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Natividad Family Medicine Residency

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Program Contact Information

Program Name: Natividad Family Medicine Residency
Program Director Name: Melissa Nothnagle, MD, MSc
Program Coordinator Name: Mary Lou Vasquez
Program Address: 1441 Constitution Blvd, Building 400, 3rd floor, Salinas, California 93906
Program Phone Number: (831) 755-4201
Program Contact Email: NMCFMRES@natividad.com
Total # of Residents: 30
Number of PGY-1 Slots: 10

Program at a Glance

Does your residency program share a hospital with other medical specialties or is it the only one? Unopposed
Program Setting: Urban
Is your program working in a Patient-Centered Medical Home (PCMH) model? No
Program Emphasis (select all that apply): Advocacy,Ambulatory Medicine,Behavioral Medicine,Chronic Disease Management,Community Medicine,Geriatrics,Global Health,Inpatient Medicine,Leadership Development,LGBTQ+,Motivational Interviewing,Obstetrics,Pain Management,Procedures,Reproductive Health,Rural Medicine Critical Care,Safety Net Medicine,Sports Medicine,Women's Health
Sponsoring Institution: Natividad
Special Electives or Rotations (select all that apply): Advocacy,Behavioral Medicine,Community Medicine,Geriatrics,Global Health,HIV Care,Inpatient Medicine,Leadership Development,LGBTQ+,Motivational Interviewing,Obstetrics,Pain Management,Procedures,Reproductive Health,Rural Medicine Critical Care,Safety Net Medicine,Sports Medicine,Women's Health
Which categories best describe your patient demographic? (select all that apply): White,Hispanic, Latino or Spanish Origin,Black or African American,Asian,Middle Eastern or North African,Native Hawaiian or Other Pacific Islander
Accreditation: ACGME
CAFP pays for first year resident dues (dependent upon completion of the application). Please indicate if your program pays for second and/or third year CAFP resident membership.
Both PGY-2 and PGY-3 dues

Program Details

Program Highlights and/or Unique Curriculum Components (i.e. Fellowship Opportunities):
Natividad is a community-based residency sponsored by California’s first public hospital and founded in 1975. Family Medicine is the only residency at Natividad, known for robust inpatient family medicine training, high-volume and high-risk obstetrics, and family planning including abortion care. Residents and faculty care for patients in a safety net FQHC on the hospital campus that is sponsored by the Monterey county health department. With support from a multidisciplinary team including behavioral health and a medico-legal partnership, our residents learn to care for the Latinx community and address the health disparities affecting immigrant farm workers. Natividad is located 2 hours south of San Francisco and 20 minutes from Monterey, on the beautiful Central Coast. We are affiliated with UCSF and Touro California Medical Schools, and residents have teaching opportunities on every rotation. We have 10 clerkship students on-site year round and many visiting students. Our OB Fellows learn operative and high risk obstetrical care, and our UCSF HEAL Global Health fellows and residents rotate at our partner site Companeros en Salud (Partners in Health) in Chiapas, Mexico. We also sponsor a Community Medicine Fellowship to help fellows develop the skills needed to provide care and advocacy for farmworkers and patients experiencing homelessness.
Faculty Composition:
Our faculty bring a wide breadth of skills and diverse experience to the department. This includes expertise in reproductive health/family planning, global health, high risk maternity care, geriatrics, integrative medicine, medical ethics, MAT, chronic pain management, point of care ultrasound, occupational health, operative obstetrics, public health and community advocacy. The majority of our faculty practice full spectrum family medicine, providing maternity care and/or inpatient hospital care in addition to ambulatory primary care. We are unified in our commitment to providing outstanding care for Monterey County’s most vulnerable patients and training residents who share that commitment.

Read more about our core faculty here:

Spouse/Family Opportunities:
Our residency is supportive of growing families. Our fur babies, partners and kids are included in residency events. Proximity to Silicon Valley allows residents with partners in the tech industry to locate between Salinas and San Jose. The resident schedule allows for flexible call trades to facilitate life events, vacation and family time.

Monterey County has amazing outdoor activities – surfing along the Monterey Bay coast from Carmel to Santa Cruz, hiking and camping in Big Sur and Pinnacles, biking on the coastal trail or in Fort Ord, and restaurants and wineries from Monterey to Carmel Valley.

Learn more about our resident culture here:

Fun Facts:
  • The beaches of Monterey bay are a 20 minute drive from Natividad – for surfing, paddleboarding, kayaking, fishing, or just watching the beautiful sunsets.
  • Natividad serves the city of Salinas (pop 150,000), as well as the rural Salinas Valley. Residents can rotate at our rural hospital in King City which is staffed by numerous Natividad graduates.
  • We care for a large population of immigrant farmworkers – about 30,00 live in the area year round, with another 25,000 arriving for the peak growing season by May every year.
  • The Salinas Valley is known as the nation’s salad bowl. The patients we serve plant and harvest the majority of lettuce produced annually in the US, along with many other vegetables and fruits that must be harvested by hand.
  • About 70% of our patients speak Spanish, and residents with Spanish fluency receive bilingual pay.
  • Our Community Medicine curriculum introduces residents to community organizations that support our patients, fostering collaborative advocacy and education projects. During the COVID pandemic, residents have provided outreach and education to thousands of agricultural workers to protect them.
  • Family Medicine plays a huge role on our busy OB service at Natividad. 21 of the 30 physicians who deliver at Natividad are family physicians, most of whom do C-sections. We have 24/7 coverage of our labor deck by both a family physician and an OB/gyn. We have a level 3 NICU and take care of many high risk OB patients.
  • Integrated services at our FQHC include social work, behavioral health, diabetes education, and legal services through California Rural Legal Assistance, Inc. In clinic our residents work one on one with Medical Assistants, who are all bilingual and from our community.
  • We value resident wellness – our resident/faculty wellness committee sponsors events throughout the year, plus an ongoing resident buddy system, taco Tuesdays, and biannual resident/faculty retreats.
  • In our applicant selection process, we use holistic file review to identify the candidates who are committed to caring for communities like ours. In addition to strong clinical training to prepare for a full spectrum residency experience, we value diversity in all forms, Spanish language proficiency, and an understanding of and commitment to advancing health equity and social justice.

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