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Brief Experiences

Dr. Pitzen

Dr. Pitzen works in his own private practice in Sebastopol and has been practicing full-scope family medicine for many years. He is an excellent teacher!

Hospice of Petaluma

I had an opportunity to do home visits with a hospice nurse (Ramona Chamberlain) in Petaluma, meet with Dr. Scott Eberle who directs Hospice of Petaluma to discuss end-of-life care, and to attend HoP’s interdisciplinary meeting. I had anticipated doing some home visits with Dr. Steve Hadlund as well... more »

Women’s Health Specialists

I had a great experience with hands-on abortion training at WHS with Dr. Marjorie Gross. WHS does procedures Fridays in Santa Rosa and then other days at other more distant locations around northern CA.

Geriatrics

Working with Dr. Tim Gieseke in his outpatient geriatric clinic offers was great exposure to complex patients and the specific needs of geriatric patients. Spring Lake Village offers an outpatient clinic for independent and assisted-living residents and services range all the way to SNF, so there were also opportunities... more »

Spanish immersion in Nicaragua

I travelled to Nicaragua for a 3 week immersion – I lived with a family, ate 2-3 meals a day with them and took one-on-one spanish classes 4-5 hours a day. Yoga, meditation and participating in a private clinic consumed the rest of my time. The area is beautiful,... more »

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Cancer and Primary Care

My 36-year-old sister was diagnosed with Hodgkin lymphoma during February of my intern year, so I used my elective time to help take care of her while she underwent chemotherapy. We went to restorative yoga and worked on her nutrition using “The Cancer-Fighting Kitchen” cookbook by Rebecca Katz. We... more »

Outpatient procedures

My goal for this elective selective involved working on my outpatient skills and I did this by doing coloposcopy clinic at Vista and procedure clinic with Dr. Sanchez in Lombardi. Both experiences were hands-on and allowed me to become more adept at colposcopy, for example, as I had no... more »

Rural medicine in Ukiah

Spent a few days with the hospitalist/ICU service at rural hospital in Ukiah. Also spent time working in the ED. Great group of people there and a nice taste of rural medicine. I was only there a few days but would make a nice 2 week rotation. In that... more »

Santa Rosa Women’s Health and Birth Center

During my elective, I had the opportunity to shadow and work alongside the midwives at the Birth Center. The midwives are great teachers, and I enjoyed learning about their practice model. I learned quite a few handy tips that I plan to put into my own practice. The midwives... more »

Transgender Health

I worked with Dr. Suegee Tamar-Mattis on Thursday evenings. She holds a transgender clinic every Thursday from 6-9pm that alternates between the two locations. Suegee is a critical leader in trans health and shares both great clinical knowledge in addition to the history of trans health. You see patients... more »

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Palliative Care

I met with palliative care and hospice docs in the area and discussed the role of the MD in these settings and opportunities for learning and for change. What an inspiring group of people, who have found a way to be in an open hearted setting within medicine.

Juvinile Hall

I spent a few days working with the nurse practitioner who staffs the juvinile hall. It is mostly a RN led program, but with an NP or doctor that comes in as needed and at least weekly. It was slow clinically, but I also got to work with the... more »

Cloverdale CHC

I shadowed Dr. Gonzalez and Dr. Fish on separate days at Cloverdale. I had the opportunity to see many Spanish speaking and OB patients, and see the unique difficulties faced by living 45 minutes north. Excellent Spanish experience, and great to have experience working in another local CHC.

Procedures in ER/ICU

I spent a few days in the hospital in the ER, the ICU, and on the floors to do procedures. It was nice to be available in the hospital without having to be on call! I got to do a paracentesis, creatively performed an I&D on an admitted patient’s... more »

Kaiser Rohnert Park

I spent time shadowing and several different clinics in order to get a taste of what other practice settings and community clinics are like. As a resident, there are few opportunities to evaluate if our experiences at our home clinics are universal to primary care, a community clinic or... more »

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Alliance Medical Center

I spent time shadowing alumni at several different clinics in order to get a taste of what other practice settings and community clinics are like. As a resident, there are few opportunities to evaluate if our experiences at our home clinics are universal to primary care, a community clinic... more »

West County Health Center (Contra Costa)

I spent time shadowing alumni at several different clinics in order to get a taste of what other practice settings and community clinics are like. As a resident, there are few opportunities to evaluate if our experiences at our home clinics are universal to primary care, a community clinic... more »

Sebastopol Community Health Center

I spent time shadowing alumni at several different clinics in order to get a taste of what other practice settings and community clinics are like. As a resident, there are few opportunities to evaluate if our experiences at our home clinics are universal to primary care, a community clinic... more »

La Clinica

I spent time shadowing alumni at several different clinics in order to get a taste of what other practice settings and community clinics are like. As a resident, there are few opportunities to evaluate if our experiences at our home clinics are universal to primary care, a community clinic... more »

Hayward Wellness Center

I spent time shadowing alumni at several different clinics in order to get a taste of what other practice settings and community clinics are like. As a resident, there are few opportunities to evaluate if our experiences at our home clinics are universal to primary care, a community clinic... more »

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HIV elective

I spent a day up in Lake County with Dr Marshall Kubota shadowing his HIV clinic in order to see what rural HIV care models are like. He is an excellent teacher and has a very interesting perspective because he has been doing HIV care in Northern CA since... more »

Advanced Wilderness Life Support

Three day AWLS certification course in Big Sur. Course was through Backcountry Medical Guides but I found it on the AWLS website. It was an excellent mix of classroom and hands-on learning. Now, if you ever get stuck needing to be gurneyed out of the backwoods with only a... more »

Asylum Training

I spent a day on elective doing the asylum training with Lucia Roncalli. This was a full day at her house going through the pretty voluminous ledger of articles and information about different aspects of the asylum interview.

Pacific Island Health Disparities

Spend 2.5 weeks on Oahu learning more about the structural violence faced by COFA populations as well as Native Hawaiians and the ways in which the political and health systems have failed these populations. Explored different community health centers and identified areas of need on the island including exposure... more »

Inpatient, Writing and Spanish

Inpatient- I worked on the inpatient team at Ukiah. I recommend contacting them many months in advance to ensure access to computer system and privileges. It was an excellent experience, especially if you are interested in inpatient medicine. Each day I arrived at 7am to round. Once rounding was... more »

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Exploring local clinics

Exploration of Russian River Health Clinic and Forestville Teen Clinic

Completing residency

For the last 2 weeks of residency, I used the time to review patient charts and make appropriate updates. I reviewed residency resources to use during my career from the residency website, new innovations, SRCHC, and others.

ED at Sonoma Valley ED

Spent multiple 12-hour shifts with Drs. Matel and Dolan in the SVH ED. Great experience for those interested in ED, rural medicine, or procedures. For those who want to get better at US, is a great experience because you can US normals and abnormals. Would totally recommend for learning!... more »

Radiology with Dr. Schibel

Dr. Schibel, Lord of Retired Radiology, will spend as little or as much time with you focusing on reading XRs and CTs on a light box in his house. Can choose a focus as he has many scans available. Great starting points for IM and ED work are CXRs,... more »

Hospice

Dr Jenny Fish was able to help me meet Dr Kai Arden and Dr Gary Johanson for IDT rounds and visits with Memorial and Petaluma hospice. Great experience. Helped see the role of the physician in the hospice team and to see the great work the interdisciplinary team does.

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Hep C learning/group visits

I spent time during my elective completing online modules to increase my understanding of and comfort with working with patients that carried the diagnosis of Hepatitis C. I also spent time going to group visits to better understand our patients’ experience going through the process of going through the... more »

Abortion training

I spent a day at Planned Parenthood doing additional training in MVA’s and EVA’s as part of the CREATE program. I also spent time researching measures that had been proposed to the CAFP regarding reproductive health, seeing which ones had been adopted by the CAFP and sent on to... more »

Job exploration

I conducted informal phone interviews with several different practicing physicians in the three places we are likely to move post-residency to get a sense of the culture of family medicine and the job opportunities that exist. After researching possible options, I also started getting into contact with some potential... more »

Time Management -Dr. Ben Brown

Spent half day of clinic shadowing Dr. Brown for tips/tricks on time management in clinic. It is also helpful to see how Dr. Brown handles difficult patients.

Coding Experience

Coding for inpatient and outpatient is something that we do not get enough experience with as residence. In order to prepare for life after residency, where often coding correctly makes a huge financial difference, it is important to seek out some extra coding experiences. Consider taking the online AAFP... more »

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Patient Handouts

Are you ever disappointed with our ECW patient handouts? If so consider taking some elective time to make your own handouts. Or you can steal them from Kaiser, MOB 2 on the hospital campus has a whole room dedicated to patient education.

Outpatient Epic

Coding for inpatient and outpatient is something that we do not get enough experience with as residence. In order to prepare for life after residency, where often coding correctly makes a huge financial difference, it is important to seek out some extra coding experiences. Consider taking the online AAFP... more »

Diabetes and Obesity MCE conference

This was a CME conference on diabetes and obesity put on by MCE. It was taught by two endocrinologists.

Sustainability and Communities Conference

This was a conference at the Farm, an intentional community and ecovillage in rural TN. It was focused on community, building community, and sustainability. Also had workshop on midwifery as they delivery many babies out of hospital on the Farm.

Hepatitis C Learning

Received teaching and reading materials from Dr. Toub regarding the latest evidence for Hep C treatment. Shadowed Dr. Toub in several clinics to watch and learn about curing Hep C. Attended and led a Hep C group visit.

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Curry Center Focus on LTBI

One day intensive course focusing on the diagnosis, management, and treatment of latent TB infection.

Review patient engagement technologies

Reviewed healthcare & patient technologies in preparation for R3 talk; met with entrepreneurs in this area

Hospice in Kenya

Our Lady’s Hospice in Thigio, Kenya, is a 9 bed inpatient hospice facility founded by the Daughters of Charity. I spent a day working there as part of my elective experience with KEHPCA (Kenya Hospice and Palliative Care Association) and had a wonderful experience. The hospice is the responsibility... more »

POCUS Training (Houston, TX)

I took the “Emergency Medicine / Point-of-Care Ultrasound” and “Advanced Emergency Medicine / Next Level Point of Care Ultrasound” courses offered by a private company, Advanced Health Education Center. The first two days covered the same topics as the Contra Costa course (FAST exams, cardiac, OB imaging, procedures, etc).... more »

Homeless Medicine / SUD with Dr. Garrison-Jeckel

Dr. Jared Garrison-Jeckel offers several services for homeless individuals and individuals with substance use disorders in West County that are definitely worth checking out! On Thursday mornings, there is a homeless services “fair” at the Town Hall in Guerneville where individuals without stable housing can take showers, find some... more »

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Online Billing Course

This is a 24-hour course on inpatient and outpatient billing that can be done at your own pace (anticipate needing more time to process / do a little additional research). The inpatient portion of this course is the same course that our hospitalist service is expected to complete before... more »

NADA training

NADA acupuncture is a specific protocol which involves just five points on the ear that help to treat anxiety, depression, and substance use disorders. To become “certified,” an MD has to take a 2-day course and then perform the protocol on 40 people.

Bioethics

I spent time shadowing/working with Shilpa Shashidhara, the bioethicist for SSRRH and CPMC. It was great to get to see the hospital through her eyes and watch her perform a full ethics consult. She is a fantastic and engaged teacher, and happy to have resident learners. I learned about... more »

HIV Area of Concentration

Taking time to focus on HIV specific medicine through shadowing experiences, exploration of local resources, panel management, online modules, and self-directed reading.

Kalihi Valley Community Center in Honolulu, HI

I got to shadow some previous residents at this lovely community health center in Honolulu, HI. It was really enlightening to see how their healthcare system worked and to familiarize myself with the culture and traditions. It was also striking to see the many similarities between our community center... more »

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Wound Care

Rounded with Wound Care RN Wendy Cardenas (CardenWJ@sutterhealth.org) for two mornings. Wendy is very fun and easy to work with and learn from. I picked up good tips on logistics of inpatient wound care, increased my familiarity with wound care products and their different indications, learned about wound vacs... more »

Transgender Health

UCSF Primary Care conference on Transgender Health. Three day summit.

Healthcare for the unhoused

I spent my elective time learning home about healthcare for the unhoused. I spent most of my time in Guerneville working with Russian River health center and the Third Street Clinic (a clinic specifically created to meet the needs of those with unstable housing). I spent some time with... more »

Rural Family Medicine in Alaska

I spent a week at the Southeast Alaska Regional Health Consortium (SEARHC) Clinic in Juneau, Alaska. I had previously spent six weeks with them at a more rural clinic in Haines, AK. Both experiences have been wonderful. It is a fantastic opportunity to see how a resource-constrained (in terms... more »

Global Health Updates

Using the USAID Global Health eLearning Center, I reviewed modules for key topics in global health (malaria, childhood illness, antenatal care, cervical cancer screening) and country specific data using CDC and WHO resources for Thailand, Cambodia, Indonesia, and Laos. We are headed there after residency, so this was a... more »

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Refugee Health Care and Nutrition

I spent time at an FQHC in Buffalo, NY, that focuses on refugee health care. I worked with several providers and saw a breadth of patients in clinic. I spent some time with community health workers, who are trained as doulas and have started an organization that accompanies refugee... more »