Hawaii Health Systems Corporation - Hilo Benioff Medical Center

Program Description

The state of Hawai’i faces the same issues most rural locations face: an aging physician workforce, spousal/partner employment and difficulty attracting younger physicians who will stay to provide care in under-resourced settings. Hawai’i faces additional challenges such as geographic isolation, a higher cost of living, lower physician compensation and fewer loan repayment options. Hawaii Island (the Big Island) is the largest landmass in the chain of islands, approximately the size of Connecticut. Hawai’i Island is home to the active volcano Kilauea, the nearly 14,000 foot mountains of Mauna Kea and Mauna Loa, the mountain shadow deserts of lava flow on the west side of the island, and the tropical rain forests on the eastern or windward side. Hilo Medical Center on Hawai’i Island serves as the sponsoring institution of the first residency program located outside of metro-Honolulu (Oahu island). Launched on July 1, 2014, the development of the Hawaii Island Family Medicine Residency (HIFMR) as a program was based on the evidence that indicates that rural exposure and training is more likely to result in physicians who will serve the rural parts of the country. The Hawai’i Island Family Medicine Residency (HIFMR) program is an ACGME accredited 6-6-6 program that has selected residents who have ties to Hawai’i and/or a strong interest in rural medicine to help mitigate some of the extra challenges faced in providing training in a remote archipelago. To date, all graduates of the program have chosen to stay in Hawaii to practice and all have passed their boards.

Community Setting

• Rural
• Rural

Top 3 Program Strengths

No strengths provided

Primary Admitting Hospital

Hilo Benioff Medical Center

Length of Program

3 Years

Clinic Funding

• Federal or other government clinic funding including Federally Qualified Health Centers (FQHC) or look-alike, Community Health Centers (CHC), Rural Health Clinic (RHC)

Positions

	PGY-1	PGY-2	PGY-3
Offered:	PGY-1: 6	PGY-2: 6	PGY-3: 6
Filled:	PGY-1: 6	PGY-2: 6	PGY-3: 5

Has Residential Organization

No

Required ICU Rotations

Less than two months

Required General Surgery Rotations

Two months

Required Maternity Rotations

Two months

Level of Pregnancy Care Training Provided

At least 20 deliveries for all residents; comprehensive pregnancy care with 80 or more deliveries for a few residents.

Required Pediatrics Rotations

Four months

Offers International Rotations

No

Half Day Table (years 1-n)

	PGY-1	PGY-2	PGY-3
Half days	PGY-1: 1	PGY-2: 3	PGY-3: 3

Hospital Trips Table (years 1-n)

	PGY-1	PGY-2	PGY-3
Call from home trips to hospital	PGY-1: None	PGY-2: None	PGY-3: None

Night Calls Table (years 1-n)

	PGY-1	PGY-2	PGY-3
Average In hospital night calls	PGY-1: None	PGY-2: q15d-q28d	PGY-3: q15d-q28d
Night Float	PGY-1: No	PGY-2: Yes	PGY-3: Yes

Has Computer Documentation

Yes

Offers Rural Rotations

Yes

Has Electronic Health Records

Yes

Primary Admitting Hospital

Hilo Benioff Medical Center

Total Hospital Beds

276

Full Time Doctor Faculty

4

Full Time Other Faculty

4

Full Time Physicians Extender Faculty

2

Total Rotation Hospitals

2

Total Admitting Hospitals

1

Total Family Practice Centers

1

Has Federally Qualified Rotations

Yes

Base Salary and Vacation Table (years 1-n)

	PGY-1	PGY-2	PGY-3
Salary	PGY-1: NA	PGY-2: NA	PGY-3: NA
Weeks of Vacation	PGY-1: 3	PGY-2: 3	PGY-3: 3

Benefits

• Disability Insurance
• Liability Insurance
• Health Insurance
• Parking
• Sick Leave / Personal Time
• Funding for attending conferences
• Time off for conferences
• Meals
• Moving Allowance
• AAFP Membership
• Medical license fee

Offers Fellowship

No

Fellowship Leads To Post-Graduation

No

Offers Clerkship

Yes