
About
Aloha kākou! Welcome to the University of Hawai‘i Kaua‘i Family Medicine Residency Program.
We train exceptional rural physicians in the awe-inspiring beauty of Kaua‘i.Each year, four residents join a program that blends the robust academic resources of the University of Hawai‘i with the privilege of training alongside dedicated rural physicians—many of whom were called to medicine by a deep sense of kuleana.
In their first year, residents are immersed in the successful UH O‘ahu Family Medicine program. They then transition to the Garden Isle, where they care for the people and communities of Kaua‘i throughout their second and third years.
We seek residents who share our passion for full-spectrum, community-based, culturally informed rural primary care—physicians committed to nurturing place-based health, rooted in the dignity of individuals and the communities they serve.
Our training experiences span maternal-child health, geriatrics, substance use disorder treatment, community outreach, and care for individuals facing housing instability. We are also deeply committed to providing comprehensive reproductive health education.
Wilcox Medical Center serves as the anchor for our program, complemented by training across the island’s critical access hospitals, outpatient clinics, federally qualified health centers, and the district health office—offering a truly integrated and community-rooted experience.
The University of Hawai‘i Kaua‘i Family Medicine Residency Program will launch its inaugural class in 2025. Our continuity clinic is located in Kapa‘a at the Kaua‘i Village Shopping Center. We are deeply grateful to our sister program—the UH Family Medicine Residency Program on O‘ahu—which has been training physicians since its establishment in 1994.
To prepare family physicians who are compassionate, resilient, and effective leaders—dedicated to improving the health and well-being of individuals, families, and communities across Hawaiʻi and the Pacific Basin, with a special focus on rural and remote settings.
We believe that the foundation of a health system is built upon a strong base of primary care and we seek to achieve this through:
- Providing broad training for a diversity of career paths
- Promoting health fairness and trauma-responsive care
- Fostering clinician well-being and resilience
- Cultivating efficacy in community and population-based health
- Advancing education and scholarship in Family Medicine
To enhance the health of individuals, families, and communities by advancing excellence in Family Medicine training.
Core Faculty
The core faculty of the University of Hawai‘i Kaua‘i Family Medicine Residency Program are members of the Department of Family Medicine and Community Health at the John A. Burns School of Medicine (JABSOM). These dedicated educators lead the majority of teaching, precepting, and curriculum development for the residency program, as well as for medical student education.
They are supported by more than 100 volunteer clinical faculty across multiple Hawaiian islands, including active medical staff at Pali Momi Medical Center, Tripler Army Medical Center, Wilcox Medical Center, Hilo Medical Center, Samuel Mahelona Memorial Hospital, Kaua‘i Veterans Memorial Hospital, and various private practice sites. These experienced physicians generously contribute their time and expertise to support the training of both residents and medical students.
Our Kaua‘i-based faculty embody a deep commitment to rural medicine and community engagement. As role models in full-spectrum, community-oriented care, they are instrumental in preparing future family physicians to serve the unique healthcare needs of Hawai‘i’s neighbor islands and other remote areas throughout the Pacific Basin.
Program Details
Resident Curriculum Overview
The University of Hawai‘i Kaua‘i Family Medicine Residency Program offers a robust, full-spectrum curriculum designed to prepare physicians for the unique challenges and rewards of rural medicine. Our residents gain experience across a wide range of clinical settings—from tertiary care centers on O‘ahu to community-based hospitals and clinics on Kaua‘i. The curriculum emphasizes continuity of care, cultural humility, and community engagement, with increasing levels of responsibility and autonomy throughout training.
PGY-1: Foundations on O‘ahu
During their intern year, residents are fully integrated into the University of Hawai‘i O‘ahu Family Medicine Residency Program. Core clinical experiences include:
- 10 weeks of Inpatient Medicine (Pali Momi Medical Center)
- 4 weeks each of:
- Medical Intensive Care (The Queen’s Medical Center)
- Labor & Delivery (Kapi‘olani Medical Center for Women & Children)
- Pediatric Inpatient, Pediatric Nursery, and Pediatric Emergency Medicine (KMCWC)
Additional rotations include subspecialties such as ENT, Ophthalmology, Sports Medicine, Behavioral Health, and Palliative Care. Residents also travel to Kaua‘i during PGY-1 to begin building relationships with the community and to get oriented to their future continuity clinic in Kapa‘a.
PGY-2: Rural Immersion and Community Engagement
Residents transition fully to Kaua‘i in their second year and begin delivering more independent, community-based care. Core rotations include:
- 8 weeks of Inpatient Medicine
- 4-week blocks in Geriatrics, Orthopedics, Family Planning, Emergency Medicine, Surgery, Community Health, and Ambulatory Pediatrics
(All located at Wilcox Medical Center or Kaua‘i Medical Clinic)
Shorter rotations include Cardiology and Behavioral Health, along with elective time that allows residents to tailor their education to fit their specific interests and career goals. These experiences are rooted in rural practice and emphasize continuity of care, cultural responsiveness, and interprofessional collaboration. Residents also establish their longitudinal continuity clinic at the Kaua‘i Medical Clinic at Kaua‘i Village in Kapa‘a and participate in community outreach activities that strengthen their identity and impact as rural physician-leaders.
PGY-3: Advanced Practice and Individualization
In their third year, residents continue their Kaua‘i-based training with a focus on leadership, autonomy, and specialization. The PGY-3 curriculum includes:
- 8 weeks of Inpatient Medicine
- 4 weeks each of:
- Women’s Health (Wilcox Medical Center)
- Outpatient Medicine (Ho‘ola Lāhui Community Health Center)
- Urgent Care (Kaua‘i Veterans Memorial Hospital)
- Addictions and Behavioral Health (Samuel Mahelona Memorial Hospital)
Residents also enjoy ample elective time to customize their training in areas such as procedural skills, public health, sports medicine, or rural emergency care. PGY-3 emphasizes advanced clinical decision-making and preparation for independent rural practice.
Didactics
Weekly didactics are held on Wednesday afternoons and are protected time for resident learning. These sessions follow a 24-month longitudinal curriculum and utilize a mix of educational formats, including interactive lectures, small group breakouts, skills-based workshops, and point-of-care ultrasound (POCUS) practice.
During PGY-1, residents are fully immersed in the O‘ahu-based didactics curriculum alongside their UH Family Medicine peers. In PGY-2 and PGY-3, Kaua‘i-based residents engage in a didactics program tailored to the local health needs and resources of the island—ensuring that their education remains relevant, practical, and community-focused.
Rotation Sites – Kaua’i
Wilcox Medical Center
Wilcox Medical Center, founded in 1938 in Līhu‘e, Kaua‘i, is the island’s oldest and largest hospital, originally established through the vision of George Norton Wilcox and Dora Isenberg. Over the years, it has expanded its services and pioneered healthcare innovations, including Hawai‘i’s first tuberculosis X-ray program and a nationally recognized pharmacy system. Now part of Hawai‘i Pacific Health, it serves as Kaua‘i’s only Level III Trauma Center and Primary Stroke Center, offering care across more than 30 specialties. Wilcox continues its legacy of accessible, high-quality care deeply rooted in the island community. Wilcox – About Us
Kaua’i Medical Clinic
Kaua‘i Medical Clinic, established in 1967, is the island’s largest multispecialty medical group, offering comprehensive primary and specialty care across multiple locations, including Līhu‘e, Kapa‘a, Kōloa, and ‘Ele‘ele. Operating as part of Wilcox Health under Hawai‘i Pacific Health, the clinic has expanded its services over the decades to meet the growing healthcare needs of Kaua‘i’s residents. Notably, in 2016, the Bone & Joint Center at the Līhu‘e clinic was expanded to provide advanced orthopedic care. In 2019, a new clinic opened in Kapa‘a, significantly increasing access to family medicine services. The ‘Ele‘ele location has also been recognized nationally for excellence in blood pressure management. With a team of over 90 physicians and providers, Kaua‘i Medical Clinic continues to play a vital role in delivering accessible, high-quality healthcare throughout the island.
Kaua’i Veterans Memorial Hospital
Kaua‘i Veterans Memorial Hospital (KVMH), located in Waimea on the west side of Kaua‘i, was established in 1957 to honor veterans of the Korean War. Today, it operates as a full-service Critical Access Hospital under the Hawai‘i Health Systems Corporation (HHSC), providing a comprehensive range of medical services to the community. These services include 24-hour emergency care, general and specialty surgeries, intensive care, obstetrics and gynecology, pediatrics, skilled and intermediate nursing care, radiology (including CT scans, ultrasounds, mammography, and limb MRI), laboratory services, pharmacy, physical and occupational therapy, respiratory therapy, and social services. Adjacent to the hospital is the Kawaiola Medical Office Building, which houses a dialysis center, outpatient clinics, and other healthcare services. KVMH’s hospitalist program ensures continuous, on-site physician care, enhancing patient outcomes and reducing hospital stays. Kauai Veterans Memorial Hospital (KVMH) – About Us
Samuel Mahelona Memorial Hospital
Samuel Mahelona Memorial Hospital (SMMH), located in Kapa‘a, Kaua‘i, was founded in 1917 by Albert and Emma Wilcox in memory of Emma’s son, Samuel Mahelona, who died of tuberculosis at age 28. Originally established as a tuberculosis sanatorium, the hospital operated as a self-sustaining community with its own gardens, dairy, and workshops, and was managed by Mabel Wilcox, a trailblazing nurse and public health leader. As tuberculosis cases declined in the 1960s, SMMH evolved into a Critical Access Hospital, expanding its services to include behavioral health, skilled nursing, and long-term care. Today, it remains a vital part of the Hawai‘i Health Systems Corporation Kaua‘i Region. In 2023, the hospital was nationally recognized as one of the Top 20 Critical Access Hospitals in the country. Looking ahead, a comprehensive master plan will reshape the SMMH campus over the next two to three decades, including expanded medical facilities, a new library, police substation, and hundreds of housing units to better serve the island’s growing healthcare and community needs. Samuel Mahelona Memorial Hospital (SMMH) – About Us
Ho‘ola Lāhui Hawai‘i
Ho‘ola Lāhui Hawai‘i, established in 1986 on Kaua‘i’s west side, is a nonprofit community health center dedicated to improving the health and well-being of Native Hawaiians and underserved populations across Kaua‘i and Ni‘ihau. Designated as the Native Hawaiian Health Care System for Kaua‘i County by Papa Ola Lōkahi and recognized as a Federally Qualified Health Center by the U.S. Department of Health and Human Services, Ho‘ola Lāhui Hawai‘i offers integrated services including primary medical care, dental services, behavioral health counseling, substance abuse treatment, health education, chronic disease management, nutritional counseling, fitness programs, pharmacy services, and traditional Hawaiian healing practices. The organization began with a mobile clinic and expanded to permanent facilities in Waimea (2001) and Kapa‘a (2004), along with a pharmacy and fitness center in Līhu‘e. Serving approximately 7,500 patients annually, Ho‘ola Lāhui Hawai‘i continues to provide culturally grounded, holistic healthcare, emphasizing the integration of mind, body, and spirit in its approach. About Us
Kaua‘i District Health Office
The Kaua‘i District Health Office (KDHO), located in Līhu‘e, is the local branch of the Hawai‘i State Department of Health, serving the islands of Kaua‘i and Ni‘ihau. While its exact founding date is unclear, KDHO has long played a vital role in public health, offering services such as emergency preparedness, environmental health, public health nursing, and family health programs. In recent years, KDHO has led initiatives like the annual CASPER surveys to assess community readiness and health needs, and regularly hosts outreach events during National Public Health Week. Through its programs, KDHO continues to promote and protect the health of Kaua‘i’s residents. About Us
Rotation Sites – O’ahu
Kapiolani Medical Center for Women and Children
Queen Kapiolani founded the Kapiolani Maternity Home in 1890 to improve maternal and child health in Hawaii, a mission that has evolved into the Kapiolani Medical Center for Women & Children (KMCWC), a leading provider of exceptional care for Hawaii’s families for over 130 years. Located in Honolulu, KMCWC hosts Family Medicine residents’ obstetrics and gynecology rotations, where they deliver obstetric continuity patients and provide newborn nursery care. It also supports inpatient and community pediatric rotations as well as the pediatric emergency medicine rotation. Family medicine residents work alongside OB/GYN and pediatric residents, enhancing the learning environment through interdisciplinary collaboration and comprehensive care training. Kapiolani – About Us
Pali Momi Outpatient Center
University Family Medicine at Pali Momi located in ʻAiea, HI is the continuity clinic for our residents and serves as one of the foundations for service learning in our program. We provide comprehensive care to a demographically diverse and medically complex patient population using a team-based approach with integrated behavioral health, clinical pharmacy, and a community health navigator on site. As residents progress in training, their time in clinic and continuity panel will correspondingly increase. For more information about our clinic, please see the following website: University Family Medicine at Pali Momi
Pali Momi Medical Center
Pali Momi Medical Center, also located in ʻAiea, is the primary hospital site where our residents train and serves as the other main foundation of our residency program. We are the only residency program based at this hospital and maintain our own Family Medicine Inpatient Service staffed by our residents and faculty. Pali Momi serves as a healthcare leader for Central and West Oahu and is recognized annually for outstanding quality and patient experience. For more information, please see the following website: Pali Momi Medical Center – About Us
Queen’s Punchbowl
Founded in 1859 by Queen Emma and King Kamehameha IV to address health care needs during epidemics, The Queen’s Hospital has evolved into The Queen’s Health System, now a leading provider of whole-person care in Hawai‘i and the Pacific Basin. Located in the heart of Honolulu, the Punchbowl location hosts Family Medicine residents for their Medical ICU rotations, where they work alongside Internal Medicine residents under the guidance of skilled critical care attending physicians. Additionally, Family Medicine residents train alongside OB/GYN residents and attending physicians during their gynecology rotation, fostering a well-rounded educational environment.
Applying to our Program
How to Apply
- Candidates for residency may apply through the Electronic Residency Application Service (ERAS)
- Applications are reviewed holistically by faculty and the program director with attention to applicants’ life experiences, attributes, clinical competency, and academic metrics. As a program, we value applicants who demonstrate strong teamwork and communication skills, a commitment to serving our population in Hawaiʻi and/or the Pacific, resiliency, and an enthusiastic approach to feedback and lifelong learning.
How to Apply
- Completed ERAS application by November 1
- Official transcripts demonstrating passing scores for:
- USMLE Steps 1 and 2 and/or
- COMLEX Level 1 and 2
- At least three Letters of Recommendation with at least one from a family physician.
- Graduated from medical school in 2020 or later.
- Personal Statement illustrating:
- Who you are
- Why Family Medicine
- Why the University of Hawai’i Kauai Family Medicine Residency Program
- Why Rural Health?
Additional requirements:
- Must be fluent in English (both oral and written)
- Matched applicants who do not have a social security number will need to arrive in Hawaii 30 days prior to the start date
- International Medical School graduates will be required to be ECFMG certified
- J1 VISA sponsorship is the only visa sponsorship available
Interview Info
- Interviews will be offered through ERAS email on a rolling basis
- All interview sessions will be conducted virtually on one (1) day via ZOOM
- A typical interview day includes:
- Interview Registration
- Morning Report
- Orientation with the Program Director
- Interviews with 2 Faculty, 2 Residents, and the Program Director
- Orientation with the Program Administrator
Hawaii Residency Programs, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. If you need accommodations at any time, please contact HRP Human Resources at 808-586-2891.
Visiting Students

Residents

Community Engagement
Throughout training, residents actively participate in meaningful community engagement. During their PGY-1 year, they are integrated into the O‘ahu Family Medicine Program’s established community initiatives, gaining early exposure to population health, health equity efforts, and service-based learning.
In PGY-2 and PGY-3, residents deepen this commitment on Kaua‘i through outreach efforts tailored to the island’s unique communities—partnering with local organizations, participating in health fairs, and supporting underserved populations. These experiences help foster a lifelong dedication to service and community leadership.
Salary & Benefits
Contact
Kauai Family Medicine Residency Program
4-831 Kuhio Highway, Ste. 332
Kapaa, Hawai’i 96746
P: (808) 407-3440