Family Medicine Residency
Adventist Health - Ukiah Valley ProgramAdventist Health Ukiah Valley Family Medicine Residency
At Adventist Health Ukiah Valley, we strive to be a leader in rural and global family medicine education through innovative curriculum, strong clinical experiences, and a commitment to positively impacting our community. We are located two hours north of San Francisco in rural Northern California. Our winding roads that span the mountain ranges are just one of the unique challenges our community faces in accessing healthcare. Working closely with supportive faculty, our residents have a tangible effect on the health of the community through projects such as our street medicine clinic and partnerships with local advocacy organizations. Adventist Health Ukiah Valley is the place to come if you are passionate about making a difference while receiving rigorous, full-spectrum training.
Who We Serve
As the only residency in both Mendocino and Lake Counties, our unopposed residency aims to create full-spectrum family physicians who are well trained to take on the needs of these rural and diverse counties. Our family medicine residents should not only be aware of the unique challenges of our rural community, but ready to embrace them in light of the important work we are doing. We love our hospital and the community we serve.
Mendocino County:
Population: 86,789
People per square mile: 25.1
Median Household Income: $49,233
Located 2 hours north of San Francisco, Mendocino County extends a diverse terrain, featuring redwood forests, magnificent mountain ranges and the pacific coast. Our counties land produces some of the finest wine grapes in California. We are known for our family owned boutique wineries and emerging microbreweries.
The hospital serves as the primary medical center for the entire county, including the coastal communities (i.e. Fort Bragg, Point Arena) who are separated from inland resources by poor road access and limited telephone/wireless service. The residency clinics primarily serve the inland communities (i.e. Ukiah, Willits), which includes many of the nine Indian reservations within Mendocino County borders (the fourth most of any county in the United States). We also have a Street Medicine Clinic, where we work with the size-able homeless population within Ukiah.
Curriculum Overview
Our academic year is split into 13 blocks with each block comprised of 4 weeks. Our goal with designing our curriculum is two-fold. We want to provide our residents with the knowledge and skills to practice family medicine anywhere in the world with special attention paid to skills necessary for rural practice. We also want to design a program that will benefit our local community by filling previously unmet needs. All in all, we think the curriculum here will not only be challenging but also rewarding as you help care for a population that is severely lacking in good primary care.
Core Rotations
Dermatology/Wound Care
Residents will spend 1 block with a combination of dermatology and wound care experiences. We believe that a rural family physician should be comfortable managing the majority of outpatient dermatological conditions. You should also have a good understanding of basic wound care principles and techniques so that you can aid in the healing of the countless wounds you will encounter in rural practice. If you plan to spend anytime abroad, this experience becomes even more invaluable. During this rotation you will spend time in both dermatology and wound care clinics while also doing inpatient wound care consultations.
Emergency medicine
Residents will spend 1 block during each year working in our fast-paced emergency department. We see both pediatric and adult patients in our ED which provides a true rural emergency medicine experience while also having the volume and acuity of patients to gain a well-rounded experience. Your time in our emergency department will prepare you well for rural practice because you will gain the skills necessary to care for anything that walks through the door.
Family Medicine Clinic
This is a longitudinal experience over the entire 3 years where you will be responsible for your own panel of patients in our designated Rural Health Clinic (RHC). Some residents will also have the opportunity to have their continuity clinic at the Consolidated Tribal Health Project that serves our local Native American population
Geriatrics
Geriatrics is an extremely important part of family medicine. For this reason, you will spend 1 total block dedicated to caring for our geriatric population. This will include seeing patients in your continuity clinic, rounding on patients in long-term care and short-term care facilities and making home visits. You will also receive dedicated lectures focused on caring for this often times vulnerable and complex patient population.
Inpatient Medicine
Residents will spend 2 blocks per year working on the inpatient service in Ukiah and 1 block during each year at the Sacramento VA, totaling 9 blocks over 3 years. In Ukiah, at our primary hospital site Adventist Health Ukiah Valley, residents will take care of a wide variety of patient types with an interesting mix of pathology. During this time, you will work closely with our dedicated hospitalist team as well as our family medicine faculty. We have an open ICU so you will be managing critically ill patients on a daily basis. We have limited specialists available so you will become adept at managing all aspects of your patients’ care. Residents on the inpatient service will also be responsible for all of the inpatient procedures that come up throughout the day. You will become very comfortable with central line placement, paracentesis, thoracentesis, intubation, etc.
Obstetrics/Gynecology
You will be provided with a combination of experiences in order to help you develop the foundation to be able to care for women of all ages. You will have 2 blocks of dedicated obstetrics training with perinatal, antepartum, intrapartum and postpartum management experience. These experiences will occur in our maternity ward and in clinic under the supervision of obstetrics and family medicine physicians. You will also be provided with a longitudinal experience that encompasses all 3 years of your residency where you will work with a fellowship trained family medicine physician providing full spectrum care, including obstetrics, to her patients in a nearby small town.
Ophthalmology/ENT
You will spend 2 weeks rotating through our ophthalmology clinic and 2 weeks in our ENT clinic. Eye complaints and ENT complaints are extremely common in family medicine clinic but can be overwhelming if you do not have a good foundation in these areas. You will learn proper exam techniques and treatment for the most common complaints in addition to learning when referral to a specialist is necessary.
Orthopedics/Sports Medicine
1 block in intern year and 1 block in PGY-3 will be dedicated to orthopedics and sports medicine. You will spend time learning from our local orthopedic surgeons and sports medicine physician in their clinic as well as participating in call where you will get familiar with managing all types of acute orthopedic injuries.
Pain Management
Our 1 block pain management rotation has two primary focuses. The first focus is to learn pain management strategies from our local pain medicine physician. Caring for patients with chronic pain can be very challenging for family physicians and to do so effectively often requires incorporating many different modalities into their care. You will learn how to incorporate behavioral health interventions, complimentary medicine techniques and appropriate opioid prescribing to better care for these patients
The second part of this rotation focuses on medication-assisted treatment (MAT) for patients with opioid use disorder which is a huge problem in rural America. This training also occurs under the guidance of our pain medicine physician and all residents will be able to obtain their buprenorphine waiver by the end of the rotation.
Pediatrics
1 block of inpatient pediatrics and 1 block of dedicated outpatient pediatrics will be completed in both PGY-1 and PGY-2 (4 blocks total). The inpatient pediatrics experience will take place at UC Davis Children’s Hospital in Sacramento on the general pediatric ward with pediatric residents and attendings. Housing will be provided. The outpatient pediatrics experience will take place in Ukiah with time spent at the Adventist Health pediatric clinic, Consolidated Tribal Health pediatric clinic and the local FQHC. While on outpatient pediatrics, you will also be responsible for caring for the newborns in the hospital.
In addition to the dedicated block experiences listed above, you will have a good amount of pediatric patient encounters in our emergency department and in your continuity clinics.
Sub-Specialty Medicine/Cardiology
Residents will spend a total of 2 blocks working with attendings from different medical specialties. 4 total weeks split into 2 weeks during PGY-1 and 2 weeks in PGY-3 will be spent learning cardiology from our cardiologists. The other 4 weeks will be split between 2 different medical specialties of your choosing that could include nephrology, gastroenterology, rheumatology and neurology. As a family physician, it is very helpful to spend time learning under attendings from different specialties. You will learn appropriate management of specific conditions you will likely see in your clinic as well as learn when it is and is not appropriate to refer to specialists.
Surgery
You will have 1 block during both PGY-1 and PGY-2 working with our general surgeons. Our general surgeons are highly skilled and eager to teach. During these months you will live the life of a rural general surgeon working side by side with them rounding on inpatients, seeing consults in the emergency room, managing a busy clinic and first assisting on a wide variety of common (and not so common) surgeries.
Facilities
Adventist Health Ukiah Valley
275 Hospital Drive, Ukiah, California 95482
Adventist Health Ukiah Valley Rural Health Clinic: Family Medicine Practice
260 Hospital Drive, Suite 103 Ukiah, CA 95482
Tribal Health
6991 N State St, Redwood Valley, CA 95470
Adventist Health Clearlake
15630 18th Avenue, Clear Lake, CA 95422
Adventist Health Howard Memorial
1 Marcela Dr, Willits, CA 95490
University of California at Davis
4860 Y St #2320, Sacramento, CA 95817
Compensation and Benefits
(Effective July 2023)
Financial Support
The Medical Center agrees to pay residents on a bi-weekly basis as noted below. Payment is determined by the PGY-level of the resident’s appointment. Deductions may be made for applicable benefits and taxes.
Level / Annual Financial Support
PGY-1 / $70,835.10
PGY-2 / $75,499.20
PGY-3 / $82,168.80
Chief Medical Resident / $2,500