I went to that facility once. I had damaged my leg and knew surgery was necessary to put things back together. I simply wanted to get an X-ray so I could assess the damage before heading south to a competent ortho team. 

The poor guy on duty in the ER had recently completed his residency at OHSU, where he also attended med. school. My simple case left him at sea. An elderly woman was brought in and he had no idea what to do with her either; fortunately, her attendant knew what she needed and clued him in.

We then had some time to chat. When I told him that I thought OHSU should be closed down and we should contract with Washington and/or California to operate a med. and dental school here, he wholeheartedly agreed. He offered that he felt he was inadequately trained and didn't know where to turn to become competent. I really felt bad for him. And here he was working in a facility where there really isn't much in the way of competent staff.