Healthcare is also set for a big future. Several of the local higher education systems have renowned training in areas such as nuclear medicine, nursing, dental hygiene, Pre-med, lab sciences, radiologic sciences, respiratory care and vascular technology ā many of these partnering with Sky Lakes Medical Center for field specific, real world training. Additionally, the Medical Center Complex, in partnership with OHSU, includes Cascades East ā a clinician residency training program that specializes in rural family medicine. Cascades East residents are required to do rotations at rural clinics across the state, bolstering their ability for āfrontier medicine.ā