Hanford Family Medicine Residency Program

Hanford Family Medicine Residency Program

Welcome to Adventist Health Hanford Family Medicine Residency Program. We are a community-based program and provide each resident the benefit of clinical experiences and innovative educational opportunities through a multi-disciplinary approach. The Program’s mission is to provide quality training and exceptional opportunities to our residents. In this program, we train competent, well-rounded physicians, that will provide compassionate care to the patients in the Central Valley, as well as to increase the primary care workforce in the community.

Block rotation

Our Family Medicine Residency program is 36-months and follows a block rotation schedule, designed to comply with all ACGME Family Medicine Review Committee requirements.

Each year has 13 four-week blocks of “traditional” rotations, with longitudinal experiences throughout the training in Health Systems Management/Q1 (3 years), Behavioral Health (3 years) and Geriatrics (2 years). Our residency clinic also is part of the longitudinal experience that crosses all three years of training.

All residents are expected to complete each rotation as scheduled. Rotation information is available on New Innovations. Goals and Objectives for each rotation will be sent via New Innovations to all residents two weeks prior to the start of each rotation.

PGY-1

• Orientation: 1 block
• Inpatient adult: 2 blocks
• Night float: 1 block
• OB: 2 blocks
• Emergency Medicine: 1 block
• Pediatrics out-patient: 1 block
• Clinic and Health Systems: 1 block
• Surgery: 1 block
• ICU: 2 weeks
• Community Medicine: 1 block
• Sub-specialties: 1 block

Orientation: it includes introduction to the basics of residency, behavioral science, community medicine, resident wellness, qualifications for Advanced Cardiac Life Support, Pediatric Advanced Life Support, Advanced Life Support in Obstetrics, procedural skills, team building, quality improvement, scholarly activity, EMR training, new innovations training, expectations and milestones, SIMS lab and new hire orientation.

First years have a total of 3 weeks’ vacation and are scheduled for 1-week intervals during selected rotations.

PGY-2

• Inpatient adult: 2 blocks
• Night float: 2 block
• GYN: 1 block
• Inpatient pediatrics: 1 block
• Emergency Medicine: 1 block
• Nursing: 1 block
• Electives: 2 blocks
• Community Medicine: 1 block
• Newborn: 1 block
• FMC: 1 block

Second years have a total of 4 weeks’ vacation is scheduled for 1-week intervals during selected rotations.

PGY-3

• Inpatient adult: 2 blocks
• Night float: 1 block
• Emergency Medicine Pediatric: 2 weeks
• Pediatrics out-patient: 2 weeks
• Clinic and Health Systems: 2 blocks
• Electives: 2 blocks
• Subspecialties: 2 blocks
• Community Medicine: 1 block
• Ambulatory MSK: 1 block

Third years have a total of 4 weeks’ vacation is scheduled for 1–week intervals during selected rotations. They also have the option of scheduling international rotations or mission trips for elective rotations.

What is rural medicine and how are residents involved?

Rural areas encompass all population, housing and territory not included within an urban area, as defined by the U.S. Census Bureau. Rural Americans face numerous health disparities compared to urban Americans, including limited access to quality healthcare such as primary care and specialty services.

To help increase access to healthcare, Adventist Health in the Central Valley has more than 40 rural health clinics across Fresno, Kern, Kings, Madera and Tulare Counties.

Residents of the Hanford Family Medicine Residency program are involved in this effort by providing patient care at a variety of rural health clinics, including at Adventist Health Medical Offices in Hanford, Home Garden and Lemoore.

Rotation sites

Adventist Health Hanford: 10 minutes, 2 miles from Adventist Health Medical Office – Hanford Residency

The Family Medicine Residency Program is an unopposed program at Adventist Health Hanford and serves as the primary inpatient service for the medical center. Each year, our residents spend 8 to 10 weeks on inpatient service, 2 - 4 weeks in emergency medicine department, 2 weeks in the ICU, and 4 weeks in obstetrics. The residents are active and involved members of the Adventist Health Hanford medical staff and are fully integrated into Adventist Health Hanford environment.

Valley Children’s Hospital: 52 minutes, 45 miles from Adventist Health Medical Office – Hanford Residency.

One of the exciting aspects of our program is the ability to rotate through Valley Children’s Hospital. Valley Children’s Hospital is one of the nation’s largest, most diverse children’s hospitals in the nation. The program serves as the main children’s hospital for Central Valley.

Adventist Health Medical Office – Fowler: 30 minutes, 23 miles from Adventist Health Medical Office – Hanford Residency

Our residents rotate at Adventist health-fowler medical office, only 30 min away from Adventist Health Hanford which will allow continuous exposure to primary care services and different specialty rotations including pulmonology, addiction medicine, cardiology, vascular surgery, nephrology, obstetrics/gynecology, and general surgery).

Adventist Health Selma and Adventist Health Medical Office – Selma Campus: 30 minutes, 18 miles from Adventist Health Medical Office – Hanford Residency

Our sister hospital Adventist Health Selma located in the heart of San Joaquin Valley between Visalia and Fresno only 30 min away from Adventist health Hanford is a 57-bed acute-care community medical center that serves 13 communities in southern Fresno County in Central California, operating as a satellite campus of Adventist Health Hanford. Services include a 24-hour emergency, Inpatient and outpatient surgery and diagnostics, birthing center, direct observation unit, cardiology, and imaging with CT, MRI, and digital mammography. Residents provide culturally competent care to an underserved community.

Adventist Health Medical Office Reedley Children’s Health – 46 minutes – 30 miles from Adventist Health Medical Office – Hanford Residency

Adventist Health Reedley is one of four medical centers that form Adventist Health in the Central Valley, consisting of more than 4,000 associates, providers and volunteers. With the expertise and resources of a large healthcare system, the compassionate team ensures each patient receives . The hospital also licenses 26+ clinics in 22 rural communities with primary and specialty care services. In 2022, Money and The Leapfrog Group named Reedley Hospital as one of the best hospitals in America. Reedley is one of 148 hospitals nationwide that make up the new Best Hospitals list.

Benefits

Residents are eligible for medical, dental, vision, long-term disability, accidental death and dismemberment benefits offered through Adventist Health Hanford. Plans are not bundled and are available on a voluntary basis which also includes benefits for residents’ families.

Salary

Additional benefits

Resident benefits also include:

• Moving expenses: Expenses to relocate to Hanford, CA will be reimbursed up to $1,500. All receipts are to be submitted to Program Coordinator who will secure and forward them to the Human Performance Department. (Said money may be taxable). Moving expenses include: Moving truck, boxes, tape, packing paper/bubble wrap, hitch and gas.
• Meals: Meals are available in the hospital cafeteria and physician's lounge. The resident’s suite is continually stocked with drinks and refreshments by Nutritional Services.
• Discretionary Educational Fund: The Discretionary Educational Fund (DEF) is an annual educational stipend for residents to enhance their training experiences as they prepare for an independent practice of medicine.
• All residents have $1,500.00 in CME allowance per academic year: CME activities are defined as those that contribute to the knowledge base of the Resident for the practice of Family Medicine. CME activities are accepted according to the discretion of the program. All Discretionary Fund requests must be approved by GME Administrator/Director at Adventist Health Hanford.
• Board fees, licenses and dues: All Residents have $1,500.00 in board fees, licenses and dues allowance per academic year. This category covers those expenses required by hospital medical staff or state/federal entities for Licenses and dues in order to practice medicine. Licenses and dues reimbursements are accepted according to the discretion of the program. All licenses and dues requests must be approved by GME Administrator/Director at Adventist Health Hanford.
• Education benefits: BLS, ACLS, NRP, PALS, ALSO and Nexplanon certification courses are provided for all residents. Residents also have access to an institution-wide up-to-date account.
• Access: Residents have remote desktop access that allows residents to access EMR from home.
• Paid vacation: 3 - 4 weeks per year, based on sponsoring institution’s policy.