Residency programs range in length from three years for family practice and internal medicine to five years for orthopedic surgery or general surgery up to seven years for neurological surgery. Once a residency is completed the physician has an opportunity to take an exam and become board certified in that area.  They may also wish to continue their training in fellowships that also range in length to receive extra training in a subspecialty area within the scope of their core residency.

All DO and MD graduates will utilize the National Residency Match Program (NRMP) match to attempt to be accepted for their preferred residency and location.  Residencies may be located at academic medical centers, community hospitals, the Military Facilities, VA hospitals, or  Federally Qualified Health Centers (FQHCs) serving the rural and/or underserved areas.  All new graduates (DO and MD) will compete for these positions at ACGME approved residency programs. If a graduate does not match in the early spring of their fourth year, they have an opportunity to contact programs with unfilled positions to try to obtain a spot post match.

There is rapid growth in undergraduate medical education in order to meet the needs of a changing demographic. This has resulted in the need to develop additional residency training positions across the country. Relative to the number of graduating medical students, there is a current shortage of post-graduate (residency) training programs. This shortage of graduate medical education positions in many states including California.  CHSU is dedicated to working with existing facilities and new rural medical clinics to start or increase the number of residency positions in and around the central valley.  We know that our area has a significant shortage or providers.  We also know that a large percentage of residents stay within 50-100 miles of where they complete their residency to practice.  Our mission specifically outlines our desire to increase healthcare access by educating new physicians, increasing opportunities for residency in our area, thereby significantly increasing the number of physicians in the central valley to create better health access to our communities.

We are working with a number of hospitals, hospital systems, and clinics in our area to help encourage them to choose to add graduate medical education opportunities here in the central valley and provide them with resources to help make the resident experience exceptional.  Many of our local and surrounding facilities understand the importance of graduate medical education and are taking steps to add GME positions to provide excellent training to the many new graduates beginning in 2024.