Tulare Family Medicine Residency

Tulare Family Medicine Residency

"We aspire to educate and train competent and compassionate family physicians who can provide evidence-based and value-based full-spectrum patient care. Our philosophy of family medicine is one that addresses the physical, mental, and spiritual aspects of our patients’ health to promote and maintain overall wellness for our patients and their families. We believe we have been given a special opportunity to make a meaningful and lasting impact to the populations we serve, especially the vulnerable and underserved communities who need our help.

To further this, we are expanding our efforts to contribute to community events, performing sports physicals at local high schools and using the Adventist Health mobile van to reach the less fortunate. We plan to actively establish our presence in the American Academy of Family Physicians by reviving the CAFP Tulare chapter. There's this and so much more I’m excited to see come to fruition as Program Director of the Adventist Health Tulare Family Medicine Residency Program.

We hope you will join us in this journey to inspire and lead in the specialty of family medicine. Welcome and God bless!"

Muhammad Nausherwan Khan, MD, FAAFP
Program Director

Program Information

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), and Behavioral Health (3 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.

Rotation sites

• Adventist Health Medical Office – Tulare (residency clinic): 6 minutes, 2 miles from Adventist Health Tulare
• Adventist Health Tulare: 6 minutes, 2 miles from Adventist Health Medical Office – Tulare (residency clinic)
• Valley Children’s Hospital: 56 minutes, 58 miles from Adventist Health Tulare
• Adventist Health Hanford: 26 minutes, 24 miles from Adventist Health Tulare
• Adventist Health Medical Office – Hanford Residency: 26 minutes, 23 miles from Adventist Health Tulare
• Adventist Health Medical Office- Dinuba West (residency clinic): 36 minutes, 26 miles from Adventist Health Tulare
• Adventist Health Medical Office – Fowler: 37 minutes, 36 miles from Adventist Health Tulare
• Merritt Manor Convalescent Hospital: 2 minutes, 0.5 miles from Adventist Health Tulare

Family Medicine Residency Curriculum

Longitudinal curriculum: Continuity Clinic, Nursing Home, & Scholarly Activity, blocks are ones in which you will have some exposure to a specialty rotation to which you will be assigned but you will inevitably end up spending more time in your FMC.

Three PGY-3 tracks: Admin/Chiefs, Hospitalist/Junior Preceptors, OP/Junior Preceptors.

Essential rotations = Inpatient, Night Float, CM, VCH Inpatient Peds, EM Peds, L&D/Gyn = no vacations allowed.

Continuity Clinic

Patient visits:

• 1^st year: 1 half-day session/week; 3-5 pts per session
• 2^nd year: 2-3 half-day sessions/week; 6-8 pts per session
• 3^rd year: 3-4 half-day sessions/week; 8-10 pts per session

Back-up call residents:

• Two weeks at a time on Back-Up, resident must remain available via phone
• Mainly be used for call-offs during essential rotations but could also be employed for coverage needed to sustain health system tasks (CM coverage, Community Events, L&D coverage, etc.; during which time residents on non-essential rotations will be approached for help as needed)
• Upheld to the same work hours as ACGME has enforced
• PGY-1 will mainly provide BU to PGY-1 and on occasion to PGY-2/3
• PGY-2/3 can be used for BU provided to PGY-1/2/3
• Back-Up residents will stay within one hour driving distance to ensure availability, if in case help is needed

Night float has 4 primary responsibilities, supervised directly by the ED attending physician (physically present at all times), nocturnist attending physician and clinic coverage physician:

1. Cross coverage of patients on the Residency Inpatient Teaching Team
2. Admit new patients to the Teaching OR Hospitalist Teams (cap of 3)
3. Attend all Rapid Responses and Code Blues
4. Attend to Outpatient Calls from the Residency Clinic

Application Information

We are looking for applicants who fit our mission. These applicants demonstrate commitment to the ideals of family medicine and whole-person care, possess and develop excellent clinical and interpersonal skills and are willing to provide care to the underserved with energy and compassion.

Our program:

• Active accreditation by ACGME
• Deadline for application is November 15
• Applications must be submitted through ERAS only
• Size of residency: 30 residents. 10:10:10
• Newly furnished resident suite
• On-call rooms and bathrooms with a shower
• Didactic facility
• Fully stocked complimentary refrigerator and meals
• Designated physician parking

Basic qualifications for consideration

• Minimum of three letters of recommendation
• Five years or less since medical school graduation (some exceptions will be considered on a case-by-case basis)
• U.S. citizen, green card holder, or permanent resident status. Applicants requiring visa sponsorship will not be considered
• Passing USMLE/COMLEX scores with no more than two attempts on any of the steps
• Personal statements demonstrating interest in rural family medicine (interest in practicing in a rural area)

Interviews are by invitation only and only qualified applicants will be interviewed. Due to the high volume of applications, telephone calls and emails requesting an interview or inquiring into application status are not accepted. Please do not hesitate to contact us via email with any questions that are not addressed above. We look forward to reviewing your application.