Legacy Health-Emanuel Medical Center Program

Program Identity & Fit

Legacy Emanuel is a community-based, unopposed internal medicine program built across two downtown Portland teaching hospitals, Legacy Emanuel (Level I trauma, comprehensive stroke, ECMO, regional burn center) and Legacy Good Samaritan (transplant, cancer, eye institute), giving residents direct hands-on responsibility rather than competing with fellows for procedures. The program explicitly centers its mission on culturally competent care of traditionally underserved, socially complex downtown populations, with social determinants of health embedded as a programmatic aim alongside collegiality and physician wellness. Its structural signature is the 2+2 block schedule paired with GRIT (graduated inpatient responsibility) and GROT (a parallel outpatient preceptor track for PGY3s pursuing primary care/outpatient careers), signaling deliberate investment in both hospitalist-track and continuity-clinic-track residents. Research exists via the affiliated Legacy Research Institute but is not woven into the residency curriculum itself, and career outcomes emphasis leans toward hospital medicine, primary care, and fellowship preparation rather than an academic research identity.