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), Behavioral Health (3 years) and Geriatrics (2 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.


  • Orientation: 1 block
  • Inpatient adult: 2 blocks
  • Night float: 1 block
  • OB: 2 blocks
  • Emergency Medicine: 1 block
  • Pediatrics out-patient: 1 block
  • Clinic and Health Systems: 1 block
  • Surgery: 1 block
  • ICU: 2 weeks
  • Community Medicine: 1 block
  • Sub-specialties: 1 block

Orientation: it includes introduction to the basics of residency, behavioral science, community medicine, resident wellness, qualifications for Advanced Cardiac Life Support, Pediatric Advanced Life Support, Advanced Life Support in Obstetrics, procedural skills, team building, quality improvement, scholarly activity, EMR training, new innovations training, expectations and milestones, SIMS lab and new hire orientation.

First years have a total of 3 weeks’ vacation and are scheduled for 1-week intervals during selected rotations.


  • Inpatient adult: 2 blocks
  • Night float: 2 block
  • GYN: 1 block
  • Inpatient pediatrics: 1 block
  • Emergency Medicine: 1 block
  • Nursing: 1 block
  • Electives: 2 blocks
  • Community Medicine: 1 block
  • Newborn: 1 block
  • FMC: 1 block

Second years have a total of 4 weeks’ vacation is scheduled for 1-week intervals during selected rotations.


  • Inpatient adult: 2 blocks
  • Night float: 1 block
  • Emergency Medicine Pediatric: 2 weeks
  • Pediatrics out-patient: 2 weeks
  • Clinic and Health Systems: 2 blocks
  • Electives: 2 blocks
  • Subspecialties: 2 blocks
  • Community Medicine: 1 block
  • Ambulatory MSK: 1 block

Third years have a total of 4 weeks’ vacation is scheduled for 1–week intervals during selected rotations. They also have the option of scheduling international rotations or mission trips for elective rotations.

Hanford Residency Program also offers following special programs for the residents:

Medical student experience

Community oriented primary care training
Family medicine procedures clinic (2 half days in a month)
Shadowing opportunity for graduates trained in international medical schools

HIV Track

The goal of the HIV track is to train clinically competent residents that can provide comprehensive primary care to patients with HIV. By preparing our residents with the best training and well-roundedness at Adventist Health Central Valley Network, it fulfills our mission to live God’s love by inspiring health, wholeness, and hope.

At Hanford Residency, faculty provide residents an opportunity to become HIV specialists. Residents that chose to join the track will become certified through the American Academy of HIV Medicine (AAHIVM). Requirements to become certified include passing a certification exam, providing care to at least 25 HIV infected patients, and ongoing continuing medical education in HIV.

What is rural medicine and how are residents involved?

Rural areas encompass all population, housing and territory not included within an urban area, as defined by the U.S. Census Bureau. Rural Americans face numerous health disparities compared to urban Americans, including limited access to quality healthcare such as primary care and specialty services.

To help increase access to healthcare, Adventist Health in the Central Valley has more than 40 rural health clinics across Fresno, Kern, Kings, Madera and Tulare Counties.

Residents of the Hanford Family Medicine Residency program are involved in this effort by providing patient care at a variety of rural health clinics, including at Adventist Health Medical Offices in Hanford, Home Garden and Lemoore.

Rotation sites

Adventist Health Hanford: 10 minutes, 2 miles from Adventist Health Medical Office – Hanford Residency

The Family Medicine Residency Program is an unopposed program at Adventist Health Hanford and serves as the primary inpatient service for the medical center. Each year, our residents spend 8 to 10 weeks on inpatient service, 2 - 4 weeks in emergency medicine department, 2 weeks in the ICU, and 4 weeks in obstetrics. The residents are active and involved members of the Adventist Health Hanford medical staff and are fully integrated into Adventist Health Hanford environment.

Valley Children’s Hospital: 52 minutes, 45 miles from Adventist Health Medical Office – Hanford Residency.

One of the exciting aspects of our program is the ability to rotate through Valley Children’s Hospital. Valley Children’s Hospital is one of the nation’s largest, most diverse children’s hospitals in the nation. The program serves as the main children’s hospital for Central Valley.

Adventist Health Medical Office – Fowler: 30 minutes, 23 miles from Adventist Health Medical Office – Hanford Residency

Our residents rotate at Adventist health-fowler medical office, only 30 min away from Adventist Health Hanford which will allow continuous exposure to primary care services and different specialty rotations including pulmonology, addiction medicine, cardiology, vascular surgery, nephrology, obstetrics/gynecology, and general surgery).

Adventist Health Selma and Adventist Health Medical Office – Selma Campus: 30 minutes, 18 miles from Adventist Health Medical Office – Hanford Residency

Our sister hospital Adventist Health Selma located in the heart of San Joaquin Valley between Visalia and Fresno only 30 min away from Adventist health Hanford is a 57-bed acute-care community medical center that serves 13 communities in southern Fresno County in Central California, operating as a satellite campus of Adventist Health Hanford. Services include a 24-hour emergency, Inpatient and outpatient surgery and diagnostics, birthing center, direct observation unit, cardiology, and imaging with CT, MRI, and digital mammography. Residents provide culturally competent care to an underserved community.

Adventist Health Medical Office Reedley Children’s Health – 46 minutes – 30 miles from Adventist Health Medical Office – Hanford Residency

Adventist Health Reedley is one of four medical centers that form Adventist Health in the Central Valley, consisting of more than 4,000 associates, providers and volunteers. With the expertise and resources of a large healthcare system, the compassionate team ensures each patient receives . The hospital also licenses 26+ clinics in 22 rural communities with primary and specialty care services. In 2022, Money and The Leapfrog Group named Reedley Hospital as one of the best hospitals in America. Reedley is one of 148 hospitals nationwide that make up the new Best Hospitals list.