As a rural training program, residents complete their first-year hospital
rotations with the St. Peter Family Medicine Residency program interns at
Providence St. Peter Hospital. Second and third-year rotations are done predominately at
Providence Centralia Hospital.
Residents have inpatient and obstetrical rotations in all three years to
develop the skills to continue practicing full-spectrum medicine post-graduate.
While at Providence Centralia Hospital, residents enjoy the autonomy they
receive while working in a small community hospital.
Obstetrical Experiences:
Residents care for prenatal patients in their continuity clinic and are
involved in their deliveries and postpartum care.
Residents spend additional time with our obstetrical group in their office
to gain skills in managing obstetrical patients in a high volume practice
in Centralia.
Residents have rotations in Obstetrics in all 3 years. While at Providence
Centralia Hospital, residents receive a lot of autonomy, working directly
with their attendings. Residents gain experience with c-sections during
their rotations and can utilize elective time for additional obstetrical
experience if desired. Residents additionally cover call during their
rotations in their 2nd and 3rd years during their obstetrical rotations
to come first assist for any c-sections.
Pediatric Experiences:
In additional to caring for pediatric patients in continuity clinic, residents
have several other experiences in Pediatrics.
Residents participate in Inpatient Pediatric rotations at Providence St
Peter Hospital in their 1st and 2nd years with both Family Medicine attendings
and Pediatric attendings from Seattle Children's Hospital caring for pediatrics
and newborns in the Special Care Nursery.
In the 2nd year, residents rotate through the Pediatric Emergency Department
at Mary Bridge Children's Hospital in Tacoma. They additionally rotate
with Northwest Pediatrics in Chehalis for urgent care shifts.
Residents have ambulatory pediatric experiences in their 1st year rotating
with various pediatric specialists. This includes time with the Sexual
Assault Clinic which is a unique experience.
Residents care for newborns during all of their Obstetrical rotations.
Additionally, in the 3rd year, residents participate in Newborn Call to
round on newborn babies and are called in for any newborn resuscitations.
Inpatient Experiences:
Residents have rotations in Inpatient Medicine in all 3 years. In their
first year, residents rotate with the Family Medicine service as well
as with the hospitalist service at Providence St Peter Hospital.
Residents rotate with the hospitalist service at Providence Centralia Hospital
in their 2nd and 3rd year. At Providence Centralia Hospital, there is
an open ICU and so residents can gain additional experience caring for
complex critically ill patients.
Residents have night inpatient rotations in their 1st and 2nd years of
residency.
Emergency Medicine Experiences:
Residents rotate in the Emergency Department at Providence Centralia Hospital
all 3 years of residency.
Additionally, residents rotate through the Pediatric Emergency Department
at Mary Bridge Children's Hospital in their 2nd year.
Resident Call:
Residents take surgical assist call on their Obstetrical rotations in their
2nd and 3rd year to assist with c-sections.
In the 3rd year, residents participate in Newborn Call to assist with rounding
on newborns and newborn resuscitations
Additionally. residents in their 3rd year rotate on Clinic Call to take
after hour phone calls for patients from our clinic.
Orientation & Health Systems Management
In block 3 of intern year, after getting their feet wet in various rotations
and clinic, all interns have a 4 week orientation block combined with
the St Peter Family Medicine & Summit Pacific interns.
At the end of the 2nd year, residents get together again with the residents
from St Peter Family Medicine & Summit Pacific in a rotation called
Health Systems Management to get ready for the last year of residency.
There are various community medicine, practice management experiences
interspersed as well as time to work on scholarly activity and quality
improvement during this rotation.
Block Schedule
This is the current breakdown for rotations. There will be changes to this
rotation schedule to meet the new ACGME requirements set in place by July
2023. We are actively working to adjust the schedule to meet those requirements.
PGY-1
PGY-2
PGY-3
Orientation
4 weeks
Health Systems Management
4 weeks
Inpatient Medicine (PSPH)
8 weeks
Inpatient Medicine (PCH)
6 weeks
Inpatient Medicine (PCH)
8 weeks
Night Medicine (PSPH)
2 weeks
Night Medicine (PSPH/PCH)
6 weeks
Obstetrics (PSPH)
Night Obstetrics (PSPH)
8 weeks
4 weeks
Obstetrics (PCH)
6 weeks
Obstetrics (PCH)
4 weeks
Gynecology
2 weeks
Gynecology
2 weeks
Gynecology
2 weeks
Addiction Medicine
1 week
Elective
4 weeks
Elective
8 weeks
Ambulatory Pediatrics
4 weeks
Ambulatory Pediatrics
4 weeks
Palliative Care/Geriatrics
1 week
Palliative Care/Geriatrics
1 week
Palliative Care/Geriatrics
1 week
Clinic
4 weeks
Clinic
7 weeks
Clinic Weeks
23 weeks
Inpatient Pediatrics (PSPH)
8 weeks
Inpatient Pediatrics (PSPH)
2 weeks
Surgery/Anesthesia (PCH)
4 weeks
Emergency (PCH)
2 weeks
Emergency (PCH)
Pediatric Emergency (Mary Bridge)
2 weeks
4 weeks
Emergency (PCH)
4 weeks
Orthopedics (Centralia)
4 weeks
Orthopedics/Sport Medicine
4 weeks
*PSPH = done at Providence St Peter Hospital
*PCH = done at Providence Centralia Hospital
"The learning environment of our clinic in a rural setting is very
strong. The hospital training we get is beyond what someone in a rural
track would expect because we get to rotate at two different hospitals,
Providence St. Peter and Providence Centralia." -
Benjamin May, DO, class of 2020