San Juan Regional Health

Rotation Structure: Residents are scheduled on monthly rotations with designations to either days or nights without overnight call.

Rotation Locations: Residents will complete most of their rotations within the San Juan Regional Health system. However, residents will have out-of-network rotation opportunities with neighboring Northern Navajo Medical Center in Shiprock, New Mexico, Common Spirit Mercy in Durango, Colorado, and other nearby Indian Health Service clinics.

Continuity Clinic: Residents will have one full day of continuity clinic at San Juan Health Partners Internal Medicine and Specialty Clinic each week except when on certain high-intensity rotations where they will establish and manage a dedicated panel of patients. Residents will complete a Neighborhood Assessment Project in a location where a majority of their patient panel resides to inform how Social Determinants of Health might impact health and inform care of their patients.  Residents will be a part of a team with a designated clinic mentor to build and nurture an environment of support and collaboration over the three years of residency. Residents will have alternating designated afternoons for panel management.

Immersion Block: During the first month of residency, residents will complete an immersion block to orient to the multidisciplinary team, population, services, and land in San Juan County and our catchment area including tribal lands. In person visits to the various relevant organizations including the Sobering Center, the local shelter among many more will create context for care throughout their training. Residents will have the opportunity to join the AirCare team to pick-up helicopter transfers from our catchment area to appreciate the vast landscape we serve.

Additionally, residents will receive intensive procedural Simulation-Based Training in a psychologically safe environment followed by afternoons with interventional radiology and other specialty services to develop early exposure to set the foundation for procedural training. Residents can then tailor their procedural skills to career aspirations over the course of residency.

Critical Care Rotations: Residents will complete yearly critical care rotations within our 23-bed intensive care unit where they will be exposed to significant procedural opportunity, critical care specific didactics and undergo a rigorous POCUS training.

Subspecialty Rotations: Subspecialty rotations will offer a mix of both inpatient and outpatient care.

Elective rotations: Residents will be offered six months of individualized educational experiences through electives, quality improvement and research. Elective rotations can be arranged and tailored based on interests and career aspirations. See Elective Opportunities.