or one of the core EBM faculty to begin, move forward, and/or complete the project. Objectives of this rotation include gaining effectiveness in conducting a literature search, evaluating the validity clinical study results, and developing a research question of individual interest.
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